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. 2015 Nov 17;113(11):1607–1614. doi: 10.1038/bjc.2015.353

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.

a

Adjusted for age and sex.

b

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).

c

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.