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We hypothesized that survival would be lower among patients with diabetes across cancer types.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p>The cohort, derived from the Finnish CARING Project, included 49\u2009799 incident cancer cases: 25\u2009899 in patients with diabetes and 23\u2009900 in nondiabetic patients. The mean age at diagnosis was 72.2\u2009years, and 40.9% were women. During a mean follow\u2010up of 3.8\u2009years (188\u2009329 person\u2010years), 13\u2009602 cancer deaths occurred. The impact of diabetes on prognosis varied by cancer type. Survival was substantially lower for stomach, endometrial, and lympho\u2010hematological cancers, and slightly lower for colon and breast cancer. Conversely, patients with diabetes had higher survival for liver and rectal cancer. No notable differences were observed for pancreatic, bladder, kidney, prostate, lung, or nonmelanoma skin cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Future studies should focus on the biological and metabolic factors influencing cancer survival in patients with diabetes and on how treatment strategies can be optimized to reduce excess cancer mortality in this patient group.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cnr2.70615","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T01:51:27Z","timestamp":1781833887000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Diabetes and Cancer\u2010Specific Survival: A Nationwide Population\u2010Based Cohort Study Across Multiple Cancer Sites"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7109-5444","authenticated-orcid":false,"given":"Petrus","family":"Lohi","sequence":"first","affiliation":[{"name":"Tampere University, Faculty of Social Sciences  Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1450-6208","authenticated-orcid":false,"given":"Jari","family":"Haukka","sequence":"additional","affiliation":[{"name":"Tampere University, Faculty of Social Sciences  Tampere Finland"},{"name":"Department of Public Health University of Helsinki  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1503-7060","authenticated-orcid":false,"given":"Leo","family":"Niskanen","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, P\u00e4ij\u00e4t\u2010H\u00e4me Central Hospital  Lahti Finland"},{"name":"University of Eastern Finland  Kuopio Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1125-4818","authenticated-orcid":false,"given":"Anssi","family":"Auvinen","sequence":"additional","affiliation":[{"name":"Tampere University, Faculty of Social Sciences  Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,18]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOU.0000000000001041"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11892\u2010014\u20100535\u20108"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213\u20108587(20)30431\u20109"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc10\u20100666"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125\u2010018\u20104664\u20105"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.4158\/EP10357.RA"},{"issue":"4","key":"e_1_2_12_8_1","first-page":"1115","article-title":"New Insights in the Molecular Pathways Linking Obesity, Type 2 Diabetes and Cancer","volume":"60","author":"Popa A.","year":"2019","journal-title":"Romanian Journal of Morphology and Embryology"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cell.2011.02.013"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cell.2017.07.029"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semcancer.2017.04.015"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2008.824"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g7607"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.3397"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.2144\/fsoa\u20102022\u20100018"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10552\u2010012\u20109972\u20103"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1210\/clinem\/dgad450"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885\u2010022\u201010144\u2010y"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech\u20102019\u2010213602"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.34858"},{"key":"e_1_2_12_21_1","unstructured":"WHOCC \u201cATC\/DDD Index \u201daccessed November 1 2022 https:\/\/www.whocc.no\/atc_ddd_index\/."},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2017.02.017"},{"key":"e_1_2_12_23_1","volume-title":"R: A Language and Environment for Statistical Computing","author":"R Core Team","year":"2022"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0265368"},{"key":"e_1_2_12_25_1","first-page":"5","article-title":"Statistical Methods in Cancer Research. 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