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Pioglitazone prescription increases risk of bladder cancer in patients with type 2 diabetes: an updated meta-analysis

Overview of attention for article published in Tumor Biology, October 2013
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Title
Pioglitazone prescription increases risk of bladder cancer in patients with type 2 diabetes: an updated meta-analysis
Published in
Tumor Biology, October 2013
DOI 10.1007/s13277-013-1278-x
Pubmed ID
Authors

Shiyao He, Yu-hong Tang, Guobin Zhao, Xiaolong Yang, Dehou Wang, Ye Zhang

Abstract

Pioglitazone is widely used for glycemic control in patients with type 2 diabetes mellitus, but evidence regarding the association between pioglitazone and bladder cancer risk is confusing. A systematic search of databases was carried out, and other relevant papers were also identified. Then, the analyses were conducted according to the PRISMA and MOOSE guidelines. After quality assessment, nine datasets from 10 available studies were included on the basis of inclusion criteria. The incidence of bladder cancer among pioglitazone ever users and never users, pooled from four cohort and one randomized studies, were 84.51 and 66.68 per 100,000 person-years, respectively. Nine studies representing 2,596,856 diabetic patients were recognized as eligible for overall study; the result suggested an increased risk of bladder cancer in patients exposed to pioglitazone. A persistent significance was detected after being adjusted by age, gender, and use of other diabetes medications. Subgroup analyses indicated that the significantly increased incidence of bladder cancer was found in men, but not in women. Additionally, the analyses addressing increasing exposure to pioglitazone observed a dose-response relation between exclusive ever use of pioglitazone and bladder cancer in terms of cumulative duration of use and cumulative dosage. With some limitations, our results suggest an increased risk of bladder cancer in diabetic patients using pioglitazone, especially for men with long-term and high-dose exposure. Additional studies are needed to provide more precise evidences to support our results.

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The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 33 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 3%
Ecuador 1 3%
Brazil 1 3%
Unknown 30 91%

Demographic breakdown

Readers by professional status Count As %
Researcher 5 15%
Student > Master 5 15%
Student > Bachelor 4 12%
Student > Postgraduate 4 12%
Student > Doctoral Student 3 9%
Other 6 18%
Unknown 6 18%
Readers by discipline Count As %
Medicine and Dentistry 18 55%
Biochemistry, Genetics and Molecular Biology 2 6%
Agricultural and Biological Sciences 2 6%
Pharmacology, Toxicology and Pharmaceutical Science 1 3%
Neuroscience 1 3%
Other 1 3%
Unknown 8 24%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 31 May 2016.
All research outputs
#18,379,018
of 22,764,165 outputs
Outputs from Tumor Biology
#1,370
of 2,622 outputs
Outputs of similar age
#154,847
of 207,732 outputs
Outputs of similar age from Tumor Biology
#31
of 51 outputs
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