AI Article Synopsis

  • Prostate cancer is a major public health concern, and this meta-analysis investigates the link between diabetes and its risk.
  • A review of 43 studies, totaling nearly 3.75 million patients, shows that diabetes may actually be associated with a lower risk of developing prostate cancer.
  • However, patients with a family history of the disease have a heightened risk, suggesting genetic factors play a role.

Article Abstract

Introduction: Prostate cancer is the second most commonly diagnosed malignant tumor worldwide and poses a significant challenge to public health. This systematic review and meta-analysis aims to investigate the association between diabetes mellitus and the risk of developing prostate cancer.

Methods: We conducted a search of PubMed, Embase, and the Cochrane Library from 1998 to 2024. The risk of bias within the included studies was assessed using the Newcastle-Ottawa Scale. The DerSimonian-Laird random-effect model was employed for the meta-analysis. Heterogeneity was evaluated using a forest plot and statistically assessed via the Q test, I index, and -values.

Results: Forty-three studies involving a total of 3,746,769 patients were included. Both case-control (pOR = 0.68, 95% CI: 0.61-0.97; I = 92.24%) and cohort studies (pRR = 0.71, 95% CI: 0.59-0.99; I = 85.41%) suggest that diabetes mellitus is associated with a reduced risk of prostate cancer, though with significant heterogeneity ( < 0.05). Subgroup analysis revealed that the risk of developing prostate cancer was significantly higher in patients with a family history of prostate cancer (pRR = 1.25, 95% CI: 1.16-1.35; I = 69.51%).

Conclusions: Our meta-analysis of recent observational studies indicates that diabetes mellitus is associated with a reduced risk of developing prostate cancer.

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Source
http://dx.doi.org/10.3390/cancers16234010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11640538PMC

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