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Diabetes mellitus and the risk of cholangiocarcinoma: an updated meta-analysis

Przegląd gastroenterologiczny, 2015-01, Vol.10 (2), p.108-117 [Peer Reviewed Journal]

Copyright Termedia Publishing House 2015 ;Copyright © 2015 Termedia 2015 ;ISSN: 1895-5770 ;EISSN: 1897-4317 ;DOI: 10.5114/pg.2015.49004 ;PMID: 26557943

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  • Title:
    Diabetes mellitus and the risk of cholangiocarcinoma: an updated meta-analysis
  • Author: Li, Junshan ; Han, Tianjie ; Xu, Linlin ; Luan, Xiaotian
  • Subjects: Cancer ; Diabetes ; Health risk assessment ; Meta-Analysis
  • Is Part Of: Przegląd gastroenterologiczny, 2015-01, Vol.10 (2), p.108-117
  • Description: A number of studies have shown that diabetes mellitus is implicated in susceptibility to several cancers. However, the relationship between diabetes and cholangiocarcinoma remain unclear. To quantitatively assess the relationship between diabetes and incidence of cholangiocarcinoma in cohort and case-control studies. A literature search was performed for entries from 1996 to 2014 using the PubMed and EMBASE databases. Studies were included if they reported odds ratios (OR) and corresponding 95% CI of cholangiocarcinoma with respect to diabetes mellitus. Twenty studies met the inclusion criteria, which included fifteen case-control studies and five cohort studies from Asia (n = 11), the United States (n = 5), and Europe (n = 4). Compared with individuals without diabetes, the pooled OR of cholangiocarcinoma was 1.74 (95% CI: 1.62-1.87, p = 0.568 for heterogeneity) for patients with diabetes, ICC (summary RR, 1.93; 95% CI: 1.65-2.25; p = 0.037 for heterogeneity), and ECC (summary RR, 1.66; 95% CI: 1.39-1.98; p = 0.001 for heterogeneity). The funnel plot revealed no evidence for publication bias concerning diabetes and the risk of CC (including ICC and ECC). The findings from this meta-analysis suggest that diabetes may increase the risk of cholangiocarcinoma. This relationship needs to be confirmed by further follow-up studies.
  • Publisher: Poland: Termedia Publishing House
  • Language: English;Polish
  • Identifier: ISSN: 1895-5770
    EISSN: 1897-4317
    DOI: 10.5114/pg.2015.49004
    PMID: 26557943
  • Source: Open Access: PubMed Central
    Geneva Foundation Free Medical Journals at publisher websites
    AUTh Library subscriptions: ProQuest Central
    DOAJ Directory of Open Access Journals
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