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Published on: June 9, 2023
Diabetes driven effects on incidence and mortality of breast cancer: A meta-analysis
Rashmi Rashmi1, Richa Singhal2, Gauri Misra1
1National Institute of Biologicals (Ministry of Health and Family Welfare), Noida, India; Academy of Scientific and Innovative Research (AcSIR), Ghaziabad- 201002, India.
Objective:
This meta-analysis is aimed at investigating the impact of metabolic disorders like diabetes on breast cancer.
Study Design:
This study is a meta-analysis.
Methods:
We searched Scopus, PubMed, and Google Scholar from January 2012 to January 2024 and identified case-control and cohort studies that assessed the incidence of breast cancer or mortality due to it. The analysis included 48 studies using a random effects model to obtain a pooled risk ratio (RR) and 95 % confidence interval (CI). The methodological aspects of selected studies were estimated using the Newcastle-Ottawa Scale (NOS).
Results:
Data analysis revealed that diabetes was statistically related to breast cancer with a 20 % increase in breast cancer incidence (RR = 1.203, 95 % CI = 1.135-1.276). This also enhanced the breast cancer mortality (RR = 1.201, 95 % CI = 1.094-1.318). Interestingly, sub-group analysis revealed that breast cancer incidence in Asia was larger as compared to America and Europe (RR = 1.291 in Asia; RR = 1.131 in America; RR = 1.083 in Europe).
Conclusion:
This association indicates potential shared pathways and modifiable risk factors connecting these two major non-communicable diseases. Understanding this association is important for prevention and personalized treatment strategies for individuals suffering from these diseases.
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