医学
炎症性肠病
内科学
糖尿病
败血症
肺炎
溃疡性结肠炎
克罗恩病
疾病
泌尿系统
胃肠病学
内分泌学
作者
Giacomo Fuschillo,Valerio Celentano,Matteo Rottoli,Guido Sciaudone,Antonietta Gerarda Gravina,Raffaele Pellegrino,Raffaele Marfella,Marco Romano,Francesco Selvaggi,Gianluca Pellino
标识
DOI:10.1016/j.dld.2022.08.017
摘要
Diabetes Mellitus (DM) may occur in IBD and influence the disease progression.To compare disease course and treatment outcomes in IBD patients with and without DM.This is a systematic review with meta-analysis comparing patients with IBD plus DM with patients with IBD only.need for surgery, IBD-related complications, hospitalizations, sepsis, mortality. Quality of life and costs were assessed.Five studies with 71,216 patients (49.1% with DM) were included. Risk for IBD-related complications (OR=1.12, I2 98% p = 0.77), mortality (OR=1.52, I2 98% p = 0.37) and IBD-related surgery (OR=1.20, I2 81% p = 0.26) did not differ. Risk of IBD-related hospitalizations (OR=2.52, I2 0% p < 0.00001) and sepsis (OR=1.56, I2 88% p = 0.0003) was higher in the IBD+DM group. Risk of pneumonia and urinary tract infections was higher in the IBD+DM group (OR=1.72 and OR=1.93), while risk of C. Difficile infection did not differ (OR=1.22 I2 88% p = 0.37). Mean Short Inflammatory Bowel Disease Questionnaire score was lower in the IBD+DM group (38.9 vs. 47, p = 0.03). Mean health care costs per year were $10,598.2 vs $3747.3 (p < 0.001).DM might negatively affect the course of IBD by increasing the risk of hospitalization and infections, but not IBD-related complications and mortality.
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