Evidence mapPaperPMID 42196179Full record

SynthesisInternational journal of molecular sciences2026

Do We Have Enough Evidence That Metformin Is Superior to Other Antidiabetic Drugs in Pancreatic Cancer Risk Reduction?

Izabela Szymczak-Pajor, Józef Drzewoski, Sylwia Wenclewska, Aneta Rogalska, Agnieszka Śliwińska

Abstract readMeta-Analysis
In one paragraph

Synthesis in International journal of molecular sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Izabela Szymczak-PajorDepartment of Nucleic Acid Biochemistry, Medical University of Lodz, 251 Pomorska Str., 92-213 Lodz, Poland.ORCID 0000-0002-6545-579X
Józef DrzewoskiCentral Teaching Hospital of the Medical University of Lodz, 251 Pomorska Str., 92-213 Lodz, Poland.ORCID 0000-0001-6437-9476
Sylwia WenclewskaDepartment of Internal Diseases and Diabetology, Medical University of Lodz, 251 Pomorska Str., 92-213 Lodz, Poland.
Aneta RogalskaDepartment of Medical Biophysics, Institute of Biophysics, Faculty of Biology and Environmental Protection, University of Lodz, 141/143 Pomorska Str., 90-236 Lodz, Poland.ORCID 0000-0002-4170-1693
Agnieszka ŚliwińskaDepartment of Nucleic Acid Biochemistry, Medical University of Lodz, 251 Pomorska Str., 92-213 Lodz, Poland.ORCID 0000-0002-6864-0704

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The current literature indicates that type 2 diabetes (T2DM) significantly increases the risk of cancer, including pancreatic cancer (PC). While metformin's primary role is the management of T2DM, its utility extends to systemic anti-cancer effects against various cancers. Nevertheless, its impact appears limited to risk reduction, as its efficacy as a primary or adjuvant treatment for established cancer remains unproven in clinical settings. This meta-analysis aimed to evaluate the association between metformin use-both as monotherapy and in combination with other antidiabetic drugs (ADs)-and the risk of PC. We synthesized data from 16 observational studies identified through PubMed, Cochrane Library, and Clinical Trials using the Population, Intervention, Comparison, Outcomes, and Study Type (PICOT) framework. The data were analyzed using Cochrane Review Manager software 5.4, with results reported as the relative risk (RR) and 95% confidence interval (95% CI) for each comparative group; statistical significance was defined as

Indexed as

Diabetes Mellitus, Type 2Hypoglycemic AgentsMetforminPancreatic NeoplasmsHumansHypoglycemic AgentsMetforminantihyperglycemic drugs (ADs)metforminpancreatic cancer (PC)PC risk

Identifiers

PMID42196179
PMCPMC13206694

What Socratic holds

Texttitle and abstract
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.