Evidence map›Paper›PMID 26425474›Full record

ArticleIndian journal of endocrinology and metabolism

Pioglitazone and the risk of bladder cancer: An Indian retrospective cohort study.

Sunil Gupta, Kavita Gupta, R Ravi, Vinita Mehta, Samar Banerjee, Shashank Joshi, Banshi Saboo

Open access · diamondAbstract read
In one paragraph

Article in Indian journal of endocrinology and metabolism. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 21 citations in OpenAlex.

  1. The Bidirectional Relationship Between Diabetes and Cancer: Mechanistic Insights, Epigenetic Intermediaries, and Therapeutic Approaches.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026
    Review
  2. Article
  3. A Scoping Review of the Use of Pioglitazone in the Treatment of Temporo-Mandibular Joint Arthritis.International journal of environmental research and public health · 2022
    Article
  4. Review
  5. Pioglitazone Use and Risk of Bladder Cancer: anInternational journal of medical sciences · 2018
    Article
  6. Article
  7. Observational
  8. Pioglitazone and the Risk of Bladder Cancer: A Meta-Analysis.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2017
    Review
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Sunil GuptaDepartment of Diabetes and Metabolism, Sunil's Diabetes Care n' Research Centre Pvt. Ltd., Nagpur, Maharashtra, India.
Kavita GuptaDepartment of Dietetics, Sunil's Diabetes Care n' Research Centre Pvt. Ltd., Nagpur, Maharashtra, India.
R RaviDepartment of Pathology, Dr. R. Ravi Pathology and Laboratory, Nagpur, Maharashtra, India.
Vinita MehtaDepartment of Dietetics, Sunil's Diabetes Care n' Research Centre Pvt. Ltd., Nagpur, Maharashtra, India.
Samar BanerjeeDepartment of Medicine, Vivekananda Institute of Medical Sciences, Kolkata, West Bengal, India.
Shashank JoshiDepartment of Endocrinology, Joshi Clinic, Bandra, Mumbai, Maharashtra, India.
Banshi SabooDepartment of Diabetes, Diacare, Ahmedabad, Gujarat, India.
Joshi Hospital · INVivekananda Institute of Medical Sciences · INDiabetes Care and Research Foundation · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo determine whether pioglitazone is associated with an increased risk of bladder cancer among Indian type 2 diabetic patients.

methodsA retrospective data analysis of 2222 type 2 diabetic patients was conducted. The study subjects were divided into two equal groups: 1111 pioglitazone users and 1111 pioglitazone non-users. The safety of pioglitazone therapy was analyzed in terms of occurrence of bladder and other types of cancers along with its efficacy in terms of glycemic control. Parameters for assessing safety were duration of disease, duration of usage and total dose of pioglitazone consumed across age groups, glycemic control, obesity and family history of any cancer. Bladder cancer prevalence was analyzed on the basis of urinary cytology, urine routine and microscopy, hematuria, urinary nuclear matrix protein 22 analysis and ultrasonography.

resultsOf the 2222 cases analysed, there was no evidence of bladder cancer in any of the studied groups, (p=not significant) which was also evident among 1111 patients on Pioglitazone therapy with a cumulative dose consumption of 2737 mg to 1,31,400 mg. On subgroup analysis, there was no evidence of bladder cancer amongst patients with age >60 years, duration of diabetes > 10 years and uncontrolled diabetics (HbA1c >8%) with cumulative pioglitazone consumption of >28,000 mg. A significant number of patients achieved good glycemic control (HbA1c <7.5%) with pioglitazone therapy.

conclusionPioglitazone therapy was not associated with occurrence of bladder cancer among Indian type 2 diabetic patients and demonstrated good glycemic control.

Indexed as

bladder cancercumulative doseIndiaPioglitazoneType 2 diabetes mellitus

Identifiers

PMID26425474
PMCPMC4566345
OpenAlexW1874451311

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.