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Disparities in Occurrence of Cancer Due to Different Treatment Modalities in Rheumatoid Arthritis Patients

Presenter Information (List ALL Authors)

Varsha Gupta, Chhatrapati Shahu Ji Maharaj University, India

Presenting Author

Varsha Gupta

Presentation Type

Oral Presentation

Discipline Track

Community/Public Health

Abstract Type

Research/Clinical

Abstract

Rheumatoid arthritis(RA)is inflammatory disorder characterised by ongoing inflammatory responses which involve multiple joints and is the leading cause of increased morbidity and mortality. Malignant lymphoma, infections and cardio vascular diseases tend to increase severity of RA. The disease itself and its treatment can contribute in increasing overall risk of cancer in the RA patients. Cancer management in rheumatic patients pose a big challenge as it requires several considerations due to maintenance of these patients on immunosuppressive therapies. Given the fact that anti-cancer agents in low dose are used to treat the ongoing inflammation in RA patients, however, both beneficial and adverse responses are observed. Treatment of RA with disease modifying anti rheumatic agents (DMARDs) can increase the risk of cancer as studies have found association between augmented tumorigenesis and DMARDs. Methotrexate (MTX) considered as gold standard for treating RA might be associated with lymphoproliferative disorder(MTX-LPD) while salicylates could reduce the risk of malignancies in RA patients. RA patients are also prone for reoccurrence of cancers with usage of different treatment modalities. In this study we aim to address disparities in the occurrence of various cancers with respect to different treatment modalities in rheumatoid arthritis patients.

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Disparities in Occurrence of Cancer Due to Different Treatment Modalities in Rheumatoid Arthritis Patients

Rheumatoid arthritis(RA)is inflammatory disorder characterised by ongoing inflammatory responses which involve multiple joints and is the leading cause of increased morbidity and mortality. Malignant lymphoma, infections and cardio vascular diseases tend to increase severity of RA. The disease itself and its treatment can contribute in increasing overall risk of cancer in the RA patients. Cancer management in rheumatic patients pose a big challenge as it requires several considerations due to maintenance of these patients on immunosuppressive therapies. Given the fact that anti-cancer agents in low dose are used to treat the ongoing inflammation in RA patients, however, both beneficial and adverse responses are observed. Treatment of RA with disease modifying anti rheumatic agents (DMARDs) can increase the risk of cancer as studies have found association between augmented tumorigenesis and DMARDs. Methotrexate (MTX) considered as gold standard for treating RA might be associated with lymphoproliferative disorder(MTX-LPD) while salicylates could reduce the risk of malignancies in RA patients. RA patients are also prone for reoccurrence of cancers with usage of different treatment modalities. In this study we aim to address disparities in the occurrence of various cancers with respect to different treatment modalities in rheumatoid arthritis patients.

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