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Diabetes Increases Morbidities of Colonic Diverticular Disease and Colonic Diverticular Hemorrhage: A Systematic Review and Meta-Analysis.

Abstract Colonic diverticular disease (CDD) and colonic diverticular hemorrhage (CDH) are the most common disorders in hospital admissions and outpatient health clinic visits. However, risk factors of CDD and CDH are complicated and need to be discussed. Diabetes mellitus (DM) has been related with CDD and CDH, but the associations remain ambiguous. Therefore, we performed a literature search for studies involving the associations among DM, morbidity of CDD, and incidence of CDH. Relative risks or odds ratios with their corresponding 95% confidence intervals (CIs) were combined and weighted to produce summary effect size. Sensitivity analysis and subgroup analysis were further performed. We selected 17 studies that involved a total of 8212 patients with diabetes, 381,579 controls without diabetes. We found that patients with DM had approximately 1.201 times higher CDD morbidity in prospective studies (95% CI, 1.135-1.270) with no significant heterogeneity (Q = 0.42, P = 0.519, I = 0%). DM was associated with a 52.8% increase in risk of CDH (95% CI, 14%-104%); we did not find significant heterogeneity among these studies (Q = 12.94, P = 0.114, I = 38.2%). This meta-analysis confirms that DM is an important risk factor for morbidities of CDD and CDH.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title american journal of therapeutics
Publication Year Start




PMID- 28267692
OWN - NLM
STAT- MEDLINE
DA  - 20170307
DCOM- 20170314
LR  - 20170314
IS  - 1536-3686 (Electronic)
IS  - 1075-2765 (Linking)
VI  - 24
IP  - 2
DP  - 2017 Mar/Apr
TI  - Diabetes Increases Morbidities of Colonic Diverticular Disease and Colonic
      Diverticular Hemorrhage: A Systematic Review and Meta-Analysis.
PG  - e213-e221
LID - 10.1097/MJT.0000000000000410 [doi]
AB  - Colonic diverticular disease (CDD) and colonic diverticular hemorrhage (CDH) are 
      the most common disorders in hospital admissions and outpatient health clinic
      visits. However, risk factors of CDD and CDH are complicated and need to be
      discussed. Diabetes mellitus (DM) has been related with CDD and CDH, but the
      associations remain ambiguous. Therefore, we performed a literature search for
      studies involving the associations among DM, morbidity of CDD, and incidence of
      CDH. Relative risks or odds ratios with their corresponding 95% confidence
      intervals (CIs) were combined and weighted to produce summary effect size.
      Sensitivity analysis and subgroup analysis were further performed. We selected 17
      studies that involved a total of 8212 patients with diabetes, 381,579 controls
      without diabetes. We found that patients with DM had approximately 1.201 times
      higher CDD morbidity in prospective studies (95% CI, 1.135-1.270) with no
      significant heterogeneity (Q = 0.42, P = 0.519, I = 0%). DM was associated with a
      52.8% increase in risk of CDH (95% CI, 14%-104%); we did not find significant
      heterogeneity among these studies (Q = 12.94, P = 0.114, I = 38.2%). This
      meta-analysis confirms that DM is an important risk factor for morbidities of CDD
      and CDH.
FAU - Lin, Xiaoti
AU  - Lin X
AD  - 1Department of Breast Oncology, Sun Yat-sen University Cancer Center, State Key
      Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer
      Medicine, Guangzhou, China;2Department of Surgery, Fujian Provincial Tumor
      Hospital, Teaching Hospital of Fujian Medical University, Fuzhou,
      China;3Department of Ophthalmology, Xiangyang Central Hospital, Teaching Hospital
      of Medical College of Hubei University of Arts and Science, Xiangyang, Hubei,
      China; and4Department of Emergency, Fujian Provincial 2nd People's Hospital,
      Affiliated Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou,
      China.
FAU - Li, Jingjing
AU  - Li J
FAU - Ying, Mingang
AU  - Ying M
FAU - Wei, Fengqin
AU  - Wei F
FAU - Xie, Xiaoming
AU  - Xie X
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
PL  - United States
TA  - Am J Ther
JT  - American journal of therapeutics
JID - 9441347
SB  - IM
MH  - Colonic Diseases/epidemiology/etiology
MH  - Comorbidity
MH  - Diabetes Mellitus/*epidemiology
MH  - Diverticulosis, Colonic/complications/*epidemiology
MH  - Gastrointestinal Hemorrhage/*epidemiology/etiology
MH  - Humans
MH  - Incidence
MH  - Risk Factors
EDAT- 2017/03/08 06:00
MHDA- 2017/03/16 06:00
CRDT- 2017/03/08 06:00
AID - 10.1097/MJT.0000000000000410 [doi]
AID - 00045391-201703000-00017 [pii]
PST - ppublish
SO  - Am J Ther. 2017 Mar/Apr;24(2):e213-e221. doi: 10.1097/MJT.0000000000000410.

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