Evidence map›Paper›PMID 35902376›Full record

ArticleClinical endocrinology2022

Metformin and testosterone replacement therapy inversely associated with hormone-associated cancers (prostate, colorectal and male breast cancers) among older White and Black men.

David S Lopez, Ioannis Malagaris, Efstathia Polychronopoulou, Konstantinos K Tsilidis, Sadaf A Milani, M Kristen Peek, Alejandro Villasante-Tezanos, Laith Alzweri, Jacques Baillargeon, Yong-Fang Kuo and 1 more

Open access · greenAbstract read
In one paragraph

Article in Clinical endocrinology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% 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, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Recognizing the True Value of Testosterone Therapy in Health Care.Androgens: clinical research and therapeutics · 2022
    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

11 authors at 3 institutions in 3 countries.

David S LopezDeparment of Preventive Medicine and Population Health, University of Texas Medical Branch, Galveston, Texas, USA.ORCID 0000-0002-2321-0372
Ioannis MalagarisDeparment of Preventive Medicine and Population Health, University of Texas Medical Branch, Galveston, Texas, USA.
Efstathia PolychronopoulouDeparment of Preventive Medicine and Population Health, University of Texas Medical Branch, Galveston, Texas, USA.
Konstantinos K TsilidisDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.
Sadaf A MilaniDivision of Geriatrics and Palliative Medicine, Department of Internal Medicine, University of Texas Medical Branch, Galveston, Texas, USA.
M Kristen PeekDeparment of Preventive Medicine and Population Health, University of Texas Medical Branch, Galveston, Texas, USA.
Alejandro Villasante-TezanosDeparment of Preventive Medicine and Population Health, University of Texas Medical Branch, Galveston, Texas, USA.
Laith AlzweriDivision of Urology, Department of Surgery, University of Texas Medical Branch, Galveston, Texas, USA.
Jacques BaillargeonDeparment of Preventive Medicine and Population Health, University of Texas Medical Branch, Galveston, Texas, USA.
Yong-Fang KuoDeparment of Preventive Medicine and Population Health, University of Texas Medical Branch, Galveston, Texas, USA.
Steven CanfieldDivision of Urology, UTHealth McGovern Medical School, Houston, Texas, USA.
The University of Texas Medical Branch at Galveston · USThe University of Texas Health Science Center · USUniversity of Ioannina · GR

Funding

UTMB OAIC Research Education Component (REC)P30AG024832 · NIA · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI JAMES S. GOODWIN, MD, MELISSA M. MORROW · 2005 to 2026
$26.7M
UTMB WOMEN'S HEALTH RESEARCH SCHOLARS PROGRAMK12HD052023 · NICHD · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI BERENSON, ABBEY B · 2005 to 2023
$8.1M
The Texas Resource Center on Minority Aging Research (RCMAR)P30AG059301 · NIA · UNIVERSITY OF TEXAS MED BR GALVESTON · PI Kyriakos S Markides, Fernando Riosmena · 2018 to 2026
$5.2M
NIA NIH HHS P30 AG024832NIA NIH HHS P30 AG059301NICHD NIH HHS K12 HD052023
6 · The paper itself

Abstract

backgroundThe independent and joint association of metformin and testosterone replacement therapy (TTh) with the incidence of prostate, colorectal, and male breast cancers remain poorly understood, including the investigation of the risk of these cancers combined (HRCs, hormone-associated cancers) among men of different racial and ethnic background.

methodsIn 143,035 men (≥ 65 yrs old) of SEER-Medicare 2007-2015, we identified White (N = 110,430), Black (N = 13,520) and Other Race (N = 19,085) men diagnosed with incident HRC. Pre-diagnostic prescription of metformin and TTh was ascertained for this analysis. Weighted multivariable-adjusted conditional logistic and Cox proportional hazards models were conducted.

resultsWe found independent and joint associations of metformin and TTh with incident prostate (odds ratio [OR]

conclusionPre-diagnostic use of metformin and TTh were, independently and jointly, inversely associated with incident prostate and colorectal cancers. The risk of HRCs was also reduced among White, Black and Other Race men. Greatest reduced associations of prostate and colorectal cancers and HRCs were mainly observed in combination of metformin and TTh. Larger studies are needed to confirm the independent and joint association of metformin plus TTh with these cancers in understudied and underserved populations.

Indexed as

Breast Neoplasms, MaleColorectal NeoplasmsMetforminProstatic NeoplasmsAgedHumansMaleMedicareProstateTestosteroneUnited StatesMetforminTestosteronehormone-associated cancersmetformintestosterone

Identifiers

PMID35902376
PMCPMC9637746
OpenAlexW4288447586

What OpenQuestion holds

Textmetadata
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.