Are sulfonylurea and insulin therapies associated with a larger risk of cancer than metformin therapy? A retrospective database analysis.

Abstract:

OBJECTIVE:Several meta-analyses of observational studies suggested that metformin use reduces cancer risk in type 2 diabetes. However, this result was not confirmed by the few available randomized controlled trials (RCTs), and many observational studies on metformin and cancer were potentially afflicted with time-related bias. We aimed to avoid this bias when comparing cancer incidence in users of sulfonylurea, insulin, and other diabetes medications, respectively, with cancer incidence in metformin users. RESEARCH DESIGN AND METHODS:In a retrospective observational study, we used the German Disease Analyzer database with patient data from general practices throughout Germany. The study sample included 22,556 patients diagnosed with type 2 diabetes. During the median follow-up time of 4.8 years, 1,446 (6.4%) patients developed any cancer. In Cox regression analyses with either monotherapies or first diabetes medications as drug exposure, users of sulfonylurea (or insulin or other antidiabetes medications) were compared with metformin users. RESULTS:In multivariable adjusted models, hazard ratios were 1.09 (95% CI 0.87-1.36) for sulfonylurea monotherapy, 1.14 (95% CI 0.85-1.55) for insulin monotherapy, and 0.94 (95% CI 0.67-1.33) for other diabetes medications compared with metformin monotherapy. Results were similar for comparison of first diabetes medications. CONCLUSIONS:In a retrospective database analysis, taking into account potential time-related biases, no reduced cancer risk was found in metformin users. To clarify the association between diabetes medication and cancer risk, further well-designed observational studies and RCTs are needed.

journal_name

Diabetes Care

journal_title

Diabetes care

authors

Kowall B,Rathmann W,Kostev K

doi

10.2337/dc14-0977

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

59-65

issue

1

eissn

0149-5992

issn

1935-5548

pii

dc14-0977

journal_volume

38

pub_type

杂志文章
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    journal_title:Diabetes care

    pub_type: 杂志文章,多中心研究

    doi:10.2337/diacare.22.1.99

    authors:

    更新日期:1999-01-01 00:00:00

  • BMI and All-Cause Mortality in Normoglycemia, Impaired Fasting Glucose, Newly Diagnosed Diabetes, and Prevalent Diabetes: A Cohort Study.

    abstract:OBJECTIVE:This study examined associations between BMI and mortality in individuals with normoglycemia, impaired fasting glucose (IFG), newly diagnosed diabetes, and prevalent diabetes and identified BMI ranges associated with the lowest mortality in each group. RESEARCH DESIGN AND METHODS:A total of 12,815,006 adults...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc16-1458

    authors: Lee EY,Lee YH,Yi SW,Shin SA,Yi JJ

    更新日期:2017-08-01 00:00:00

  • Differences in the prevalence of diabetes and impaired glucose tolerance according to maternal or paternal history of diabetes.

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.16.9.1262

    authors: Mitchell BD,Valdez R,Hazuda HP,Haffner SM,Monterrosa A,Stern MP

    更新日期:1993-09-01 00:00:00

  • Effect of topical basic fibroblast growth factor on the healing of chronic diabetic neuropathic ulcer of the foot. A pilot, randomized, double-blind, placebo-controlled study.

    abstract:OBJECTIVE:To assess the efficacy and safety of topical human recombinant basic fibroblast growth factor (bFGF) on the healing of diabetic neurotrophic foot ulcers. RESEARCH DESIGN AND METHODS:Seventeen diabetic patients suffering from chronic neuropathic ulcer of the plantar surface of the foot entered a pilot, random...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,随机对照试验

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    authors: Richard JL,Parer-Richard C,Daures JP,Clouet S,Vannereau D,Bringer J,Rodier M,Jacob C,Comte-Bardonnet M

    更新日期:1995-01-01 00:00:00

  • PIONEER 1: Randomized Clinical Trial of the Efficacy and Safety of Oral Semaglutide Monotherapy in Comparison With Placebo in Patients With Type 2 Diabetes.

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc19-0749

    authors: Aroda VR,Rosenstock J,Terauchi Y,Altuntas Y,Lalic NM,Morales Villegas EC,Jeppesen OK,Christiansen E,Hertz CL,Haluzík M,PIONEER 1 Investigators.

    更新日期:2019-09-01 00:00:00

  • Changes in treatment adherence and glycemic control during the transition to adolescence in type 1 diabetes.

