Metformin × kidney outcomes

Observational studyBMC nephrology2017

Risk of acute kidney injury and survival in patients treated with Metformin: an observational cohort study.

Samira Bell et al.PubMed ↗Full text ↗Publisher ↗

  • Being on metformin at admissionlooks good hereLower survival at 28 days.Correlation only, not a test of it.
  • Current metformin useno clear effectNo clear link with AKI cases.Correlation only, not a test of it.

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

Correlation, not cause

Being on metformin at admission went with lower survival at 28 days

−19%−31% to −6%

being on metformin at admission vs not exposed to metformin, in those with incident AKI

Bigger than 6 in 10 for all-cause mortality

As reported

HR 0.81, 95% CI 0.69–0.94

Correlation · may be no link

No clear link with AKI cases

−6%−13% to +2%

current metformin use vs unexposed periods

Bigger than 1 in 10 on the map

As reported

HR 0.94, 95% CI 0.87–1.02 · the paper's word: AKI incidence

Who was studied, and how

people with kidney disease, in this paper

Already taking being on metformin at admission, or nottheir own situation, not assigned

on being on metformin at admission
not exposed to metformin

Being on metformin at admission went with lower survival at 28 days−19%

correlation, not a test

Already taking current metformin use, or nottheir own situation, not assigned

on current metformin use
unexposed periods

No clear link with AKI cases−6%

correlation, not a test

the abstract, start to end

a higher rate of survival at 28 days (HR 0.81, 95% CI 0.69, 0.94, p = 0.006)

not associated with AKI incidence, HR 0.94 (95% CI 0.87, 1.02, p = 0.15).

← favours treatmentfavours comparator →
could be chance
Survival at 28 daysbeing on metformin at admission vs not exposed to metformin, in those with incident AKI
HR 0.810.69–0.94
AKI incidencecurrent metformin use vs unexposed periods
HR 0.940.87–1.02
MetforminAll-cause mortalityKidney outcomes
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Full record →Abstract, authors, funding and every citing paper · PMID 28526011