by Bryant Furlow
epiNewswire

August 26, 2007—Women with diabetes face  
increased cancer risks, suggest two meta-
analyses. Researchers from the Karolinska
Institute in Stockholm, Sweden and Harvard
University report that their meta-analysis of data
from 16 studies of endometrial cancer risk among
diabetics supports a connection between the two
diseases.  The researchers found that diabetic
women face roughly twice the risk of endometrial
cancers, which occur in the lining of the uterus,
as do non-diabetic women.

Most (16) of the studies from which the authors
gathered data involved patients with Type 2
diabetes.  The risk of endometrial cancers for
patients with Type 1 diabetes was stronger than
the overall association; Type 1 diabetics were
estimated to face more than three times the risk
of endometrial cancers as  non-diabetics, but this
estimate was based on data from only three
studies.

A separate meta-analysis, also conducted by
researchers at the Karolinska Institute and
Harvard, pooled data for 20 studies of diabetics'
breast cancer risks. Team reports that diabetic
women face a 20 percent greater risk of
developing breast cancer than do non-diabetics.  

The endometrial cancer risk meta-analyses were
published in the July issue of the medical
research journal
Diabetologia.  The breast
cancer meta-analysis was published in August in
the
International Journal of Cancer.  
Further reading

Friberg, E, et al. 2007. Diabetes mellitus and
risk of endometrial cancer: a meta-analysis.
Diabetologia,
50(7): 1365-1374.

Larsson, SC,
et al. 2007. Diabetes melliutus
and risk of breast cancer: a meta-analysis.
International Journal of Cancer, 121(4):
856-862.
Meta-analyses link risks for cancers of the breast, uterine lining to diabetes
Diabetes
Diabetes linked to higher cancer risks in women

Statistical details

Endometrial cancers and diabetes:

Source data for the meta-analysis: 16 studies
(13 case-control studies and 3 cohort studies,
representing 96,003 study participants, 7,596 with
endometrial cancers)

Summary risk ratio (
RR) = 2.10 (95% confidence
intervals: 1.75-2.53)

RR for Type 1 diabetes only (3 studies):
3.15
(CI:1.07-9.29)

RR for case-control studies only:
2.22 (CI: 1.8,2.74)
RR for cohort studies only:
1.62 (CI: 1.21-2.16)
RR for studies adjusting only for age:
2.74 (CI: 1.87,4)
RR for studies adjusting for multiple variables:
1.92
(CI:1.58,2.33)


Breast cancer and diabetes:

Summary risk ratio (RR) = 1.20 (95% CI: 1.12-1.28)