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2017 ; 8
(33
): 55622-55631
Nephropedia Template TP
gab.com Text
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English Wikipedia
Association between metformin and the risk of gastric cancer in patients with
type 2 diabetes mellitus: a meta-analysis of cohort studies
#MMPMID28903449
Zhou XL
; Xue WH
; Ding XF
; Li LF
; Dou MM
; Zhang WJ
; Lv Z
; Fan ZR
; Zhao J
; Wang LX
Oncotarget
2017[Aug]; 8
(33
): 55622-55631
PMID28903449
show ga
OBJECTIVES: The objective of this study was to evaluate the association between
metformin therapy and the incidence of gastric cancer (GC) in patients with type
2 diabetes mellitus (T2DM). METHODS: We systemically searched the following
databases for studies published between the databases' dates of inception and
Nov. 2016: PubMed, Embase, the Cochrane Library, the Web of Science, and the
China National Knowledge Infrastructure (CNKI). Hazard ratios (HR)and
corresponding 95% confidence intervals (CIs) for the association between
metformin therapy and the incidence of GC in patients with T2DM were the outcome
measures assessed in this study. STATA 12.0 (Stata Corporation, College Station,
Texas, USA) was used to conduct the statistical analysis. RESULTS: A total of
seven cohort studies including 591,077 patients met all the criteria for
inclusion in the analysis. Our data showed that metformin therapy was associated
with a significantly lower incidence of GC in patients with T2DM than other types
of therapy (HR=0.763, 95% CI: 0.642?0.905). Subgroup analysis showed that
patients living in Taiwan benefitted more from metformin therapy than patients
living in any other region, as metformin significantly decreased the risk of GC
in patients living in Taiwan but did not significantly decrease the risk of GC in
patients living in other regions (HR=0.514, 95% CI: 0.384-0.688). The results of
the present analysis support the idea that metformin facilitates reductions in
the risk of T2DM-related GC. CONCLUSIONS: The risk of GC among patients with T2DM
is lower in patients receiving metformin therapy than in patients not receiving
metformin therapy.