Review Article

Metformin Use Is Associated with Reduced Incidence and Improved Survival of Endometrial Cancer: A Meta-Analysis

Table 2

Characteristics of the included studies of metformin use and survival of endometrial cancer.

Study (year)RegionStudy designDate sourceSample sizeStageReference groupTime periodHR (95% CI) Adjustment variables

Ko et al. 2014 [20]USARetrospective cohort studyNCI and NCCN designated academic institutions363AllNonmetformin2005–20100.43 (0.24, 0.77)Age, stage, grade, histology, and adjuvant treatment
Nevadunsky et al. 2014 [25]USARetrospective cohort studyMontefiore Medical Center (MMC)/Albert Einstein College of Medicine985AllNonmetformin1999–20090.54 (0.30, 0.97)Age, clinical stage, grade, chemotherapy treatment, radiation treatment, and
presence of hyperlipidemia
Lemańska et al. 2015 [26]PolandRetrospective cohort studyDepartment of Gynecologic Oncology of Poznan University of Medical Sciences107AllNonmetformin2002–20101.08 (0.46, 2.56)NR
Ezewuiro et al. 2016 [27]USARetrospective cohort studyThe University of Chicago Medical Center (UCMC)58III, IV, and recurrenceNonmetformin1992–20110.42 (0.23, 0.78)Study site, stage (III versus IV/recurrent), and age at chemotherapy
Seebacher et al. 2016 [28]AustriaRetrospective cohort studyDepartment of Gynaecology and Gynaecological Oncology of
the Medical University of Vienna
465AllNonmetformin1995–20010.90 (0.69, 1.20)NR
Al Hilli et al. 2016 [21]USARetrospective cohort studyPatient database of Mayo Clinic, Rochester, Minnesota138AllNonmetformin1999–20080.61 (0.30, 1.23)Propensity score

HR, hazard ratio; 95% CI, 95% confidence interval; NR, not reported; Nonmetformin, patients treated with other hypoglycemic drugs but not metformin.