Table 3. Anti-diabetic medications and risk of pancreatic cancer, expressed as OR with 95% CI.
| Cases | Controls | Basic modela | Full modelb | |
|---|---|---|---|---|
| n | n | OR (95% CI) | OR (95% CI) | |
|
Metformin | ||||
| Non-diabetes, no use of metformin | 354 | 4144 | Reference | Reference |
| *Diabetes, no use of metformin | 67 | 412 | 1.88 (1.42, 2.50) | 1.72 (1.27, 2.33) |
| Diabetes, use of metformin | 108 | 444 | 2.82 (2.22, 3.59) | 2.63 (1.99, 3.46) |
| Non-use | 421 | 4556 | Reference | Reference |
| Current use (0–90) | 88 | 383 | 2.43 (1.88, 3.14) | 1.44 (1.01, 2.06) |
| Recent and past use (90+) | 20 | 61 | 3.49 (2.09, 5.86) | 2.05 (1.15, 3.65) |
| Current usec | ||||
| <1 Year | 43 | 137 | Reference | Reference |
| 1–3 Years | 28 | 139 | 0.86 (0.49, 1.53) | 0.85 (0.45, 1.59) |
| ⩾3 Years | 17 | 107 | 1.06 (0.49, 2.29) | 0.98 (0.43, 2.26) |
|
Sulphonylureas | ||||
| Non-diabetes, no use of sulphonylureas | 352 | 4140 | Reference | Reference |
| Diabetes, no use of sulphonylureas | 84 | 575 | 1.69 (1.31, 2.19) | 1.56 (1.18, 2.07) |
| Diabetes, use of sulphonylureas | 91 | 281 | 3.76 (2.89, 4.89) | 3.39 (2.54, 4.54) |
| Non-use | 436 | 4715 | Reference | Reference |
| Current use (0–90) | 76 | 228 | 3.53 (2.67, 4.67) | 2.30 (1.62, 3.26) |
| Recent and past use (90+) | 17 | 57 | 3.15 (1.81, 5.47) | 2.03 (1.12, 3.68) |
| Current usec | ||||
| <1 year | 44 | 79 | Reference | Reference |
| 1–3 years | 20 | 77 | 0.61 (0.31, 1.19) | 0.57 (0.26, 1.25) |
| ⩾3 years | 10 | 71 | 0.42 (0.17, 1.04) | 0.42 (0.14, 1.21) |
|
Glitazones | ||||
| Non-diabetes, no use of glitazones | 354 | 4144 | Reference | Reference |
| Diabetes, no use of glitazones | 143 | 760 | 2.18 (1.76, 2.69) | 1.99 (1.57, 2.54) |
| Diabetes, use of glitazones | 32 | 96 | 3.88 (2.56, 5.90) | 3.63 (2.33, 5.68) |
| Non-use | 497 | 4904 | Reference | Reference |
| Current use (0–90) | 24 | 70 | 3.30 (2.05, 5.30) | 1.88 (1.13, 3.14) |
| Recent and past use (90+) | 8 | 26 | 2.95 (1.33,6.55) | 1.66 (0.73, 3.78) |
| Current usec | ||||
| <1 year | 16 | 37 | Reference | Reference |
| ⩾1 years | 8 | 33 | 1.06 (0.33, 3.49) | 7.09 (0.37, 136.96) |
|
Insulin | ||||
| Non-diabetes, no use of insulin | 354 | 4143 | Reference | Reference |
| Diabetes, no use of insulin | 144 | 825 | 2.02 (1.63, 2.50) | 1.85 (1.45, 2.36) |
| Diabetes, use of insulin | 31 | 31 | 11.59 (6.95, 19.34) | 10.15 (5.95, 17.32) |
| Non-use | 498 | 4968 | Reference | Reference |
| Current use (0–90) | 29 | 31 | 9.08 (5.42, 15.21) | 5.13 (2.97, 8.86) |
| Recent and past use (90+) | 2 | 1 | 19.31 (1.74, 214.00) | 11.12 (0.95, 130.06) |
| Current usec | ||||
| <1 year | 19 | 11 | Reference | Reference |
| ⩾1 years | 10 | 20 | 0.50 (0.12, 2.10) | 0.71 (0.02, 33.60) |
Abbreviations: CI=confidence interval; GP=general practitioner; OR=odds ratio.
Adjusted for age and sex.
Adjusted for age, sex, body mass index (<20, 20–24.99, 25–29.99, or ⩾30), smoking (non-smoker, current smoker, former smoker or unknown), alcohol drinking (non-user, 1–9, 10–20, 21–41, ⩾42 units per week or unknown), Townsend deprivation index (five categories from least to most deprived, or unknown), calendar year, GP visit 1 year before index date) and diabetes (when appropriate for anti-diabetics).
Analysis within diabetes, adjusted for age, sex, body mass index, smoking, alcohol drinking, Townsend deprivation index, calendar year, GP visit 1 year before index date and time since diagnosis of diabetes.