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Diabetes mellitus and the occurrence of colorectal cancer: an updated meta-analysis of cohort studies.

Abstract Recently, it has been found that diabetes patients have a higher incidence of colorectal cancer than the general population, but epidemiological studies examining a potential relationship between the two have produced inconsistent conclusions. Thus, we set out to perform a meta-analysis of cohort studies to evaluate the association between diabetes and colorectal cancer.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title diabetes technology & therapeutics
Publication Year Start




PMID- 23540566
OWN - NLM
STAT- MEDLINE
DA  - 20130502
DCOM- 20131217
LR  - 20130502
IS  - 1557-8593 (Electronic)
IS  - 1520-9156 (Linking)
VI  - 15
IP  - 5
DP  - 2013 May
TI  - Diabetes mellitus and the occurrence of colorectal cancer: an updated
      meta-analysis of cohort studies.
PG  - 419-27
LID - 10.1089/dia.2012.0263 [doi]
AB  - BACKGROUND: Recently, it has been found that diabetes patients have a higher
      incidence of colorectal cancer than the general population, but epidemiological
      studies examining a potential relationship between the two have produced
      inconsistent conclusions. Thus, we set out to perform a meta-analysis of cohort
      studies to evaluate the association between diabetes and colorectal cancer.
      MATERIALS AND METHODS: Using "diabetes," "colorectal cancer," and associated key 
      words, we performed a systematic review of published cohort studies in multiple
      databases, including MEDLINE, EMBASE, ISI Web of Knowledge databases, OVID, CNKI,
      CBMD ISC, WANFANG, and CQVIP. We then applied stringent inclusion and exclusion
      criteria to identify which studies to include in our analysis. STATA version 12.0
      software (StataCorp., College Station, TX) was used to conduct statistical
      analysis, including consolidated statistics calculations, tests for
      heterogeneity, and publication bias evaluations. RESULTS: We obtained a total of 
      532 potential articles. In accordance with our inclusion and exclusion criteria, 
      we selected 29 articles for the meta-analysis. The analysis of extracted
      information indicated that diabetes is a risk factor for the development of
      colorectal cancer (relative risk 1.22, 95% confidence interval 1.19-1.26).
      Subgroup analyses by control populations, regions, gender, follow-up time, and
      colorectal cancer site also support this finding. CONCLUSIONS: The risk of
      individuals with diabetes to develop colorectal cancer is 1.22 times higher than 
      that of individuals without diabetes. The positive association remains consistent
      for both men and women and for studies carried out in North America, Europe, and 
      Asia, as well as for different follow-up times.
FAU - Wu, Lei
AU  - Wu L
AD  - Department of Epidemiology, School of Public Health, Nanchang University,
      Nanchang, China.
FAU - Yu, Chao
AU  - Yu C
FAU - Jiang, Han
AU  - Jiang H
FAU - Tang, Jun
AU  - Tang J
FAU - Huang, He-lang
AU  - Huang HL
FAU - Gao, Jing
AU  - Gao J
FAU - Zhang, Xin
AU  - Zhang X
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
DEP - 20130329
PL  - United States
TA  - Diabetes Technol Ther
JT  - Diabetes technology & therapeutics
JID - 100889084
SB  - IM
MH  - Adult
MH  - Age Distribution
MH  - Aged
MH  - Cohort Studies
MH  - Colorectal Neoplasms/*epidemiology/etiology
MH  - Diabetes Mellitus, Type 1/complications/*epidemiology
MH  - Diabetes Mellitus, Type 2/complications/*epidemiology
MH  - Female
MH  - Humans
MH  - Incidence
MH  - Male
MH  - Middle Aged
MH  - Prognosis
MH  - Prospective Studies
MH  - Risk Factors
MH  - Sex Distribution
EDAT- 2013/04/02 06:00
MHDA- 2013/12/18 06:00
CRDT- 2013/04/02 06:00
AID - 10.1089/dia.2012.0263 [doi]
PST - ppublish
SO  - Diabetes Technol Ther. 2013 May;15(5):419-27. doi: 10.1089/dia.2012.0263. Epub
      2013 Mar 29.

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