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    journal_title:Diabetes care

    pub_type: 杂志文章,多中心研究

    doi:10.2337/dc11-2163

    authors: Rausch JR,Hood KK,Delamater A,Shroff Pendley J,Rohan JM,Reeves G,Dolan L,Drotar D

    更新日期:2012-06-01 00:00:00

  • Metabolic implications of body fat distribution.

    abstract::Insulin resistance is the cornerstone for the development of non-insulin-dependent diabetes mellitus (NIDDM). Free fatty acids (FFAs) cause insulin resistance in muscle and liver and increase hepatic gluconeogenesis and lipoprotein production and perhaps decrease hepatic clearance of insulin. It is suggested that the ...

    journal_title:Diabetes care

    pub_type: 杂志文章,评审

    doi:10.2337/diacare.14.12.1132

    authors: Björntorp P

    更新日期:1991-12-01 00:00:00

  • Coincidence of a novel KCNJ11 missense variant R365H with a paternally inherited 6q24 duplication in a patient with transient neonatal diabetes.

    abstract:OBJECTIVE:Neonatal diabetes is a heterogeneous group of disorders with diabetes manifestation in the first 6 months of life. The most common etiology in permanent neonatal diabetes is mutations of the ATP-sensitive K(+) channel subunits; in transient neonatal diabetes, chromosome 6q24 abnormalities are the most common ...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc08-0549

    authors: Staník J,Lethby M,Flanagan SE,Gasperíková D,Milosovicová B,Lever M,Bullman H,Zubcevic L,Hattersley AT,Ellard S,Ashcroft FM,Klimes I

    更新日期:2008-09-01 00:00:00

  • The Prognostic Significance of Diabetes and Microvascular Complications in Patients With Heart Failure With Preserved Ejection Fraction.

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    journal_title:Diabetes care

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.2337/dc17-0755

    authors: Sandesara PB,O'Neal WT,Kelli HM,Samman-Tahhan A,Hammadah M,Quyyumi AA,Sperling LS

    更新日期:2018-01-01 00:00:00

  • One-year results of a community-based translation of the Diabetes Prevention Program: Healthy-Living Partnerships to Prevent Diabetes (HELP PD) Project.

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    journal_title:Diabetes care

    pub_type: 杂志文章,随机对照试验

    doi:10.2337/dc10-2115

    authors: Katula JA,Vitolins MZ,Rosenberger EL,Blackwell CS,Morgan TM,Lawlor MS,Goff DC Jr

    更新日期:2011-07-01 00:00:00

  • Vitamin E reduction of protein glycosylation in diabetes. New prospect for prevention of diabetic complications?

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    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.2337/diacare.14.1.68

    authors: Ceriello A,Giugliano D,Quatraro A,Donzella C,Dipalo G,Lefebvre PJ

    更新日期:1991-01-01 00:00:00

  • Sulfonylurea treatment of type 2 diabetic patients does not reduce the vasodilator response to ischemia.

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    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,随机对照试验

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    authors: Spallarossa P,Schiavo M,Rossettin P,Cordone S,Olivotti L,Cordera R,Brunelli C

    更新日期:2001-04-01 00:00:00

  • Prepregnancy dietary protein intake, major dietary protein sources, and the risk of gestational diabetes mellitus: a prospective cohort study.

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc12-2018

    authors: Bao W,Bowers K,Tobias DK,Hu FB,Zhang C

    更新日期:2013-07-01 00:00:00

  • Impact of peripheral neuropathy on bone density in patients with type 1 diabetes.

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.22.5.827

    authors: Rix M,Andreassen H,Eskildsen P

    更新日期:1999-05-01 00:00:00

  • Subclinical and clinical eating disorders in IDDM negatively affect metabolic control.

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.20.2.182

    authors: Affenito SG,Backstrand JR,Welch GW,Lammi-Keefe CJ,Rodriguez NR,Adams CH

    更新日期:1997-02-01 00:00:00

  • Lipid testing among patients with diabetes who receive diabetes care from primary care physicians.

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.26.5.1369

    authors: Massing MW,Henley NS,Carter-Edwards L,Schenck AP,Simpson RJ Jr

    更新日期:2003-05-01 00:00:00

  • Long-term Diet Quality and Risk of Type 2 Diabetes Among Urban Chinese Adults.

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc17-1626

    authors: Yu D,Zheng W,Cai H,Xiang YB,Li H,Gao YT,Shu XO

    更新日期:2018-04-01 00:00:00

  • Metabolic effects of troglitazone therapy in type 2 diabetic, obese, and lean normal subjects.

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    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章

    doi:10.2337/diacare.23.1.64

    authors: Frias JP,Yu JG,Kruszynska YT,Olefsky JM

    更新日期:2000-01-01 00:00:00

  • A 16-week comparison of the novel insulin analog insulin glargine (HOE 901) and NPH human insulin used with insulin lispro in patients with type 1 diabetes.

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    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.2337/diacare.23.11.1666

    authors: Raskin P,Klaff L,Bergenstal R,Hallé JP,Donley D,Mecca T

    更新日期:2000-11-01 00:00:00

  • Hyperinsulinism complicating control of diabetes mellitus by an artificial beta-cell.

