PMID- 36583006 OWN - NLM STAT- MEDLINE DCOM- 20230102 LR - 20230127 IS - 1664-2392 (Print) IS - 1664-2392 (Electronic) IS - 1664-2392 (Linking) VI - 13 DP - 2022 TI - The effect of metformin usage on survival outcomes for hepatocellular carcinoma patients with type 2 diabetes mellitus after curative therapy. PG - 1060768 LID - 10.3389/fendo.2022.1060768 [doi] LID - 1060768 AB - OBJECTIVE: Metformin has attracted more attention from researchers for its newly discovered antitumor effects. A meta-analysis was performed to reveal the efficacy of metformin on overall survival (OS) and recurrence-free survival (RFS) for HCC patients with type 2 diabetes mellitus (T2DM) after curative treatment. METHODS: Databases including PubMed, the Cochrane Library, Web of Science, CNKI, Wangfang, and Weipu Database up until 31 May 2022 were searched for relevant studies. STATA 13.0 was used to perform the meta-analysis. RESULTS: A total of six studies involving 5,936 patients were included in our study. The results from the current study revealed that metformin usage can significantly prolong the 3-year [odds ratio (OR) = 1.50, 95% confidence interval (CI): 1.22-1.83, p = 0.000] and 5-year (OR = 1.88, 95% CI: 1.47-2.41, p = 0.000) OS and decrease the 1-year (OR = 1.31, 95% CI: 1.08-1.59, p = 0.007), 3-year (OR = 1.88, 95% CI: 1.48-2.37, p = 0.000), and 5-year (OR = 1.83, 95% CI: 1.40-2.40, p = 0.000) recurrence rates. CONCLUSION: Metformin treatment significantly prolongs the OS and decreases the recurrence rate for HCC patients with T2DM after curative HCC therapy. CI - Copyright (c) 2022 Yuan, Ma, Wang and Hao. FAU - Yuan, Bo AU - Yuan B AD - Department of General Surgery, Lanzhou University Second Hospital, Lanzhou, China. FAU - Ma, Jichun AU - Ma J AD - First College of Clinical Medicine, Lanzhou University, Lanzhou, China. FAU - Wang, Jing AU - Wang J AD - Cadre Ward Endocrinology Department, Gansu Provincial Hospital, Lanzhou, China. FAU - Hao, Jinyong AU - Hao J AD - Department of Gastroenterology, Lanzhou University Second Hospital, Lanzhou, China. LA - eng PT - Meta-Analysis PT - Systematic Review DEP - 20221213 PL - Switzerland TA - Front Endocrinol (Lausanne) JT - Frontiers in endocrinology JID - 101555782 RN - 9100L32L2N (Metformin) SB - IM MH - Humans MH - *Carcinoma, Hepatocellular/complications/drug therapy MH - *Diabetes Mellitus, Type 2/complications/drug therapy MH - *Metformin/therapeutic use MH - *Liver Neoplasms/drug therapy MH - Odds Ratio PMC - PMC9792596 OTO - NOTNLM OT - diabetes mellitus OT - hepatocellular carcinoma OT - metformin OT - overall survival OT - recurrence-free survival COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/12/31 06:00 MHDA- 2023/01/03 06:00 PMCR- 2022/01/01 CRDT- 2022/12/30 02:35 PHST- 2022/10/03 00:00 [received] PHST- 2022/11/28 00:00 [accepted] PHST- 2022/12/30 02:35 [entrez] PHST- 2022/12/31 06:00 [pubmed] PHST- 2023/01/03 06:00 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fendo.2022.1060768 [doi] PST - epublish SO - Front Endocrinol (Lausanne). 2022 Dec 13;13:1060768. doi: 10.3389/fendo.2022.1060768. eCollection 2022.