Metformin × all-cause mortality

SynthesisOncotarget2017

Prognostic role of metformin intake in diabetic patients with colorectal cancer: An updated qualitative evidence of cohort studies.

Lili Du et al.PubMed ↗Full text ↗Publisher ↗

  • Metforminlooks good hereLower overall survival, lower cancer-specific survival, no clear link with disease-free survival.Correlation only, not a test of it.

What moved togetherboth groups pooled, not the treatment’s effect

Correlation, not cause

Metformin went with lower overall survival

−31%−39% to −23%

metformin vs non-metformin users, in diabetic CRC patients

Bigger than 8 in 10 for all-cause mortality

As reported

HR 0.69, 95% CI 0.61–0.77

Correlation, not cause

Metformin went with lower overall survival

−23%−33% to −13%

metformin vs non-metformin users

Bigger than 7 in 10 for all-cause mortality

As reported

HR 0.77, 95% CI 0.67–0.87

Correlation, not cause

Metformin went with lower cancer-specific survival

−25%−41% to −6%

metformin vs non-metformin users

Bigger than 7 in 10 for all-cause mortality

As reported

HR 0.75, 95% CI 0.59–0.94

+1 more in the walkthrough ↓

Who was studied, and how

269,417people with type 2 diabetes, in this paper

Already taking metformin, or nottheir own situation, not assigned

on metformin
not on metformin users

Metformin went with lower overall survival−31%

Metformin went with lower cancer-specific survival−25%

No clear link with disease-free survival−62%

correlation, not a test

the abstract, start to end

HRs for OS in metformin users were 0.69 (95% CI, 0.61-0.77).

by the trim-and-fill method (adjusted HR 0.77, 95% CI, 0.67-0.87) confirmed

associated with patient CS (HR 0.75, 95% CI, 0.59-0.94), but not DFS (HR 0.38, 95% CI, 0.13-1.17).

← favours treatmentfavours comparator →
could be chance
Overall survival (OS)metformin vs non-metformin users, in diabetic CRC patients
HR 0.690.61–0.77
Overall survival (OS)metformin vs non-metformin users
HR 0.770.67–0.87
Cancer-specific survival (CS)metformin vs non-metformin users
HR 0.750.59–0.94
Disease-free survival (DFS)metformin vs non-metformin users
HR 0.380.13–1.17
MetforminAll-cause mortality
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