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.3.2.274

    authors: Horwitz DL,Zeidler A,Gonen B,Jaspan JB

    更新日期:1980-03-01 00:00:00

  • Metabolic consequences of hepatic steatosis in overweight and obese adolescents.

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc11-1754

    authors: Wicklow BA,Wittmeier KD,MacIntosh AC,Sellers EA,Ryner L,Serrai H,Dean HJ,McGavock JM

    更新日期:2012-04-01 00:00:00

  • Risk Factors for Kidney Disease in Type 1 Diabetes.

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc18-2062

    authors: Perkins BA,Bebu I,de Boer IH,Molitch M,Tamborlane W,Lorenzi G,Herman W,White NH,Pop-Busui R,Paterson AD,Orchard T,Cowie C,Lachin JM,Diabetes Control and Complications Trial (DCCT)\/Epidemiology of Diabetes Interventions and Com

    更新日期:2019-05-01 00:00:00

  • Twenty-Year Progression Rate to Clinical Onset According to Autoantibody Profile, Age, and HLA-DQ Genotype in a Registry-Based Group of Children and Adults With a First-Degree Relative With Type 1 Diabetes.

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc16-2228

    authors: Gorus FK,Balti EV,Messaaoui A,Demeester S,Van Dalem A,Costa O,Dorchy H,Mathieu C,Van Gaal L,Keymeulen B,Pipeleers DG,Weets I,Belgian Diabetes Registry.

    更新日期:2017-08-01 00:00:00

  • Sodium-glucose cotransporter 2 inhibition and glycemic control in type 1 diabetes: results of an 8-week open-label proof-of-concept trial.

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    journal_title:Diabetes care

    pub_type: 杂志文章,随机对照试验

    doi:10.2337/dc13-2338

    authors: Perkins BA,Cherney DZ,Partridge H,Soleymanlou N,Tschirhart H,Zinman B,Fagan NM,Kaspers S,Woerle HJ,Broedl UC,Johansen OE

    更新日期:2014-05-01 00:00:00

  • Effect of drinking on adiponectin in healthy men and women: a randomized intervention study of water, ethanol, red wine, and beer with or without alcohol.

    abstract:OBJECTIVE:Moderate alcohol consumption is associated with reduced incidence of type 2 diabetes and cardiovascular mortality and increases adiponectin concentrations, but effects might differ according to sex and beverage consumed. RESEARCH DESIGN AND METHODS:A total of 72 healthy individuals (22-56 years) were enrolle...

    journal_title:Diabetes care

    pub_type: 杂志文章,随机对照试验

    doi:10.2337/dc08-1723

    authors: Imhof A,Plamper I,Maier S,Trischler G,Koenig W

    更新日期:2009-06-01 00:00:00

  • Mechanisms of Sodium-Glucose Cotransporter 2 Inhibition: Insights From Large-Scale Proteomics.

    abstract:OBJECTIVE:To assess the effects of empagliflozin, a selective sodium-glucose cotransporter 2 (SGLT2) inhibitor, on broad biological systems through proteomics. RESEARCH DESIGN AND METHODS:Aptamer-based proteomics was used to quantify 3,713 proteins in 144 paired plasma samples obtained from 72 participants across the ...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc20-0456

    authors: Ferrannini E,Murthy AC,Lee YH,Muscelli E,Weiss S,Ostroff RM,Sattar N,Williams SA,Ganz P

    更新日期:2020-09-01 00:00:00

  • White matter structural differences in young children with type 1 diabetes: a diffusion tensor imaging study.

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc12-0017

    authors: Aye T,Barnea-Goraly N,Ambler C,Hoang S,Schleifer K,Park Y,Drobny J,Wilson DM,Reiss AL,Buckingham BA

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    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.2337/diacare.19.2.168

    authors: Jones HE,Cleave B,Zinman B,Szalai JP,Nichol HL,Hoffman BR

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  • Triglyceride and HDL-C Dyslipidemia and Risks of Coronary Heart Disease and Ischemic Stroke by Glycemic Dysregulation Status: The Strong Heart Study.

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc16-1958

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    更新日期:2017-04-01 00:00:00

  • Hypocalcemia, hypomagnesemia, and transient hypoparathyroidism during therapy with potassium phosphate in diabetic ketoacidosis.

    abstract::The effects of intravenous administration of potassium phosphate in the treatment of diabetic ketoacidosis were studied in nine children, ages 9 9/12 to 17 10/12 yr. During phosphate infusion (20--40 meq/L of fluid), all children maintained normal serum concentrations of phosphorus. Transient hypocalcemia occurred in ...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.2.3.265

    authors: Zipf WB,Bacon GE,Spencer ML,Kelch RP,Hopwood NJ,Hawker CD

    更新日期:1979-05-01 00:00:00