医学
漏斗图
糖尿病
荟萃分析
怀孕
人口学
妊娠期糖尿病
出版偏见
奇纳
2型糖尿病
内科学
妊娠期
心理干预
内分泌学
社会学
精神科
生物
遗传学
作者
Tawanda Chivese,Cecilia Ambrosius Hoegfeldt,Mahmoud Werfalli,Lili Yuen,Hong Sun,Suvi Karuranga,Ninghua Li,Akhil Gupta,Jincy Immanuel,Hema Divakar,Camille E. Powe,Naomi Levitt,Xilin Yang,David Simmons
标识
DOI:10.1016/j.diabres.2021.109049
摘要
To estimate the prevalence of pre-existing diabetes in pregnancy from studies published during 2010-2020.We searched PubMed, CINAHL, Scopus and other sources for relevant data sources. The prevalence of overall pre-existing, type 1 and type 2 diabetes, by country, region and period of study was synthesised from included studies using the inverse-variance heterogeneity model and the Freeman-Tukey transformation. Heterogeneity was assessed using the I2 statistic and publication bias using funnel plots.We identified 2479 records, of which 42 data sources with a total of 78 943 376 women, met the eligibility criteria. The included studies were from 17 countries in North America, Europe, the Middle East and North Africa, Australasia, Asia and Africa. The lowest prevalence was in Europe (0.5%, 95 %CI 0.4-0.7) and the highest in the Middle East and North Africa (2.4%, 95 %CI 1.5-3.1). The prevalence of pre-existing diabetes doubled from 0.5% (95 %CI 0.1-1.0) to 1.0% (95 %CI 0.6-1.5) during the period 1990-2020. The pooled prevalences of pre-existing type 1 and type 2 diabetes were 0.3% (95 %CI 0.2-0.4) and 0.2% (95 %CI 0.0-0.9) respectively.While the prevalence of pre-existing diabetes in pregnancy is low, it has doubled from 1990 to 2020.
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