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. 2024 Apr 10;385:e078225. doi: 10.1136/bmj-2023-078225

Table 2.

GLP1 receptor agonist use and risk of thyroid cancer

Analysis GLP1 receptor agonists (n=145 410) DPP4 inhibitors (n=291 667) Hazard ratio (95% CI)* Rate difference (95% CI) per 10 000 person years*
No of events Rate per 10 000 person years* No of events Rate per 10 000 person years*
Main analysis (any thyroid cancer) 76 1.33 184 1.46 0.93 (0.66 to 1.31) −0.13 (−0.61 to 0.36)
Subtypes of thyroid cancer
 Papillary 53 0.93 114 1.04 0.92 (0.61 to 1.39) −0.11 (−0.53 to 0.31)
 Follicular 16 0.28 47 0.27 0.99 (0.47 to 2.08) 0.01 (−0.19 to 0.21)
 Medullary 4 0.07 11 0.07 1.19 (0.37 to 3.86) 0.00 (−0.09 to 0.09)
 Other 5 0.09 15 0.05 1.51 (0.44 to 5.20) 0.04 (−0.05 to 0.12)

Total crude number of person years in main analysis was 569 538 in the GLP1 receptor agonist group and 1 580 409 in the DPP4 inhibitor group.

CI=confidence interval; DPP4=dipeptidyl peptidase 4; GLP1=glucagon-like peptide 1.

*

Rates, rate differences, and hazard ratios adjusted for all variables shown in table 1 using propensity score fine stratification weighting.