Research Article

Metformin Use and Lung Cancer Risk in Diabetic Patients: A Systematic Review and Meta-Analysis

Table 1

Characteristics of the included studies.

First authorYearCountryStudy designTime periodCase sourceComparisonEstimates and 95% CIStudy quality
UnadjustedAdjusted

Libby2009UKCohort (PB)1994-2003The resident population of Tayside Health BoardMetformin vs. nonmetformin0.49 (0.32-0.74)0.70 (0.43-1.15)8
Lai2012Taiwan, ChinaCohort (PB)2000-2008National Health Research Institutes in TaiwanMetformin vs. nonmetformin0.43 (0.29-0.63)0.55 (0.37-0.82)7
Ruiter2012NetherlandsCohort (HB)1998-2008PHARMO Record Linkage SystemMetformin vs. SulNA0.87 (0.84-0.91)7
Neumann2012FranceCohort (PB)2006-2009French national health insurance informationMetformin vs. nonmetforminNA0.88 (0.84-0.92)7
Mazzone2012USACase-control (HB)2001-2011Cleveland Clinic Health SystemMetformin vs. nonmetforminNA0.48 (0.28-0.81)6
Hsieh2012Taiwan, ChinaCase-control (PB)2000-2008Taiwan’s National Health Insurance Medical Claims DatabaseMetformin vs. Sul
Metformin vs. Ins
NA0.64 (0.45-0.9)
0.95 (0.46-1.95)
7
NA
Luo2012USACohort (HB)1993-2010Women’s Health Initiative (WHI) studyMetformin vs. nonmetforminNA1.32 (0.76-2.28)8
Smiechowski2013CanadaCase-control (PB)1988-2009U.K. General Practice Research databaseMetformin vs. nonmetformin0.97 (NA)0.94 (0.76-1.17)8
Wang2013Taiwan, ChinaCohort (PB)1998-2009National Health Insurance datasetsMetformin vs. nonmetforminNA1.11 (0.94-1.47)7
Tsilidis2014UKCohort (HB)1987-2010U.K. Clinical Practice Research DatalinkMetformin vs. SulNA0.96 (0.89-1.04)8
Sakoda2015USACohort (PB)1997-2012KPNC Diabetes RegistryMetformin vs. nonmetforminNA1.02 (0.85-1.22)8
Kowall2015Germany and the UKCohort (HB)1995-2013Disease Analyzer databaseMetformin vs. Sul
Metformin vs. Ins
0.81 (0.65-1.01)1.04 (0.82-1.31)7
1.28 (0.81-2.04)1.03 (0.64-1.64)
Chen2015Taiwan, ChinaCohort (HB)1998-2008Longitudinal Health Insurance DatasetMetformin vs. Sul
Metformin vs. Ins
0.72 (0.58-0.88)0.74 (0.60-0.90)8
0.85 (0.61-1.18)0.95 (0.68-1.35)

Abbreviations: PB: population-based; HB: hospital-based; NA: not available; KPNC: the Kaiser Permanente Northern California Diabetes Registry; Sul: sulfonylurea; Ins: insulin.