Diabetes mellitus and risk of bladder cancer: a meta-analysis of cohort studies.

<h4>Objective</h4>Diabetes is associated with increased risk of cancer at several sites, but its association with risk of bladder cancer is still controversial. We examined this association by conducting a systematic review and meta-analysis of cohort studies.<h4>Methods</h4>...

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Autores principales: Xin Xu, Jian Wu, Yeqing Mao, Yi Zhu, Zhenghui Hu, Xianglai Xu, Yiwei Lin, Hong Chen, Xiangyi Zheng, Jie Qin, Liping Xie
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Publicado: Public Library of Science (PLoS) 2013
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spelling oai:doaj.org-article:cbf61848e5a04deca160823aaf12f99e2021-11-18T07:54:53ZDiabetes mellitus and risk of bladder cancer: a meta-analysis of cohort studies.1932-620310.1371/journal.pone.0058079https://doaj.org/article/cbf61848e5a04deca160823aaf12f99e2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23472134/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objective</h4>Diabetes is associated with increased risk of cancer at several sites, but its association with risk of bladder cancer is still controversial. We examined this association by conducting a systematic review and meta-analysis of cohort studies.<h4>Methods</h4>Studies were identified by searching PubMed, EMBASE, Scopus, Web of Science, Cochrane register, and Chinese National Knowledge Infrastructure (CNKI) databases through April 29, 2012. Summary relative risks (SRRs) with their corresponding 95% confidence intervals (CIs) were calculated using a random-effects model.<h4>Results</h4>A total of fifteen cohort studies were included in this meta-analysis. Analysis of all studies showed that diabetes was associated with a borderline statistically significant increased risk of bladder cancer (RR 1.11, 95% CI 1.00-1.23; p<0.001 for heterogeneity; I(2) = 84%). When restricting the analysis to studies that had adjusted for cigarette smoking (n = 6) or more than three confounders (n = 7), the RRs were 1.32 (95% CI 1.18-1.49) and 1.20 (95% CI 1.02-1.42), respectively. There was no significant publication bias (p = 0.62 for Egger's regression asymmetry test).<h4>Conclusions</h4>Our findings support that diabetes was associated with an increased risk of bladder cancer. More future studies are warranted to get a better understanding of the association and to provide convincing evidence for clinical practice in bladder cancer prevention.Xin XuJian WuYeqing MaoYi ZhuZhenghui HuXianglai XuYiwei LinHong ChenXiangyi ZhengJie QinLiping XiePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 3, p e58079 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Xin Xu
Jian Wu
Yeqing Mao
Yi Zhu
Zhenghui Hu
Xianglai Xu
Yiwei Lin
Hong Chen
Xiangyi Zheng
Jie Qin
Liping Xie
Diabetes mellitus and risk of bladder cancer: a meta-analysis of cohort studies.
description <h4>Objective</h4>Diabetes is associated with increased risk of cancer at several sites, but its association with risk of bladder cancer is still controversial. We examined this association by conducting a systematic review and meta-analysis of cohort studies.<h4>Methods</h4>Studies were identified by searching PubMed, EMBASE, Scopus, Web of Science, Cochrane register, and Chinese National Knowledge Infrastructure (CNKI) databases through April 29, 2012. Summary relative risks (SRRs) with their corresponding 95% confidence intervals (CIs) were calculated using a random-effects model.<h4>Results</h4>A total of fifteen cohort studies were included in this meta-analysis. Analysis of all studies showed that diabetes was associated with a borderline statistically significant increased risk of bladder cancer (RR 1.11, 95% CI 1.00-1.23; p<0.001 for heterogeneity; I(2) = 84%). When restricting the analysis to studies that had adjusted for cigarette smoking (n = 6) or more than three confounders (n = 7), the RRs were 1.32 (95% CI 1.18-1.49) and 1.20 (95% CI 1.02-1.42), respectively. There was no significant publication bias (p = 0.62 for Egger's regression asymmetry test).<h4>Conclusions</h4>Our findings support that diabetes was associated with an increased risk of bladder cancer. More future studies are warranted to get a better understanding of the association and to provide convincing evidence for clinical practice in bladder cancer prevention.
format article
author Xin Xu
Jian Wu
Yeqing Mao
Yi Zhu
Zhenghui Hu
Xianglai Xu
Yiwei Lin
Hong Chen
Xiangyi Zheng
Jie Qin
Liping Xie
author_facet Xin Xu
Jian Wu
Yeqing Mao
Yi Zhu
Zhenghui Hu
Xianglai Xu
Yiwei Lin
Hong Chen
Xiangyi Zheng
Jie Qin
Liping Xie
author_sort Xin Xu
title Diabetes mellitus and risk of bladder cancer: a meta-analysis of cohort studies.
title_short Diabetes mellitus and risk of bladder cancer: a meta-analysis of cohort studies.
title_full Diabetes mellitus and risk of bladder cancer: a meta-analysis of cohort studies.
title_fullStr Diabetes mellitus and risk of bladder cancer: a meta-analysis of cohort studies.
title_full_unstemmed Diabetes mellitus and risk of bladder cancer: a meta-analysis of cohort studies.
title_sort diabetes mellitus and risk of bladder cancer: a meta-analysis of cohort studies.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/cbf61848e5a04deca160823aaf12f99e
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AT yizhu diabetesmellitusandriskofbladdercancerametaanalysisofcohortstudies
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AT lipingxie diabetesmellitusandriskofbladdercancerametaanalysisofcohortstudies
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