Evidence mapPaperPMID 33262518Full record

ArticleBritish journal of cancer2021

Metformin use and lung cancer survival: a population-based study in Norway.

Suzan Brancher, Nathalie C Støer, Elisabete Weiderpass, Ronald A M Damhuis, Tom B Johannesen, Edoardo Botteri, Trond-Eirik Strand

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.3field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Diabetes and Cancer: A Twisted Bond.Oncology reviews · 2024
    Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Knockdown ofBiomolecules & therapeutics · 2021
    Article
  13. Can Metformin Downshift the Gears of Aging to Slow Emphysema Progression?American journal of respiratory and critical care medicine · 2021
    Article
  14. Article
  15. Review
  16. Metformin and Malignant Tumors: Not Over the Hill.Diabetes, metabolic syndrome and obesity : targets and therapy · 2021
    Review
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 4 countries.

Suzan Brancher *Department of Epidemiology, School of Public Health, University of São Paulo, São Paulo, Brazil. suzanbrancher@usp.br.ORCID 0000-0002-1331-8961
Nathalie C Støer *Norwegian National Advisory Unit on Women's Health, Women's Clinic, Oslo University Hospital, Oslo, Norway.ORCID 0000-0001-8994-9332
Elisabete WeiderpassInternational Agency for Research on Cancer (IARC), World Health Organization, Lyon, France.ORCID 0000-0003-2237-0128
Ronald A M DamhuisDepartment of Research, Comprehensive Cancer Organization, Utrecht, The Netherlands.ORCID 0000-0001-7248-7047
Tom B JohannesenCancer Registry of Norway, Oslo University Hospital, Oslo, Norway.
Edoardo BotteriCancer Registry of Norway, Oslo University Hospital, Oslo, Norway.ORCID 0000-0002-9023-8068
Trond-Eirik StrandCancer Registry of Norway, Oslo University Hospital, Oslo, Norway.ORCID 0000-0002-7561-3501
Oslo University Hospital · NOCentre international de recherche sur le cancer · FRNetherlands Comprehensive Cancer Organisation · NLUniversidade de São Paulo · BR

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundWe assessed associations between metformin use and survival in a nationwide Norwegian cohort of lung cancer (LC) patients.

methodsThe study linked 22,324 LC patients from the Cancer Registry of Norway diagnosed 2005-2014 with the Norwegian Prescription Database. We estimated associations of pre- and post-diagnostic metformin use with overall survival (OS) and LC-specific survival (LCSS) using multivariable time-fixed and time-dependent Cox regression.

resultsPre-diagnostic metformin use was not associated with improved survival in all patients. Nevertheless, pre-diagnostic metformin use was associated with better LCSS in squamous cell carcinoma (SCC) patients (hazard ratio (HR) = 0.79; 95% confidence interval (CI) 0.62-0.99) and in patients with regional stage SCC (HR = 0.67; 95%CI 0.47-0.95). Post-diagnostic metformin use was associated with improved LCSS in all patients (HR = 0.83; 95%CI 0.73-0.95), in patients with SCC (HR = 0.75; 95%CI 0.57-0.98), regional stage LC (HR = 0.74; 95%CI 0.59-0.94), and regional stage SCC (HR = 0.57; 95%CI 0.38-0.86). OS showed similar results. Analyses of cumulative use showed a dose-response relationship in all patients, patients with adenocarcinoma and SCC, and with regional and metastatic LC.

conclusionsMetformin use was associated with improved survival, especially LCSS in patients with regional stage SCC. Further prospective studies are required to clarify the role of metformin in LC treatment.

Indexed as

Adenocarcinoma of LungAgedAged, 80 and overCarcinoma, Large CellCarcinoma, Non-Small-Cell LungCarcinoma, Squamous CellCombined Modality TherapyFemaleFollow-Up StudiesHumansHypoglycemic AgentsLung NeoplasmsMaleMetforminMiddle AgedNorwayHypoglycemic AgentsMetformin

Identifiers

PMID33262518
PMCPMC7921644
OpenAlexW3107098549

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.