Risk of Incident Cancer in Veterans with Diabetes Who Use Metformin Versus Sulfonylureas Article Swipe
YOU?
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· 2024
· Open Access
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· DOI: https://doi.org/10.15430/jcp.24.012
Prior research suggests metformin has anti-cancer effects, yet data are limited. We examined the association between diabetes treatment (metformin versus sulfonylurea) and risk of incident diabetes-related and non- diabetes-related cancers in US veterans. This retrospective cohort study included US veterans, without cancer, aged ≥ 55 years, who were new users of metformin or sulfonylureas for diabetes between 2001 to 2012. Cox proportional hazards models, with propensity score-matched inverse probability of treatment weighting (IPTW) were constructed. A total of 88,713 veterans (mean age 68.6 ± 7.8 years; 97.7% male; 84.1% White, 12.6% Black, 3.3% other race) were followed for 4.2 ± 3.0 years. Among metformin users (n = 60,476), there were 858 incident diabetes-related cancers (crude incidence rate [IR; per 1,000 person-years] = 3.4) and 3,533 non-diabetes-related cancers (IR = 14.1). Among sulfonylurea users (n = 28,237), there were 675 incident diabetes-related cancers (IR = 5.5) and 2,316 non-diabetes-related cancers (IR = 18.9). After IPTW adjustment, metformin use was associated with a lower risk of incident diabetes-related cancer (hazard ratio [HR] = 0.66, 95% CI 0.58-0.75) compared to sulfonylurea use. There was no association between treatment group (metformin versus sulfonylurea) and non-diabetes-related cancer (HR = 0.96, 95% CI 0.89-1.02). Of diabetes-related cancers, metformin users had lower incidence of liver (HR = 0.39, 95% CI 0.28-0.53), colorectal (HR = 0.75, 95% CI 0.62-0.92), and esophageal cancers (HR = 0.54, 95% CI 0.36-0.81). Among US veterans, metformin users had lower incidence of diabetes-related cancer, particularly liver, colorectal, and esophageal cancers, as compared to sulfonylurea users. Use of metformin was not associated with non-diabetes-related cancer. Further studies are needed to understand how metformin use impacts cancer incidence in different patient populations.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.15430/jcp.24.012
- https://www.jcpjournal.org/journal/download_pdf.php?doi=10.15430/JCP.24.012
- OA Status
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- References
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- Related Works
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- OpenAlex ID
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Raw OpenAlex JSON
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https://openalex.org/W4406083587Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.15430/jcp.24.012Digital Object Identifier
- Title
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Risk of Incident Cancer in Veterans with Diabetes Who Use Metformin Versus SulfonylureasWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-12-30Full publication date if available
- Authors
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Maya Abdallah, Beatriz Desanti de Oliveira, Clark DuMontier, Ariela R. Orkaby, Lisa Nussbaum, J. Michael Gaziano, Luc Djoussé, David Gagnon, Kelly Cho, Sarah R. Preis, Jane A. DriverList of authors in order
- Landing page
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https://doi.org/10.15430/jcp.24.012Publisher landing page
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https://www.jcpjournal.org/journal/download_pdf.php?doi=10.15430/JCP.24.012Direct link to full text PDF
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
- OA URL
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https://www.jcpjournal.org/journal/download_pdf.php?doi=10.15430/JCP.24.012Direct OA link when available
- Concepts
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Metformin, Medicine, Diabetes mellitus, Internal medicine, Cancer, Oncology, Endocrinology, GynecologyTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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39Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.cohort | 35 |
| abstract_inverted_index.liver, | 242 |
| abstract_inverted_index.needed | 264 |
| abstract_inverted_index.users. | 251 |
| abstract_inverted_index.versus | 19, 187 |
| abstract_inverted_index.years, | 45 |
| abstract_inverted_index.years. | 101 |
| abstract_inverted_index.years; | 85 |
| abstract_inverted_index.(hazard | 167 |
| abstract_inverted_index.Further | 261 |
| abstract_inverted_index.between | 15, 56, 183 |
| abstract_inverted_index.cancer, | 41, 240 |
| abstract_inverted_index.cancer. | 260 |
| abstract_inverted_index.cancers | 29, 113, 126, 141, 148, 223 |
| abstract_inverted_index.hazards | 62 |
| abstract_inverted_index.impacts | 270 |
| abstract_inverted_index.inverse | 67 |
| abstract_inverted_index.models, | 63 |
| abstract_inverted_index.patient | 275 |
| abstract_inverted_index.studies | 262 |
| abstract_inverted_index.without | 40 |
| abstract_inverted_index.28,237), | 135 |
| abstract_inverted_index.60,476), | 107 |
| abstract_inverted_index.cancers, | 200, 246 |
| abstract_inverted_index.compared | 175, 248 |
| abstract_inverted_index.diabetes | 16, 55 |
| abstract_inverted_index.effects, | 6 |
| abstract_inverted_index.examined | 12 |
| abstract_inverted_index.followed | 96 |
| abstract_inverted_index.incident | 24, 111, 139, 164 |
| abstract_inverted_index.included | 37 |
| abstract_inverted_index.limited. | 10 |
| abstract_inverted_index.research | 1 |
| abstract_inverted_index.suggests | 2 |
| abstract_inverted_index.veterans | 79 |
| abstract_inverted_index.different | 274 |
| abstract_inverted_index.incidence | 115, 205, 237, 272 |
| abstract_inverted_index.metformin | 3, 51, 103, 155, 201, 233, 254, 268 |
| abstract_inverted_index.treatment | 17, 70, 184 |
| abstract_inverted_index.veterans, | 39, 232 |
| abstract_inverted_index.veterans. | 32 |
| abstract_inverted_index.weighting | 71 |
| abstract_inverted_index.(metformin | 18, 186 |
| abstract_inverted_index.0.58-0.75) | 174 |
| abstract_inverted_index.associated | 158, 257 |
| abstract_inverted_index.colorectal | 214 |
| abstract_inverted_index.esophageal | 222, 245 |
| abstract_inverted_index.propensity | 65 |
| abstract_inverted_index.understand | 266 |
| abstract_inverted_index.0.28-0.53), | 213 |
| abstract_inverted_index.0.36-0.81). | 229 |
| abstract_inverted_index.0.62-0.92), | 220 |
| abstract_inverted_index.0.89-1.02). | 197 |
| abstract_inverted_index.adjustment, | 154 |
| abstract_inverted_index.anti-cancer | 5 |
| abstract_inverted_index.association | 14, 182 |
| abstract_inverted_index.colorectal, | 243 |
| abstract_inverted_index.probability | 68 |
| abstract_inverted_index.constructed. | 74 |
| abstract_inverted_index.particularly | 241 |
| abstract_inverted_index.populations. | 276 |
| abstract_inverted_index.proportional | 61 |
| abstract_inverted_index.sulfonylurea | 131, 177, 250 |
| abstract_inverted_index.person-years] | 120 |
| abstract_inverted_index.retrospective | 34 |
| abstract_inverted_index.score-matched | 66 |
| abstract_inverted_index.sulfonylurea) | 20, 188 |
| abstract_inverted_index.sulfonylureas | 53 |
| abstract_inverted_index.diabetes-related | 25, 28, 112, 140, 165, 199, 239 |
| abstract_inverted_index.non-diabetes-related | 125, 147, 190, 259 |
| cited_by_percentile_year | |
| countries_distinct_count | 1 |
| institutions_distinct_count | 11 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.800000011920929 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.26726005 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |