Table 3.
Adjusted Hazard Ratios of Mortality in Subpopulations Treated With Metformin.
Stratified Variables | Metformin |
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---|---|---|---|---|---|---|---|---|---|
User |
Nonuser |
Reference: nonuser |
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Patients | Death | % | Patients | Death | % | HRa | 95% CI | P | |
Sex | |||||||||
Female | 196 | 85 | 43.4% | 653 | 414 | 63.4% | 0.66 | 0.52-0.84 | .0006* |
Male | 177 | 111 | 62.7% | 607 | 467 | 76.9% | 0.80 | 0.65-0.99 | .0442* |
Age (years) | |||||||||
40-64 | 129 | 66 | 51.2% | 428 | 288 | 67.3% | 0.79 | 0.60-1.05 | .102 |
≥65 | 244 | 130 | 53.3% | 832 | 593 | 71.3% | 0.71 | 0.59-0.86 | .0006* |
Hypertension | |||||||||
Without | 81 | 45 | 55.6% | 360 | 258 | 71.7% | 0.70 | 0.50-0.97 | .0311* |
With | 292 | 151 | 51.7% | 900 | 623 | 69.2% | 0.75 | 0.63-0.90 | .002* |
Stroke | |||||||||
Without | 284 | 150 | 52.8% | 897 | 615 | 68.6% | 0.75 | 0.63-0.90 | .0023* |
With | 89 | 46 | 51.7% | 363 | 266 | 73.3% | 0.63 | 0.45-0.87 | .0047* |
CAD | |||||||||
Without | 231 | 128 | 55.4% | 746 | 519 | 69.6% | 0.76 | 0.62-0.92 | .0055* |
With | 142 | 68 | 47.9% | 514 | 362 | 70.4% | 0.70 | 0.53-0.91 | .0083* |
COPD | |||||||||
Without | 262 | 137 | 52.3% | 759 | 520 | 68.5% | 0.74 | 0.61-0.89 | .0016* |
With | 111 | 59 | 53.2% | 501 | 361 | 72.1% | 0.71 | 0.54-0.95 | .0195* |
Renal insufficiency | |||||||||
Without | 365 | 194 | 53.2% | 1194 | 838 | 70.2% | 0.74 | 0.63-0.87 | .0002* |
With | 8 | 2 | 25.0% | 66 | 43 | 65.2% | 0.10 | 0.02-0.55 | .0085* |
Smoking-related disorder | |||||||||
Without | 309 | 156 | 50.5% | 929 | 634 | 68.2% | 0.72 | 0.60-0.86 | .0002* |
With | 64 | 40 | 62.5% | 331 | 247 | 74.6% | 0.79 | 0.55-1.13 | .190 |
CT/RT | |||||||||
CCRT | 135 | 88 | 65.2% | 566 | 445 | 78.6% | 0.79 | 0.62-1.00 | .0457* |
CT | 129 | 67 | 51.9% | 409 | 269 | 65.8% | 0.75 | 0.57-0.98 | .0383* |
RT | 34 | 15 | 44.1% | 102 | 79 | 77.5% | 0.46 | 0.25-0.84 | .0118* |
Without CT or RT | 75 | 26 | 34.7% | 183 | 88 | 48.1% | 0.79 | 0.50-1.25 | .308 |
EGFR-TKI | |||||||||
Gefitinib | 215 | 103 | 47.9% | 633 | 422 | 66.7% | 0.64 | 0.51-0.79 | <.001* |
Erlotinib | 129 | 84 | 65.1% | 487 | 380 | 78.0% | 0.82 | 0.64-1.04 | .100 |
Both | 29 | 9 | 31.0% | 140 | 79 | 56.4% | 0.44 | 0.21-0.94 | .0343* |
EGFR-TKI response | |||||||||
Responder | 239 | 91 | 38.1% | 737 | 434 | 58.9% | 0.62 | 0.49-0.78 | <.001* |
Nonresponder | 134 | 105 | 78.4% | 523 | 447 | 85.5% | 0.85 | 0.69-1.06 | .143 |
CT regimens before EGFR-TKI | |||||||||
≤1 | 261 | 116 | 44.4% | 848 | 542 | 63.9% | 0.67 | 0.54-0.82 | <.001* |
Gefitinib (adenocarcinoma) | 194 | 72 | 37.1% | 574 | 340 | 59.2% | 0.59 | 0.46-0.77 | <.001* |
Erlotinib (adenocarcinoma) | 67 | 44 | 65.7% | 274 | 202 | 73.7% | 0.81 | 0.57-1.14 | .223 |
≥2 | 112 | 80 | 71.4% | 412 | 339 | 82.3% | 0.87 | 0.68-1.12 | .290 |
Gefitinib (adenocarcinoma) | 48 | 40 | 83.3% | 178 | 154 | 86.5% | 0.98 | 0.68-1.41 | .894 |
Erlotinib (NSCLC) | 64 | 40 | 62.5% | 234 | 185 | 79.1% | 0.82 | 0.57-1.17 | .265 |
Abbreviations: HR, hazard ratio; CI, confidence interval; CAD, coronary artery disease; COPD, chronic obstructive pulmonary disease; CT, chemotherapy; RT, radiotherapy; CCRT, concurrent chemoradiotherapy; EGFR-TKI, epidermal growth factor receptor-tyrosine kinase inhibitor; NSCLC, non-small-cell lung cancer.
HRs were adjusted for sex, age, urbanization, income, hypertension, stroke, CAD, COPD, renal insufficiency, smoking-related disorders, CT/RT, CT regimens used before EGFR-TKI therapy.
P < .05.