Table 1 Characteristics of included studies.

From: The effect of metformin on survival of patients with pancreatic cancer: a meta-analysis

study

design

tumor stage

size

treatment or metformin exposure in study group

intervention in control group

HR(95% CI)

Ambe 2015

RCS

resectable

44

ongoing metformin use

never used metformin

0.54(0.16–1.86)

Amin 2016

RCS

all stages

1916

use in the 6 months prediagnosis.

diabetic medications other than metformin

0.88(0.81–0.96)

Cerullo 2016

RCS

resectable

3396

use following surgery

no use after surgery

0.79(0.67–0.93)

Chaiteerakij 2016

RCS

all stages

980

ever use

ever use

0.93(0.81–1.07)

Choi 2016

RCS

LA; metastatic

349

unclear

unclear

0.70(0.49–1.99)

Hwang 2013

RCS

LA; metastatic

516

use at any time in the peridiagnosis period

no use during peridiagnosis period

1.11(0.89–1.38)

Kordes 2015

RCT

LA; metastatic

121

GE + metformin

GE + placebo

1.05(0.72–1.55)

Kozak 2016

RCS

resectable

171

continuous use from first consult to discharge postsurgery

never use or discontinued use

0.60(0.21–1.67)

Lee 2016

RCS

all stages

237

cumulative use ≥ 1 month post-diagnosis

use < 1 month or never use

0.61(0.46–0.81)

Reni 2016

RCT

metastatic

60

PEXG + metformin

PEXG

1.56(0.87–2.80)

Sadeghi 2012

RCS

all stages

302

ever use

never use

0.64(0.48–0.86)

  1. Abbreviations: RCS = retrospective cohort study; PA = pancreatic adenocarcinoma; peridiagnosis period = between 6 months prediagnosis and one month postdiagnosis; GE = gemcitabine + erlotinib; PEXG = cisplatin + epirubicin + capecitabine + gemcitabine; all stages = resectable + locally advanced + metastatic; LA = locally advanced.