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糖尿病对慢性静脉功能不全影响的系统评价与荟萃分析

Systematic review and meta-analysis of the impact of diabetes mellitus on chronic venous insufficiency.

作者信息

de Castro Alex Carlos Ferreira, Barbosa Anderson Veiga, Lima David Fonseca, Vidal João Vitor Rodrigues, Reis José Maciel Caldas, Carneiro Saul Rassy

机构信息

Universidade Federal do Pará UFPA, Belém, PA, Brasil.

Universidade do Estado do Pará UEPA, Belém, PA, Brasil.

出版信息

J Vasc Bras. 2025 Jul 28;24:e20250006. doi: 10.1590/1677-5449.202500062. eCollection 2025.

DOI:10.1590/1677-5449.202500062
PMID:40757009
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12315575/
Abstract

The systematic review with meta-analysis aimed to investigate the occurrence of Chronic Venous Insufficiency (CVI) in patients with Type II Diabetes Mellitus (T2DM). The guiding research question was structured using the PECOT framework (P: population; E: exposure; C: comparison; O: outcome; T: type of study), and the risk of bias was assessed using the ROBIS-I tool. A total of four studies were included in the analysis. The findings revealed that the prevalence of CVI in patients with T2DM was 55%, with a prevalence ratio of 1.51 (95% CI: 1.01 to 2.26). These results suggest that individuals with T2DM have a significantly higher prevalence of CVI compared to those without the condition. However, the review identified several limitations, such as the scarcity of longitudinal studies and variability in the diagnostic criteria for CVI among the included studies. The authors conclude that further research is warranted to address these gaps and deepen understanding of the relationship between T2DM and CVI.

摘要

这项带有荟萃分析的系统评价旨在调查2型糖尿病(T2DM)患者中慢性静脉功能不全(CVI)的发生率。指导性研究问题是使用PECOT框架构建的(P:人群;E:暴露因素;C:对照;O:结局;T:研究类型),并使用ROBIS-I工具评估偏倚风险。分析共纳入四项研究。研究结果显示,T2DM患者中CVI的患病率为55%,患病率比值为1.51(95%CI:1.01至2.26)。这些结果表明,与未患该病的个体相比,T2DM患者CVI的患病率显著更高。然而,该评价发现了几个局限性,例如纵向研究的稀缺以及纳入研究中CVI诊断标准的变异性。作者得出结论,有必要进行进一步研究以填补这些空白,并加深对T2DM与CVI之间关系的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40cb/12315575/ff0f6533825e/jvb-24-e20250006-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40cb/12315575/ae69e3002580/jvb-24-e20250006-g01-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40cb/12315575/a34dc1b7119a/jvb-24-e20250006-g02-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40cb/12315575/ea1826280c02/jvb-24-e20250006-g03-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40cb/12315575/cf32b39ee237/jvb-24-e20250006-g04-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40cb/12315575/c60b59f8beee/jvb-24-e20250006-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40cb/12315575/c2564c6b471b/jvb-24-e20250006-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40cb/12315575/916ab42291c3/jvb-24-e20250006-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40cb/12315575/ff0f6533825e/jvb-24-e20250006-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40cb/12315575/ae69e3002580/jvb-24-e20250006-g01-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40cb/12315575/a34dc1b7119a/jvb-24-e20250006-g02-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40cb/12315575/ea1826280c02/jvb-24-e20250006-g03-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40cb/12315575/cf32b39ee237/jvb-24-e20250006-g04-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40cb/12315575/c60b59f8beee/jvb-24-e20250006-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40cb/12315575/c2564c6b471b/jvb-24-e20250006-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40cb/12315575/916ab42291c3/jvb-24-e20250006-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40cb/12315575/ff0f6533825e/jvb-24-e20250006-g04.jpg

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本文引用的文献

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J Vasc Bras. 2023 Nov 6;22:e20230064. doi: 10.1590/1677-5449.202300642. eCollection 2023.
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Prevalence and associated factors of chronic venous disease among the modern Iranian urban population.现代伊朗城市人口中慢性静脉疾病的患病率及相关因素
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Association of chronic venous disease with major adverse cardiovascular events.
慢性静脉疾病与主要不良心血管事件的关联。
J Vasc Surg Venous Lymphat Disord. 2022 May;10(3):683-688. doi: 10.1016/j.jvsv.2021.08.021. Epub 2021 Sep 8.
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[Prevalence of diabetes mellitus and its complications and characterization of healthcare gaps based on triangulation of studies].[基于多项研究的三角互证法对糖尿病及其并发症的患病率和医疗保健差距特征的研究]
Cad Saude Publica. 2021 May 28;37(5):e00076120. doi: 10.1590/0102-311X00076120. eCollection 2021.
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