Type 2 & other diabetes

Does metformin reduce the risk of cancer in obesity and diabetes? A systematic review and meta‐analysis

Diabetes Obes MetabPublished Systematic review and meta-analysis of randomised trials

Authors' conclusion

Metformin did not reduce cancer incidence in RCTs involving subjects with overweight/obesity and/or prediabetes/diabetes.

Study context

Population
Adults with overweight/obesity and/or prediabetes/diabetes in randomized controlled trials (RCTs) of ≥24 weeks27 trials
Participants
10,717 vs 10,003
Comparison
Metformin vs other interventions
  • Metforminn = 10,717
  • Controln = 10,003reference
Outcome
Cancer incidence (new diagnoses of cancer)
Methodological detailsrandom-effects model, trial sequential analysis, RoB 2.0, Grading of Recommendations, Assessment, Development and Evaluations (GRADE)
  • Random-effects model
  • Trial sequential analysis
  • RoB 2.0
  • GRADE

Pooled result

New cases of cancer

Relative risk

1.07

95% CI 0.87–1.31

Events by group

Metformin

170

events

Control

208

events

Metforminvs Control
RR 1.07 (95% CI 0.87–1.31)

As reported in the abstract

Further pooled results

Subgroups by study duration or effect of control intervention on weight

Similar results in subgroup analyses

Risk of bias and publication bias

Risk of bias low in most studies; no evidence of publication bias

Original publication

Does metformin reduce the risk of cancer in obesity and diabetes? A systematic review and meta‐analysis. Diabetes Obes Metab. Published 23 February 2024. doi:10.1111/dom.15509

Composed by AI from the published abstract and checked against it. How Briefs are made →

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