Systematic review and meta-analysis of the effect of metformin treatment on overall mortality rates in women with endometrial cancer and type 2 diabetes mellitus

2.50
Hdl Handle:
http://hdl.handle.net/10757/621572
Title:
Systematic review and meta-analysis of the effect of metformin treatment on overall mortality rates in women with endometrial cancer and type 2 diabetes mellitus
Authors:
Perez Lopez, Faustino R.; Pasupuleti, Vinay; Gianuzzi, Ximena; Palma Ardiles, Gabriela; Hernandez Fernandez, Wendy; Hernandez, Adrian V. ( 0000-0002-9999-4003 )
Citation:
Systematic review and meta-analysis of the effect of metformin treatment on overall mortality rates in women with endometrial cancer and type 2 diabetes mellitus 2017, 101:6 Maturitas
Publisher:
Elsevier B.V.
Journal:
Maturitas
Issue Date:
Jul-2017
URI:
http://hdl.handle.net/10757/621572
DOI:
10.1016/j.maturitas.2017.04.001
Additional Links:
http://linkinghub.elsevier.com/retrieve/pii/S0378512217305030
Abstract:
Background Obesity, insulin resistance and type 2 diabetes mellitus (T2DM) have been associated with endometrial cancer (EC). In this systematic review and meta-analysis we evaluated the effect of metformin on clinical outcomes in patients with EC and insulin resistance or T2DM. Methods Four research databases were searched for original articles published in all languages up to 30 October 2016. Outcomes of interest were overall mortality (OM), cancer-specific mortality, disease progression, and metastases. We performed a random effect meta-analysis of adjusted effects expressed as hazard ratios (HR); heterogeneity among studies was described with the I2 statistic. Results Of the 290 retrieved citations, 6 retrospective cohort studies in women with EC (n = 4723) met the inclusion criteria, and 8.9% to 23.8% were treated with metformin; OM data was available from 5 studies. In 4 studies of EC patients (n = 4132), metformin use was associated with a significant reduction in OM in comparison with not using metformin (adjusted HR [aHR] 0.64, 95% CI 0.45–0.89, p = 0.009). In three studies evaluating patients with EC and T2DM (n = 2637), metformin use was associated with a significant reduction in OM (aHR 0.50, 95%CI 0.34–0.74, p = 0.0006). There was low to moderate heterogeneity of adjusted effects across studies. There was no information about the effect of metformin on cancer-specific mortality, disease progression, or metastases. Conclusions Metformin treatment is associated with a significant reduction in OM irrespective of diabetes status in patients with EC. The survival benefit suggests that diabetes screening and maintenance of good glycemic control may improve outcomes in EC.
Type:
info:eu-repo/semantics/article
Rights:
info:eu-repo/semantics/restrictedAccess
Language:
eng
Description:
El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.
Keywords:
Endometrial cancer; Metformin; Overall mortality; Type 2 Diabetes Mellitus
ISSN:
03785122
Email:
adrian.hernandez-diaz@uconn.edu

Full metadata record

DC FieldValue Language
dc.contributor.authorPerez Lopez, Faustino R.es
dc.contributor.authorPasupuleti, Vinayes
dc.contributor.authorGianuzzi, Ximenaes
dc.contributor.authorPalma Ardiles, Gabrielaes
dc.contributor.authorHernandez Fernandez, Wendyes
dc.contributor.authorHernandez, Adrian V.es
dc.date.accessioned2017-06-06T16:00:14Z-
dc.date.available2017-06-06T16:00:14Z-
dc.date.issued2017-07-
dc.identifier.citationSystematic review and meta-analysis of the effect of metformin treatment on overall mortality rates in women with endometrial cancer and type 2 diabetes mellitus 2017, 101:6 Maturitases
dc.identifier.issn03785122-
dc.identifier.doi10.1016/j.maturitas.2017.04.001-
dc.identifier.urihttp://hdl.handle.net/10757/621572-
dc.descriptionEl texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.es
dc.description.abstractBackground Obesity, insulin resistance and type 2 diabetes mellitus (T2DM) have been associated with endometrial cancer (EC). In this systematic review and meta-analysis we evaluated the effect of metformin on clinical outcomes in patients with EC and insulin resistance or T2DM. Methods Four research databases were searched for original articles published in all languages up to 30 October 2016. Outcomes of interest were overall mortality (OM), cancer-specific mortality, disease progression, and metastases. We performed a random effect meta-analysis of adjusted effects expressed as hazard ratios (HR); heterogeneity among studies was described with the I2 statistic. Results Of the 290 retrieved citations, 6 retrospective cohort studies in women with EC (n = 4723) met the inclusion criteria, and 8.9% to 23.8% were treated with metformin; OM data was available from 5 studies. In 4 studies of EC patients (n = 4132), metformin use was associated with a significant reduction in OM in comparison with not using metformin (adjusted HR [aHR] 0.64, 95% CI 0.45–0.89, p = 0.009). In three studies evaluating patients with EC and T2DM (n = 2637), metformin use was associated with a significant reduction in OM (aHR 0.50, 95%CI 0.34–0.74, p = 0.0006). There was low to moderate heterogeneity of adjusted effects across studies. There was no information about the effect of metformin on cancer-specific mortality, disease progression, or metastases. Conclusions Metformin treatment is associated with a significant reduction in OM irrespective of diabetes status in patients with EC. The survival benefit suggests that diabetes screening and maintenance of good glycemic control may improve outcomes in EC.es
dc.formatapplication/pdfes
dc.language.isoenges
dc.publisherElsevier B.V.es
dc.relation.urlhttp://linkinghub.elsevier.com/retrieve/pii/S0378512217305030es
dc.rightsinfo:eu-repo/semantics/restrictedAccesses
dc.subjectEndometrial canceres
dc.subjectMetformines
dc.subjectOverall mortalityes
dc.subjectType 2 Diabetes Mellituses
dc.titleSystematic review and meta-analysis of the effect of metformin treatment on overall mortality rates in women with endometrial cancer and type 2 diabetes mellituses
dc.typeinfo:eu-repo/semantics/articlees
dc.identifier.journalMaturitases
dc.description.peer-reviewRevisión por pareses_PE
dc.contributor.emailadrian.hernandez-diaz@uconn.edues_PE
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