Vol 86, No 6 (2015)
ARTICLES
Do endometrial cancer patients benefit from metformin intake?
Agnieszka Lemańska, Mikołaj Zaborowski, Marek Spaczyński, Ewa Nowak-Markwitz
DOI: 10.17772/gp/2397
·
Ginekol Pol 2015;86(6).
Vol 86, No 6 (2015)
ARTICLES
Abstract
Objectives: Since metformin was reported to decrease overall cancer incidence and mortality and to have
antiproliferative and antiinvasive properties, we investigated the impact of metformin intake on survival in endometrial
cancer patients.
Material and methods: Medical records and survival data of 126 patients with endometrial cancer were analyzed
retrospectively. U Mann-Whitney and chi-square tests were applied to compare clinicopathological features. Kaplan
Meier model with log-rank test was used to compare survival in the subgroups. Cox proportional hazard model was
applied to analyze the relationships between particular factors and overall survival.
Results: 107 patients met study criteria and were divided into three groups: 1) patients with type 2 diabetes
and metformin users (n=30), 2) patients with type 2 diabetes and metformin non-users (n=38), 3) patients
without diabetes mellitus (n=39). No difference in survival between metformin users versus metformin non-users
(p=0,86) was observed. Metformin intake, diabetes mellitus co morbidity, plasma glucose level and BMI appeared
without influence on survival. When the analysis was restricted to the subgroup of type I endometrial cancer or to
endometroid histological type, still neither metformin intake nor diabetes influenced the prognosis.
Conclusions: Metformin intake does not alter overall survival in endometrial cancer patients. Diabetes mellitus has
no influence on survival in endometrial cancer patients.
Abstract
Objectives: Since metformin was reported to decrease overall cancer incidence and mortality and to have
antiproliferative and antiinvasive properties, we investigated the impact of metformin intake on survival in endometrial
cancer patients.
Material and methods: Medical records and survival data of 126 patients with endometrial cancer were analyzed
retrospectively. U Mann-Whitney and chi-square tests were applied to compare clinicopathological features. Kaplan
Meier model with log-rank test was used to compare survival in the subgroups. Cox proportional hazard model was
applied to analyze the relationships between particular factors and overall survival.
Results: 107 patients met study criteria and were divided into three groups: 1) patients with type 2 diabetes
and metformin users (n=30), 2) patients with type 2 diabetes and metformin non-users (n=38), 3) patients
without diabetes mellitus (n=39). No difference in survival between metformin users versus metformin non-users
(p=0,86) was observed. Metformin intake, diabetes mellitus co morbidity, plasma glucose level and BMI appeared
without influence on survival. When the analysis was restricted to the subgroup of type I endometrial cancer or to
endometroid histological type, still neither metformin intake nor diabetes influenced the prognosis.
Conclusions: Metformin intake does not alter overall survival in endometrial cancer patients. Diabetes mellitus has
no influence on survival in endometrial cancer patients.
Keywords
metformin / endometrial cancer / survival / metabolic disorders /, / diabetes /
Title
Do endometrial cancer patients benefit from metformin intake?
Journal
Ginekologia Polska
Issue
Vol 86, No 6 (2015)
Page views
939
Article views/downloads
1006
DOI
10.17772/gp/2397
Bibliographic record
Ginekol Pol 2015;86(6).
Keywords
metformin / endometrial cancer / survival / metabolic disorders /
/ diabetes /
Authors
Agnieszka Lemańska
Mikołaj Zaborowski
Marek Spaczyński
Ewa Nowak-Markwitz