Evidence map›Paper›PMID 32533507›Full record

SynthesisEndocrine2020

Glycemic control and the incidence of neoplasm in patients with type 2 diabetes: a meta-analysis of randomized controlled trials.

Chu Lin, Xiaoling Cai, Wenjia Yang, Fang Lv, Lin Nie, Linong Ji

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Endocrine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
0.9field-weighted citation impact, top 27% 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, 3 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  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

6 authors at 2 institutions in 1 country.

Chu LinDepartment of Endocrinology and Metabolism, Peking University People's Hospital, Beijing, China.ORCID http://orcid.org/0000-0002-2365-9831
Xiaoling CaiDepartment of Endocrinology and Metabolism, Peking University People's Hospital, Beijing, China. dr_junel@sina.com.ORCID http://orcid.org/0000-0002-7881-0543
Wenjia YangDepartment of Endocrinology and Metabolism, Peking University People's Hospital, Beijing, China.
Fang LvDepartment of Endocrinology and Metabolism, Peking University People's Hospital, Beijing, China.
Lin NieDepartment of Endocrinology and Metabolism, Beijing Airport Hospital, Beijing, China.
Linong JiDepartment of Endocrinology and Metabolism, Peking University People's Hospital, Beijing, China. prof_jilinong@aliyun.com.ORCID http://orcid.org/0000-0002-3262-2168
Peking University · CNAirport Shunyi District Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePrevious epidemiologic studies indicate an increased risk of cancer and cancer mortality in patients with type 2 diabetes (T2D). Whether the resolution of hyperglycemia will lead to reduced risk of neoplasm in T2D remains uncertain. Therefore, we performed a meta-analysis to assess the association between glycemic control and incidence of neoplasm in T2D patients.

methodsRandomized controlled trials (RCTs) in T2D with significant HbA1c reduction difference between intensive/active and standard/control groups plus follow-up ≥48 weeks were included and analyzed by fixed-effect models, random-effect model, and meta-regression analysis accordingly.

resultsOverall, 52 studies were included. Compared with standard/control treatment, intensive/active treatment led to significantly greater HbA1c reduction from baseline (WMD = -0.51%, 95% CI, -0.55 to -0.46%, P < 0.001), but was not associated with a decreased incidence of neoplasm (OR = 0.99, 95% CI, 0.94-1.03, I

conclusionImproved glycemic control in short and medium periods achieved by existing glucose-lowering drugs or strategies may not confer reduced risk of neoplasm in patients with T2D. Studies with longer follow-up duration are needed to better elucidate the long-period effects.

Indexed as

Diabetes Mellitus, Type 2NeoplasmsBlood GlucoseGlycated HemoglobinGlycemic ControlHumansHypoglycemic AgentsIncidenceMaleRandomized Controlled Trials as TopicBlood GlucoseGlycated HemoglobinHypoglycemic AgentsCancerGlucose-lowering drugsNeoplasmType 2 diabetes

Identifiers

PMID32533507
OpenAlexW3034554983

What OpenQuestion holds

Textmetadata
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.