A retrospective study on the role of diabetes and metformin in colorectal cancer disease survival.

作者: R. Ramjeesingh , C. Orr , C.S. Bricks , W.M. Hopman , N. Hammad

DOI: 10.3747/CO.23.2809

关键词:

摘要: Background Recent studies have suggested an effect of metformin on mortality for patients with both diabetes and colorectal cancer (crc). However, the literature is contradictory, positive negative effects being identified. We set out to determine respect prognosis in crc patients. Methods After a retrospective chart review treated at Cancer Centre Southeastern Ontario, Kaplan–Meier analyses Cox proportional hazards regression models were used compare overall survival (os) without diabetes. Results identified 1304 centre. No significant differences between diabetic nondiabetic groups observed tumour pathology, extent metastatic disease, time or toxicity chemotherapy, os rate (1-year os: 85.6% vs. 86.4%, p = 0.695; 2-year 73.6% 77.0%, 0.265). In subgroup analysis, taking survived significantly longer than their counterparts other treatments (os group: 91% 1 year; 80.5% 2 years; group treatments, including diet control: 80.6% year, 67.4% years). Multivariate analysis suggests that experience worse ( 0.025). Conclusions Our results suggest diabetes, excluding those metformin, might prognosis. Taking appears association The protective nature needs further evaluation prospective analyses.

参考文章(35)
Matteo Landriscina, Franca Esposito, Insulin-resistant conditions: A favorable milieu for aggressive drug-resistant malignancies. Journal of gastrointestinal oncology. ,vol. 2, pp. 11- 12 ,(2011) , 10.3978/J.ISSN.2078-6891.2011.004
Andrea DeCensi, Eva Szabo, Sara Gandini, Matteo Puntoni, Brandy M. Heckman-Stoddard, Barbara K. Dunn, Leslie Ford, Metformin and Cancer Risk and Mortality: A Systematic Review and Meta-Analysis taking into account Biases and Confounders Cancer Prevention Research. ,vol. 7, pp. 867- 885 ,(2014) , 10.1158/1940-6207.CAPR-13-0424
Eivind Jullumstrø, Magnus Kollind, Stian Lydersen, Tom-H. Edna, Diabetes mellitus and outcomes of colorectal cancer. Acta Oncologica. ,vol. 48, pp. 361- 367 ,(2009) , 10.1080/02841860802637765
Irina N. Alimova, Bolin Liu, Zeying Fan, Susan M. Edgerton, Thomas Dillon, Stuart E. Lind, Ann D. Thor, Metformin inhibits breast cancer cell growth, colony formation and induces cell cycle arrest in vitro Cell Cycle. ,vol. 8, pp. 909- 915 ,(2009) , 10.4161/CC.8.6.7933
Hiroki Yuhara, Craig Steinmaus, Stephanie E Cohen, Douglas A Corley, Yoshihiro Tei, Patricia A Buffler, Is Diabetes Mellitus an Independent Risk Factor for Colon Cancer and Rectal Cancer The American Journal of Gastroenterology. ,vol. 106, pp. 1911- 1921 ,(2011) , 10.1038/AJG.2011.301
P Boyle, M Boniol, A Koechlin, C Robertson, F Valentini, K Coppens, L-L Fairley, M Boniol, T Zheng, Y Zhang, M Pasterk, M Smans, M P Curado, P Mullie, S Gandini, M Bota, G B Bolli, J Rosenstock, P Autier, Diabetes and breast cancer risk: a meta-analysis British Journal of Cancer. ,vol. 107, pp. 1608- 1617 ,(2012) , 10.1038/BJC.2012.414
Hashem B. El–Serag, Howard Hampel, Fariba Javadi, The Association Between Diabetes and Hepatocellular Carcinoma: A Systematic Review of Epidemiologic Evidence Clinical Gastroenterology and Hepatology. ,vol. 4, pp. 369- 380 ,(2006) , 10.1016/J.CGH.2005.12.007
Jeffrey A. Meyerhardt, Paul J. Catalano, Daniel G. Haller, Robert J. Mayer, John S. Macdonald, Al B. Benson, Charles S. Fuchs, Impact of diabetes mellitus on outcomes in patients with colon cancer. Journal of Clinical Oncology. ,vol. 21, pp. 433- 440 ,(2003) , 10.1200/JCO.2003.07.125
Ali A. Siddiqui, Stuart J. Spechler, Sergio Huerta, Serag Dredar, Bertis B. Little, Byron Cryer, Elevated HbA1c Is an Independent Predictor of Aggressive Clinical Behavior in Patients with Colorectal Cancer: A Case-Control Study Digestive Diseases and Sciences. ,vol. 53, pp. 2486- 2494 ,(2008) , 10.1007/S10620-008-0264-4