Evidence map›Paper›PMID 28935814›Full record

ArticleCancer research2017

Diabetes Treatments and Risks of Adverse Breast Cancer Outcomes among Early-Stage Breast Cancer Patients: A SEER-Medicare Analysis.

Lu Chen, Jessica Chubak, Denise M Boudreau, William E Barlow, Noel S Weiss, Christopher I Li

Open access · greenAbstract read
In one paragraph

Article in Cancer research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 13% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Associations between Diabetes Mellitus and Selected Cancers.International journal of molecular sciences · 2024
    Review
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  18. Metformin and Malignant Tumors: Not Over the Hill.Diabetes, metabolic syndrome and obesity : targets and therapy · 2021
    Review
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  20. 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

6 authors at 1 institution in 1 country.

Lu ChenDivision of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington. chen.l@ghc.org.
Jessica ChubakKaiser Permanente Washington Health Research Institute, Seattle, Washington.
Denise M BoudreauKaiser Permanente Washington Health Research Institute, Seattle, Washington.
William E BarlowCancer Research and Biostatistics, Seattle, Washington.
Noel S WeissDivision of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Christopher I LiDivision of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Kaiser Permanente Washington Health Research Institute · US

Funding

NCI NIH HHS HHSN261201300012I
6 · The paper itself

Abstract

The widely prescribed diabetes medicine metformin has been reported to lower the risk of incident breast cancer, but it is unclear whether it affects malignant progression after diagnosis. In this study, we conducted a retrospective cohort study using the linked Surveillance, Epidemiology, and End-Results (SEER)-Medicare database. Women were included in the study if they were aged 66 to 80 years, newly diagnosed with stage I or II breast cancer, and enrolled in Medicare Parts A, B, and D during 2007 to 2011. Information on dispensed diabetes-related medications was obtained from Medicare Part D claims data. Our primary outcomes were second breast cancer events (SBCE), breast cancer recurrence, and breast cancer death. Time-varying Cox proportional hazard models were used to estimate HRs and their 95% confidence intervals (CI). Among 14,766 women included in the study, 791 experienced SBCE, 627 had a recurrence, and 237 died from breast cancer. Use of metformin (

Indexed as

AgedAged, 80 and overBreast NeoplasmsDiabetes Mellitus, Type 2FemaleHumansHypoglycemic AgentsInsulinMedicareMetforminNeoplasm StagingOutcome Assessment, Health CareProportional Hazards ModelsRetrospective StudiesRisk FactorsSEER ProgramHypoglycemic AgentsInsulinMetforminSulfonylurea Compounds

Identifiers

PMID28935814
PMCPMC5668156
OpenAlexW2758806670

What OpenQuestion holds

Texttitle and abstract
LicenceTDM
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.