Table 3

Incidence rate and rate ratio for cancer among patients who used antidiabetic medications and those who did not use antidiabetic drugs

Cancer siteNumber of casesWoman-yearsCrude rate (per 1000)95% CI
Breast cancer
 Metformin only14328 5715.014.22 to 5.90
 Metformin+sulfonylureas21557 5773.733.25 to 4.27
 Metformin+insulin626132.300.84 to 5.00
 Metformin and other diabetic meds33967 7235.014.49 to 5.57
 Sulfonylureas only5524 3162.261.70 to 2.94
 Insulin only12532 6583.833.19 to 4.56
 Other non-metformin drugs only4685605.373.93 to 7.17
 Non-antidiabetic users643162 8203.953.65 to 4.27
Endometrial cancer
 Metformin only3628 5711.260.88 to 1.74
 Metformin+sulfonylureas6057 5771.040.80 to 1.34
 Metformin+insulin126130.380.01 to 2.13
 Metformin and other diabetic meds7167 7231.050.82 to 1.32
 Sulfonylureas only624 3160.250.09 to 0.54
 Insulin only3332 6581.010.70 to 1.42
 Other non-metformin drugs only1185601.290.64 to 2.30
 Non-antidiabetic users130162 8200.800.67 to 0.95
Ovarian cancer
 Metformin only528 5710.180.06 to 0.41
 Metformin+sulfonylureas2057 5770.350.21 to 0.54
 Metformin+insulin02613
 Metformin and other diabetic meds2967 7230.430.29 to 0.61
 Sulfonylureas only1124 3160.450.23 to 0.81
 Insulin only1232 6580.370.19 to 0.64
 Other non-metformin drugs only785600.820.33 to 1.68
 Non-antidiabetic users79162 8200.490.38 to 0.60
All cancers combined
 Metformin only18428 5716.445.54 to 7.44
 Metformin+sulfonylureas29557 5775.124.56 to 5.74
 Metformin+insulin726132.681.08 to 5.52
 Metformin and other diabetic meds43967 7236.485.89 to 7.12
 Sulfonylureas only7224 3162.962.32 to 3.73
 Insulin only17032 6585.214.45 to 6.05
 Other non-metformin drugs only6485607.485.76 to 9.55
 Non-antidiabetic users852162 8205.234.89 to 5.60