Evidence map›Paper›PMID 30267174›Full record

ArticleCancer causes & control : CCC2018

The association of metformin use with prostate cancer aggressiveness among Black Americans and White Americans in a population-based study.

Saira Khan, Jianwen Cai, Matthew E Nielsen, Melissa A Troester, James L Mohler, Elizabeth T H Fontham, Laura Farnan, Bettina F Drake, Andrew F Olshan, Jeannette T Bensen

Open access · greenAbstract read
In one paragraph

Article in Cancer causes & control : CCC, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 46% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Article
  3. Observational
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

10 authors at 3 institutions in 1 country.

Saira KhanDivision of Public Health Sciences, Department of Surgery, Washington University in St. Louis School of Medicine, 660 S. Euclid Avenue, Campus Box 8100, St. Louis, MO, 63110, USA. khans@wustl.edu.ORCID http://orcid.org/0000-0002-9024-9461
Jianwen CaiDepartment of Biostatistics, Gillings School of Global Public Health, University of North Carolina-Chapel Hill, 135 Dauer Drive, Chapel Hill, NC, 27599, USA.
Matthew E NielsenDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina-Chapel Hill, 135 Dauer Drive, Chapel Hill, NC, 27599, USA.
Melissa A TroesterDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina-Chapel Hill, 135 Dauer Drive, Chapel Hill, NC, 27599, USA.
James L MohlerDepartment of Urology, School of Medicine, University of North Carolina-Chapel Hill, 170 Manning Dr., Chapel Hill, NC, 27599, USA.
Elizabeth T H FonthamSchool of Public Health, Louisiana State University Health Science Center, 2020 Gravier Street, New Orleans, LA, 70112, USA.
Laura FarnanLineberger Comprehensive Cancer Center, School of Medicine, University of North Carolina-Chapel Hill, 450 West Drive, Chapel Hill, NC, 27599, USA.
Bettina F DrakeDivision of Public Health Sciences, Department of Surgery, Washington University in St. Louis School of Medicine, 660 S. Euclid Avenue, Campus Box 8100, St. Louis, MO, 63110, USA.
Andrew F OlshanDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina-Chapel Hill, 135 Dauer Drive, Chapel Hill, NC, 27599, USA.
Jeannette T BensenDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina-Chapel Hill, 135 Dauer Drive, Chapel Hill, NC, 27599, USA.
University of North Carolina at Chapel Hill · USWashington University in St. Louis · USLouisiana State University Health Sciences Center New Orleans · US

Funding

Postdoctoral Training in Cancer Prevention and ControlT32CA190194 · NCI · WASHINGTON UNIVERSITY · PI GRAHAM A. COLDITZ, AIMEE S JAMES · 2014 to 2026
$4.7M
National Cancer Institute T32190194NCI NIH HHS T32 CA190194U.S. Department of Defense DAMD 17-03-2-0052
6 · The paper itself

Abstract

purposeMetformin has been associated with a reduced incidence of prostate cancer and improved prostate cancer outcomes. However, whether race modifies the association between metformin use and prostate cancer aggressiveness remains uncertain. The association between metformin use and prostate cancer aggressiveness was examined separately in Black Americans (Blacks) and White Americans (Whites).

methodsThe study population consisted of 305 Black and 195 White research participants with incident prostate cancer and self-reported diabetes from the North Carolina-Louisiana Prostate Cancer Project. High-aggressive prostate cancer was defined using a composite measure of Gleason sum, prostate-specific antigen, and clinical stage. Multivariable logistic regression was used to assess the association between metformin use and high-aggressive prostate cancer at diagnosis, separately among Whites and Blacks, with adjustment for age, screening history, site, education, insurance, and body mass index.

resultsMetformin use was associated positively with high-aggressive prostate cancer in Blacks (OR 2.01; 95% CI 1.05, 3.83). By contrast, a weak inverse association between metformin use and high-aggressive prostate cancer was found in Whites (OR 0.80, 95% CI 0.34, 1.85).

conclusionsThe association between metformin use and prostate cancer aggressiveness may be modified by race.

Indexed as

AdultAgedBlack or African AmericanBody Mass IndexDiabetes ComplicationsDiabetes MellitusHumansHypoglycemic AgentsIncidenceLouisianaMaleMetforminMiddle AgedNeoplasm GradingNorth CarolinaProstate-Specific AntigenHypoglycemic AgentsMetforminProstate-Specific AntigenAggressivenessBlack AmericansMetforminPCaPProstate cancer

Identifiers

PMID30267174
PMCPMC6275149
OpenAlexW2893257521

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.