Type 2 & other diabetes

Diabetes Progression and Its Impact on Kidney Cancer Risk: Insights From a Longitudinal Korean Cohort Study

J Clin Endocrinol MetabPublished Retrospective cohort study

Authors' conclusion

Diabetes progression is strongly associated with an increased risk of kidney cancer. These findings underscore the importance of targeted screening and awareness programs for kidney cancer in individuals with advanced diabetes.

Study context

Population
Patients with T2D who underwent health examinations in 2015 and 2016, National Health Information Database, South Korea; excluding pre-existing cancer or death within a year; progression score (0–6) from number of oral glucose-lowering drugs (GLDs), diabetes duration, insulin use, chronic kidney disease (CKD), diabetic retinopathy (DR) or CVD
Participants
2,365,294 patients
Exposure
Diabetes progression scores 1, 2, 3 and ≥4 vs score 0
Outcome
Incident kidney cancer (ICD-10 C64)
Follow-up
Until 2022
Methodological detailsnationwide, longitudinal
  • Nationwide
  • Longitudinal

Main finding

As reported in the abstract

Kidney cancer
Each group vs score 0Adjusted hazard ratio (95% CI)
Score 1
1.21(1.13–1.30)
Score 2
1.28(1.18–1.38)
Score 3
1.37(1.23–1.51)
Score ≥4
1.73(1.49–2.01)

Observational data: associations, not effects.

Further findings

Individual indicators of diabetes progression

Prolonged diabetes duration and presence of CKD or DR linked to higher hazard ratios (HRs) for kidney cancer

Original publication

Diabetes Progression and Its Impact on Kidney Cancer Risk: Insights From a Longitudinal Korean Cohort Study. J Clin Endocrinol Metab. Published 3 June 2025. doi:10.1210/clinem/dgaf249

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