PMID- 29476432 OWN - NLM STAT- MEDLINE DCOM- 20181026 LR - 20181202 IS - 1573-2584 (Electronic) IS - 0301-1623 (Linking) VI - 50 IP - 5 DP - 2018 May TI - Cigarette smoking and risk of albuminuria in patients with type 2 diabetes: a systematic review and meta-analysis of observational studies. PG - 911-922 LID - 10.1007/s11255-018-1825-x [doi] AB - BACKGROUND: The aim of this study was to assess the effects of smoking on albuminuria risk in adults with type 2 diabetes mellitus (T2DM). METHODS: A literature search was conducted using MEDLINE, EMBASE, and China National Knowledge Infrastructure from the established date to October 2017. Summary relative risks (SRR) and 95% confidence intervals (CI) were computed utilizing a random effect inverse variance method. RESULTS: This meta-analysis included a total of 19 relevant observational studies (four prospective cohort, seven case-control, and eight cross-sectional studies), reporting 105,031 participants and 23,366 albuminuria events. Compared with never-smokers with T2DM, the SRRs of albuminuria were 1.43 (95% CIs 1.27-1.61) for ever-smokers, 2.61 (95% CIs 1.86-3.64) for current smokers, and 1.86 (95% CIs 1.37-2.52) for former smokers. Considerable heterogeneity was observed among these studies, and study design was a significant modifier for this association. There were significantly elevated risk associations for microalbuminuria (SRRs = 1.24, 95% CIs 1.05-1.46) and for macroalbuminuria (SRRs = 1.65, 95% CIs 1.03-2.66), respectively. CONCLUSIONS: Our systematic review and meta-analysis indicates that cigarette smoking might be a potential factor for the development of albuminuria in adults with T2DM. Future studies are required to investigate the association between smoking cessation and intensity and incident albuminuria in adults with T2DM. FAU - Xu, Haili AU - Xu H AD - Department of Nursing, The First Affiliated Hospital, Zhengzhou University, Zhengzhou, Henan Province, People's Republic of China. FAU - Suo, Jinliu AU - Suo J AD - Department of Urology Surgery, The First Affiliated Hospital, Zhengzhou University, 1 Jianshe Dong Road, Zhengzhou, 450052, Henan Province, People's Republic of China. FAU - Lian, Jing AU - Lian J AUID- ORCID: 0000-0001-5692-6388 AD - Department of Urology Surgery, The First Affiliated Hospital, Zhengzhou University, 1 Jianshe Dong Road, Zhengzhou, 450052, Henan Province, People's Republic of China. jinglian321@126.com. LA - eng PT - Journal Article PT - Meta-Analysis PT - Systematic Review DEP - 20180223 PL - Netherlands TA - Int Urol Nephrol JT - International urology and nephrology JID - 0262521 SB - IM MH - Albuminuria/*epidemiology MH - Cigarette Smoking/*epidemiology MH - Diabetes Mellitus, Type 2/*epidemiology MH - Humans MH - Observational Studies as Topic MH - Risk Factors OTO - NOTNLM OT - Albuminuria OT - Cigarette smoking OT - Meta-analysis OT - Type 2 diabetes mellitus EDAT- 2018/02/25 06:00 MHDA- 2018/10/27 06:00 CRDT- 2018/02/25 06:00 PHST- 2017/12/25 00:00 [received] PHST- 2018/02/13 00:00 [accepted] PHST- 2018/02/25 06:00 [pubmed] PHST- 2018/10/27 06:00 [medline] PHST- 2018/02/25 06:00 [entrez] AID - 10.1007/s11255-018-1825-x [pii] AID - 10.1007/s11255-018-1825-x [doi] PST - ppublish SO - Int Urol Nephrol. 2018 May;50(5):911-922. doi: 10.1007/s11255-018-1825-x. Epub 2018 Feb 23.