Evidence map›Paper›PMID 32887312›Full record

ArticleJournal of clinical medicine2020

Metformin Attenuates Osteoporosis in Diabetic Patients with Carcinoma in Situ: A Nationwide, Retrospective, Matched-Cohort Study in Taiwan.

Chieh-Hua Lu, Chi-Hsiang Chung, Feng-Chih Kuo, Kuan-Chan Chen, Chia-Hao Chang, Chih-Chun Kuo, Chien-Hsing Lee, Sheng-Chiang Su, Jhih-Syuan Liu, Fu-Huang Lin and 5 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Metformin and bone metabolism: unraveling their direct and indirect effects.Therapeutic advances in endocrinology and metabolism · 2025
    Review
  4. Review
  5. Article
  6. Article
  7. Metabolic Bone Diseases-A Topic of Great Diversity.Journal of clinical medicine · 2022
    Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. 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

15 authors at 3 institutions in 1 country.

Chieh-Hua LuDepartment of Internal Medicine, Division of Endocrinology and Metabolism, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei 11490, Taiwan.
Chi-Hsiang ChungSchool of Public Health, National Defense Medical Center, Taipei 11490, Taiwan.
Feng-Chih KuoDepartment of Internal Medicine, Division of Endocrinology and Metabolism, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei 11490, Taiwan.ORCID 0000-0003-3513-2487
Kuan-Chan ChenDepartment of Internal Medicine, Division of Endocrinology and Metabolism, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei 11490, Taiwan.ORCID 0000-0001-7653-6491
Chia-Hao ChangDepartment of Internal Medicine, Division of Endocrinology and Metabolism, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei 11490, Taiwan.
Chih-Chun KuoDepartment of Internal Medicine, Division of Endocrinology and Metabolism, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei 11490, Taiwan.
Chien-Hsing LeeDepartment of Internal Medicine, Division of Endocrinology and Metabolism, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei 11490, Taiwan.
Sheng-Chiang SuDepartment of Internal Medicine, Division of Endocrinology and Metabolism, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei 11490, Taiwan.
Jhih-Syuan LiuDepartment of Internal Medicine, Division of Endocrinology and Metabolism, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei 11490, Taiwan.
Fu-Huang LinSchool of Public Health, National Defense Medical Center, Taipei 11490, Taiwan.
Chang-Huei TsaoDepartment of Medical Research, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan.
Po-Shiuan HsiehDepartment of Medical Research, National Defense Medical Center, Taipei 11490, Taiwan.ORCID 0000-0002-3402-9851
Yi-Jen HungDepartment of Internal Medicine, Division of Endocrinology and Metabolism, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei 11490, Taiwan.
Chang-Hsun HsiehDepartment of Internal Medicine, Division of Endocrinology and Metabolism, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei 11490, Taiwan.
Wu-Chien ChienDepartment of Medical Research, National Defense Medical Center, Taipei 11490, Taiwan.ORCID 0000-0002-3286-0780
Tri-Service General Hospital · TWNational Defense Medical Center · TWTaiwan Nurses Association · TW

Funding

undefined <span style="color:gray;font-size:10px;">undefined</span> TSGH-C108-003undefined <span style="color:gray;font-size:10px;">undefined</span> TSGH-C108-142undefined <span style="color:gray;font-size:10px;">undefined</span> TSGH-C108-143undefined <span style="color:gray;font-size:10px;">undefined</span> TSGH-C108-144
6 · The paper itself

Abstract

Patients with diabetes are at increased risk of cancer development and osteoporosis. Metformin is an effective agent for diabetes management. Epidemiological studies have identified an association between metformin use and cancer prevention. This article outlines the potential for metformin to attenuate the rate of osteoporosis in diabetic patients with carcinoma in situ (CIS). From the National Health Insurance Research Database of Taiwan, 7827 patients with diabetes with CIS who were receiving metformin therapy were selected, along with 23,481 patients as 1:3 sex-, age- and index year-matched controls, who were not receiving metformin therapy. A Cox proportional hazard analysis was used to compare the rate of osteoporosis during an average of 15-year follow-up. Of the subjects who were enrolled, 801 (2.56%) had osteoporosis, including 168 from the metformin group (2.15%) and 633 from the without metformin group (2.70%). The metformin group presented a lower rate of osteoporosis at the end of follow-up (

Indexed as

carcinoma in situdiabetesmetforminNational Health Insurance Research Databaseosteoporosis

Identifiers

PMID32887312
PMCPMC7565460
OpenAlexW3081669477

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.