Evidence map›Paper›PMID 31896527›Full record

ArticleTranslational oncology2020

Metformin Treatment for Diabetes Mellitus Correlates with Progression and Survival in Colorectal Carcinoma.

Marta K Powell, Dana Cempirkova, Pavel Dundr, Tereza Grimmichova, Ferdinand Trebicky, Robert E Brown, Jana Gregorova, Martina Litschmannova, Katerina Janurova, Michal Pesta and 1 more

Open access · goldAbstract read
In one paragraph

Article in Translational oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 19% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Metformin and colorectal cancer: a systematic review, meta-analysis and meta-regression.International journal of colorectal disease · 2020 · on this map
    Pooled it
  3. Article
  4. Metformin and bone metabolism: unraveling their direct and indirect effects.Therapeutic advances in endocrinology and metabolism · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
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

11 authors at 6 institutions in 2 countries.

Marta K PowellThird Faculty of Medicine, Charles University, Prague, Czech Republic; Department of Pathology, Hospital Jablonec Nad Nisou, Jablonec Nad Nisou, Czech Republic; Department of Neurology, Faculty of Medicine and Dentistry, Palacky University, Olomouc, Czech Republic. Electronic address: mp1348@hotmail.com.
Dana CempirkovaDepartment of Pathology, Hospital Jindrichuv Hradec, Jindrichuv Hradec, Czech Republic.
Pavel DundrInstitute of Pathology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Czech Republic.
Tereza GrimmichovaThird Faculty of Medicine, Charles University, Prague, Czech Republic; Medicine Department, University Hospital Kralovske Vinohrady, Prague, Czech Republic; Institute of Endocrinology, Prague, Czech Republic.
Ferdinand TrebickyRadiation Oncology, Na Bulovce Hospital, Prague, Czech Republic.
Robert E BrownMorphoproteomic Laboratory, UT Health McGovern Medical School, Houston, Texas, USA.
Jana GregorovaClinical Pharmacy Department, Na Bulovce Hospital, Prague, Czech Republic.
Martina LitschmannovaDepartment of Applied Mathematics, Faculty of Electrical Engineering and Computer Science, VSB - Technical University of Ostrava, Ostrava, Czech Republic.
Katerina JanurovaIT4Innovations, VSB - Technical University of Ostrava, Ostrava, Czech Republic.
Michal PestaCharles University, Faculty of Mathematics and Physics, Department of Probability and Mathematical Statistics, Prague, Czech Republic.
Petr HenebergThird Faculty of Medicine, Charles University, Prague, Czech Republic.
Charles University · CZFakultní nemocnice Bulovka · CZVSB - Technical University of Ostrava · CZMorpho (United States) · USNemocnice Jablonec nad Nisou · CZNemocnice Jindřichův Hradec · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetes mellitus is unfavorably associated with cancer risk. The purpose of this multidisciplinary project was to evaluate a possible association of diabetes mellitus and other comorbidities and their treatment with progression of colorectal cancer. PATIENTS AND

methodsWe investigated the correlation between pathological characteristics and clinical course, including comorbidities in 1004 Czech patients diagnosed and surgically treated for colorectal adenocarcinoma (CRC) between 1999 and 2016.

resultsIn our data set, CRC patients treated with metformin due to coexisting diabetes mellitus type 2 (T2DM) developed fewer distant metastases which clinically correlates with slower CRC progression. Survival in metformin subgroup was longer, particularly in men with CRC. Osteoporosis may be a negative factor of survival in CRC patients.

conclusionsOur findings also indicate that aging, higher tumor grade and TNM stage, coexistence of selected endocrine disorders, and metabolic abnormalities may change the tumor microenvironment and impact survival in colorectal cancer, although mechanism of these observations yet to be explained. Patients with diabetes mellitus type 2 treated with metformin may represent the altered microenvironment with specifically tuned metabolic molecular responses and with various epigenetic characteristics. More awareness and increased understanding of the mechanisms underlying the positive effect of metformin on patients' survival could offer insight into new treatment methods and permit more individualized treatment plans.

Identifiers

PMID31896527
PMCPMC6940647
OpenAlexW2997791040

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.