Type 2 & other diabetes

Effects of SGLT2 inhibitors on clinical cancer survival in patients with type 2 diabetes

Diabetes MetabPublished Retrospective cohort study

Main finding · Cancer-specific mortalityResult — go to the resultAdjusted hazard ratio 0.21 95 % CI 0.20–0.22

Authors' conclusion

SGLT2is increase overall survival and cancer-specific survival in patients with cancer in a dose-dependent manner.

Study context

Population
Patients with T2D diagnosed with cancer between January 1, 2016, and December 31, 2018, undergoing standard curative treatments, Taiwan Cancer Registrymatched cohort
Participants
50,133 patients
Exposure
SGLT2i users vs nonusers
  • SGLT2i usersn = 16,711
  • Nonusersn = 33,422reference
Outcome
Cancer-specific mortality
Methodological details1:2 propensity score matched, Taiwan Cancer Registry database
  • 1:2 propensity score matched
  • Taiwan Cancer Registry database

Main finding

As reported in the abstract

Adjusted hazard ratio

0.21

95 % CI 0.20–0.22

SGLT2i usersvs Nonusers
aHR 0.21 (95 % CI 0.20–0.22)

Observational data: associations, not effects.

Secondary outcomes

OutcomeaHR (95 % CI)
All-cause mortality0.22 (0.21–0.23)
OutcomeP value
All-cause and cancer-specific mortality by quartiles of cDDDsMortality decreased with increasing dosage from Q1 to Q4P < 0.001

All-cause and cancer-specific mortality by quartiles of cDDDs

All-cause and cancer-specific mortality significantly decreased with increasing dose (Q1 to Q4 cDDDs) in SGLT2i users vs nonusers

Original publication

Effects of SGLT2 inhibitors on clinical cancer survival in patients with type 2 diabetes. Diabetes Metab. Published 28 November 2023. doi:10.1016/j.diabet.2023.101500

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