PMID- 25535750 OWN - NLM STAT- MEDLINE DCOM- 20150430 LR - 20220408 IS - 0392-856X (Print) IS - 0392-856X (Linking) VI - 33 IP - 1 DP - 2015 Jan-Feb TI - Diabetes mellitus risk factors in rheumatoid arthritis: a systematic review and meta-analysis. PG - 115-21 AB - OBJECTIVES: The aim of this study was to investigate the relationship between rheumatoid arthritis (RA) and the occurrence of diabetes mellitus (DM). METHODS: A meta-analysis was conducted to explore the risk of DM in RA patients. All relevant studies were identified by searching PUBMED, EMBASE and MEDLINE database prior to 1 January 2014. Pooled risk estimates were calculated with random-effects models using STATA 11.0. RESULTS: A total of 11 case-control studies and 8 cohort studies were included in the final analysis. The pooled risk estimate of 11 case-control studies showed a statistically significant increased risk of DM prevalence among RA individuals (OR=1.40, 95% CI: 1.34-1.47). The pooled risk estimate of 8 cohort studies also showed a statistically significant increasing risk of DM (RR=1.43, 95%CI: 1.38-1.47). In a subgroup analysis for case-control studies, the pooled risk estimate of individuals with RA increased the incidence of T1DM (type 1 diabetes mellitus) and the incidence of T2DM (type 2 diabetes mellitus) (OR, 4.78 vs. 1.41). In a subgroup analysis for cohort studies, RA was also found to have a statistically significant increasing risk of T2DM (RR=1.24, 95%CI: 1.14-1.35). Begg funnel plot and Egger test showed no evidence of publication bias. CONCLUSIONS: RA is associated with increased risk of DM, including T1DM and T2DM. FAU - Jiang, Ping AU - Jiang P AD - Shandong University of Tranditional Chinese Medicine, Jinan, China. FAU - Li, Hao AU - Li H AD - Department of Surgery, Shanghai Jiao Tong University Affiliated First People's Hospital, Shanghai, China. FAU - Li, Xiao AU - Li X AD - The Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20141222 PL - Italy TA - Clin Exp Rheumatol JT - Clinical and experimental rheumatology JID - 8308521 SB - IM MH - Arthritis, Rheumatoid/diagnosis/*epidemiology MH - Diabetes Mellitus, Type 1/diagnosis/*epidemiology MH - Diabetes Mellitus, Type 2/diagnosis/*epidemiology MH - Humans MH - Incidence MH - Odds Ratio MH - Prevalence MH - Prognosis MH - Risk Assessment MH - Risk Factors EDAT- 2014/12/24 06:00 MHDA- 2015/05/01 06:00 CRDT- 2014/12/24 06:00 PHST- 2014/04/13 00:00 [received] PHST- 2014/07/25 00:00 [accepted] PHST- 2014/12/24 06:00 [entrez] PHST- 2014/12/24 06:00 [pubmed] PHST- 2015/05/01 06:00 [medline] AID - 8171 [pii] PST - ppublish SO - Clin Exp Rheumatol. 2015 Jan-Feb;33(1):115-21. Epub 2014 Dec 22.