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Association between diabetes mellitus and subsequent ovarian cancer in women: A systematic review and meta-analysis of cohort studies.

Abstract Epidemiologic studies have suggested that diabetes mellitus (DM) might be associated with risk of ovarian cancer; however, the results have been inconsistent. The aim of this study was to determine the relationship between DM and the incidence of ovarian cancer on the basis of cohort studies.Relevant studies from PubMed, Embase, and the Cochrane Library until September 2016 were collected. The summary risk ratio (RR) was used as the effect measure in a random effects model. Sensitivity analysis, subgroup analysis, and calculation of publication bias were conducted.Thirteen articles including 14 cohorts comprising a total of 3708, 313 women and reporting 5534 cases of ovarian cancer were included. The summary RR suggested that patients with DM had a higher risk of ovarian cancer than patients without DM (RR: 1.19; 95% confidence interval: 1.06-1.34; Pā€Š=ā€Š.004), and no evidence of publication bias was found. The subgroup analysis indicated a higher incidence of ovarian cancer in patients with DM in studies published after 2010, studies not conducted in Europe or the United States, studies that did not adjust for body mass index or smoking status, and studies with lower Newcastle-Ottawa Scale scores.The present findings indicated that DM is a risk factor for ovarian cancer, and future large-scale epidemiologic studies should be performed to evaluate this relation in specific populations.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28422831
OWN - NLM
STAT- In-Process
DA  - 20170419
LR  - 20170419
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 16
DP  - 2017 Apr
TI  - Association between diabetes mellitus and subsequent ovarian cancer in women: A
      systematic review and meta-analysis of cohort studies.
PG  - e6396
LID - 10.1097/MD.0000000000006396 [doi]
AB  - Epidemiologic studies have suggested that diabetes mellitus (DM) might be
      associated with risk of ovarian cancer; however, the results have been
      inconsistent. The aim of this study was to determine the relationship between DM 
      and the incidence of ovarian cancer on the basis of cohort studies.Relevant
      studies from PubMed, Embase, and the Cochrane Library until September 2016 were
      collected. The summary risk ratio (RR) was used as the effect measure in a random
      effects model. Sensitivity analysis, subgroup analysis, and calculation of
      publication bias were conducted.Thirteen articles including 14 cohorts comprising
      a total of 3708, 313 women and reporting 5534 cases of ovarian cancer were
      included. The summary RR suggested that patients with DM had a higher risk of
      ovarian cancer than patients without DM (RR: 1.19; 95% confidence interval:
      1.06-1.34; P = .004), and no evidence of publication bias was found. The subgroup
      analysis indicated a higher incidence of ovarian cancer in patients with DM in
      studies published after 2010, studies not conducted in Europe or the United
      States, studies that did not adjust for body mass index or smoking status, and
      studies with lower Newcastle-Ottawa Scale scores.The present findings indicated
      that DM is a risk factor for ovarian cancer, and future large-scale epidemiologic
      studies should be performed to evaluate this relation in specific populations.
FAU - Wang, Lihua
AU  - Wang L
AD  - Department of Gyne-Oncology, the First Affiliated Hospital of Bengbu Medical
      College, Bengbu, Anhui, China.
FAU - Wang, Liangliang
AU  - Wang L
FAU - Zhang, Jing
AU  - Zhang J
FAU - Wang, Beibei
AU  - Wang B
FAU - Liu, Hongli
AU  - Liu H
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
EDAT- 2017/04/20 06:00
MHDA- 2017/04/20 06:00
CRDT- 2017/04/20 06:00
AID - 10.1097/MD.0000000000006396 [doi]
AID - 00005792-201704210-00012 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Apr;96(16):e6396. doi: 10.1097/MD.0000000000006396.

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