A national observation study of cancer incidence and mortality risks in type 2 diabetes compared to the background population over time.

That noted, when we did a formal competing risk analysis (by fitting a Fine & Grey model including lung cancer and death from any cause as the two competing events), the estimated subdistribution hazard ratio for lung cancer comparing persons with T2DM to controls turned out to be 1.03 with 95% CI (0.99, 1.06) which failed to reach statistical significance with p = 0.1731.

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If such risks are increasing, as we seem to show, this is a worrying trend given mortality rates from pancreatic cancer remain very high.

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