Higher Incidence of Diabetes in Cancer Patients Compared to Cancer-Free Population Controls: A Systematic Review and Meta-Analysis.

Cancers (Basel)

Unit of Cancer Survivorship, Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), 69120 Heidelberg, Germany.

Published: April 2022

AI Article Synopsis

  • Diabetes increases the risk of developing certain types of cancer, but the incidence of diabetes occurring after a cancer diagnosis has been unclear.
  • A systematic review and meta-analysis of 34 studies showed that cancer patients have a significantly higher risk (RR = 1.42) of developing diabetes compared to cancer-free individuals, especially in the first year after diagnosis (RR = 2.06).
  • The study suggests that while new-onset diabetes is linked to cancer, more extensive research is needed to explore this association and its causes, particularly across different cancer types.

Article Abstract

Background: Diabetes increases the risk of certain types of cancer. However, the literature regarding the incidence of diabetes after cancer diagnosis is inconsistent. We aimed to assess whether there was a higher incidence of diabetes among cancer patients by performing a systematic review and meta-analysis of results from cohort studies. Methods: A systematic electronic literature search was carried out from cohort studies regarding the incidence of diabetes in cancer patients, using the databases PubMed (MEDLINE), Embase, Web of Science, and the Cochrane Library. Random-effects meta-analyses were conducted to pool the estimates. Results: A total of 34 articles involving 360,971 cancer patients and 1,819,451 cancer-free controls were included in the meta-analysis. An increased pooled relative risk (RR) of 1.42 (95% confidence interval (CI): 1.30−1.54, I2 = 95, τ2 = 0.0551, p < 0.01) for diabetes in cancer patients was found compared with the cancer-free population. The highest relative risk was observed in the first year after cancer diagnosis (RR = 2.06; 95% CI 1.63−2.60). Conclusions: New-onset diabetes is positively associated with cancer, but this association varies according to cancer type. More prospective studies with large sample sizes and longer follow-up times are advocated to further examine the association and the underlying mechanisms.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8997959PMC
http://dx.doi.org/10.3390/cancers14071808DOI Listing

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