糖尿病患者皮肤病变的评估：一项系统评价与荟萃分析。
Evaluation of skin lesions in diabetic patients: a systematic review and meta-analysis.
作者信息
Salari Nader, Hosseinian-Far Amin, Hosseinian-Far Melika, Kavoussi Hossein, Jalali Rostam, Vaisi-Raygani Aliakbar, Rasoulpoor Shabnam, Rasoulpoor Shna, Mohammadi Masoud, Shabani Shervin
机构信息
Department of Biostatistics, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Department of Business Systems & Operations, University of Northampton, Northampton, UK.
出版信息
J Diabetes Metab Disord. 2020 Sep 9;19(2):1909-1916. doi: 10.1007/s40200-020-00629-7. eCollection 2020 Dec.
BACKGROUD
Prevalence of skin lesions among diabetic patients is a major health concern. Therefore, this systematic review and meta-analysis study was conducted to determine the prevalence of skin lesions in diabetic patients.
METHODS
To identify and select relevant articles, the SID, MagIran, IranMedex, IranDoc, Google Scholar, Cochrane, Embase, ScienceDirect, Scopus, PubMed, and Web of Science (WoS) databases were searched without a lower time limit and until April 2020. The random effects model was used to perform the analysis, and the heterogeneity of studies was assessed using the I index. Data were analyzed within the Comprehensive Meta-Analysis (Version 2) software.
RESULTS
After evaluating the 22 final articles with a total sample size of 8406, the prevalence of skin lesions among diabetes patients were found as 70.3% (95% CI: 63-76.7%). Moreover, according to the meta-regression analysis, the effect of 'sample size' on th prevalence of skin lesions was significantly different in diabetes patients ( < 0.05).
CONCLUSION
The results of this study show that skin lesions are common in diabetes patients. Therefore, appropriate policies needs to be adopted to improve the situation and to monitor patients and outcomes at all levels.
背景
糖尿病患者皮肤病变的患病率是一个主要的健康问题。因此，开展了这项系统评价和荟萃分析研究，以确定糖尿病患者皮肤病变的患病率。
方法
为了识别和选择相关文章，对SID、MagIran、IranMedex、IranDoc、谷歌学术、考克兰、Embase、ScienceDirect、Scopus、PubMed和科学网（WoS）数据库进行了检索，检索没有时间下限，截至2020年4月。采用随机效应模型进行分析，并使用I指数评估研究的异质性。数据在综合荟萃分析（第2版）软件中进行分析。
结果
在评估了22篇最终文章（总样本量为8406）后，发现糖尿病患者皮肤病变的患病率为70.3%（95%CI：63-76.7%）。此外，根据荟萃回归分析，“样本量”对糖尿病患者皮肤病变患病率的影响存在显著差异（<0.05）。
结论
本研究结果表明，皮肤病变在糖尿病患者中很常见。因此，需要采取适当政策来改善这种情况，并在各个层面监测患者和结果。
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