Overview
- The propensity-matched OneFlorida+ cohort included 86,632 adults with overweight or obesity, split between 43,317 GLP-1 users and 43,315 nonusers with no prior cancer.
- Overall cancer risk was lower in users (hazard ratio 0.83), with incidence rates of 13.6 vs 16.4 cases per 1,000 person-years.
- Statistically significant associations were seen for endometrial (HR 0.75), ovarian (HR 0.53) and meningioma (HR 0.69) cancers.
- A borderline elevation in kidney cancer was observed (HR 1.38; 95% CI, 0.99–1.93), a pattern also noted in earlier research and more apparent under age 65 in this analysis.
- Authors highlight observational limits, low event counts for some tumors and lack of longitudinal BMI data, and they plan longer follow-up plus analyses using Indiana’s statewide EHR to inform prospective trials.