Influence of the duration of type 2 diabetes mellitus on colorectal cancer outcomes.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
10 08 2023
Historique:
received: 03 05 2023
accepted: 07 08 2023
medline: 14 8 2023
pubmed: 11 8 2023
entrez: 10 8 2023
Statut: epublish

Résumé

Type 2 diabetes mellitus (T2DM) is a progressive disease, which affects colorectal cancer (CRC) survival. However, data on the relationship between CRC survival and T2DM duration is scarce and controversial. A retrospective observational study was conducted. Sub-cohorts were created based on the duration of T2DM as follows, ≤ or > 5/10/15/20 years. 204 of the 817 (24.95%) included study participants had T2DM at any point of CRC. 160 of the 204 CRC + T2DM patients had detailed T2DM duration data. At the time of CRC diagnosis, 85, 50, 31, and 11 patients had T2DM for > 5/10/15/20 years, respectively, which increased to 110, 71, 45, and 17 during the course of the study. Despite constant glycated hemoglobin values throughout the study, shorter overall and disease-specific survival times were observed for the > 5/10/15 years cohorts and longitudinal survival modeling techniques confirmed the significant effect of T2DM duration in all cohorts. While in the first 3 years after CRC diagnosis, the best survival was found for the ≤ 5 years cohort, all diabetes cohorts had the same survival thereafter. T2DM duration affected CRC survival significantly, therefore, a closer follow-up of this sub-populations is suggested.

Identifiants

pubmed: 37563292
doi: 10.1038/s41598-023-40216-3
pii: 10.1038/s41598-023-40216-3
pmc: PMC10415401
doi:

Substances chimiques

Glycated Hemoglobin 0

Types de publication

Observational Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

12985

Informations de copyright

© 2023. Springer Nature Limited.

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Auteurs

Magdolna Herold (M)

Department of Internal Medicine and Hematology, Semmelweis University, Budapest, 1088, Hungary.
Division of Oncology, Department of Internal Medicine and Oncology, Semmelweis University, Budapest, 1083, Hungary.

Attila Marcell Szasz (AM)

Division of Oncology, Department of Internal Medicine and Oncology, Semmelweis University, Budapest, 1083, Hungary.

Gyongyver Szentmartoni (G)

Division of Oncology, Department of Internal Medicine and Oncology, Semmelweis University, Budapest, 1083, Hungary.

Emoke Martinek (E)

Division of Oncology, Department of Internal Medicine and Oncology, Semmelweis University, Budapest, 1083, Hungary.

Viktor Madar-Dank (V)

Department of the Institute for Dispute Resolution, New Jersey City University, Jersey City, NJ, 07311, USA.

Andras Jozsef Barna (AJ)

Division of Oncology, Department of Internal Medicine and Oncology, Semmelweis University, Budapest, 1083, Hungary.
Department of Obstetrics and Gynecology, Saint Pantaleon Hospital, Dunaujvaros, 2400, Hungary.

Reka Mohacsi (R)

Division of Oncology, Department of Internal Medicine and Oncology, Semmelweis University, Budapest, 1083, Hungary.

Aniko Somogyi (A)

Department of Internal Medicine and Hematology, Semmelweis University, Budapest, 1088, Hungary.

Magdolna Dank (M)

Division of Oncology, Department of Internal Medicine and Oncology, Semmelweis University, Budapest, 1083, Hungary.

Zoltan Herold (Z)

Division of Oncology, Department of Internal Medicine and Oncology, Semmelweis University, Budapest, 1083, Hungary. herold.zoltan@med.semmelweis-univ.hu.

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