摘要
AIM:To quantify the association between diabetes and glaucoma using Meta-analysis.METHODS:Pub Med and Embase were searched using medical subject headings and key words related to diabetes and glaucoma.The inclusion criteria were:1)the study design was a prospective cohort study;2)the exposure of interest was diabetes;3)the outcome of interest was primary open angle glaucoma(POAG);4)risk ratios(RR)and the corresponding 95%confidence interval(CI).Data were pooled using fixed effects models to take into account heterogeneity between studies.Seven prospective studies were selected.Diabetes increased the incidence of glaucoma by 36%(OR=1.36,95%CI=1.25-1.50).There was no evidence of statistical heterogeneity(I2=0,P=0.53)or publication bias(the funnel plot did not identify obvious asymmetry).RESULTS:Seven prospective cohort studies were incorporated in this Meta-analysis.The pooled RR of the association between POAG and diabetes based on the risk estimates of the seven cohort studies was 1.36(95%CI=1.24-1.50),with no significant heterogeneity across studies(I2=0;P=0.526).The sensitivity analysis yielded a range of RRs from 1.34(95%CI=1.22-1.48)to1.40(95%CI=1.18-1.67).CONCLUSION:Diabetes is associated with a significantly increased risk of glaucoma.
AIM:To quantify the association between diabetes and glaucoma using Meta-analysis.METHODS:Pub Med and Embase were searched using medical subject headings and key words related to diabetes and glaucoma.The inclusion criteria were:1)the study design was a prospective cohort study;2)the exposure of interest was diabetes;3)the outcome of interest was primary open angle glaucoma(POAG);4)risk ratios(RR)and the corresponding 95%confidence interval(CI).Data were pooled using fixed effects models to take into account heterogeneity between studies.Seven prospective studies were selected.Diabetes increased the incidence of glaucoma by 36%(OR=1.36,95%CI=1.25-1.50).There was no evidence of statistical heterogeneity(I2=0,P=0.53)or publication bias(the funnel plot did not identify obvious asymmetry).RESULTS:Seven prospective cohort studies were incorporated in this Meta-analysis.The pooled RR of the association between POAG and diabetes based on the risk estimates of the seven cohort studies was 1.36(95%CI=1.24-1.50),with no significant heterogeneity across studies(I2=0;P=0.526).The sensitivity analysis yielded a range of RRs from 1.34(95%CI=1.22-1.48)to1.40(95%CI=1.18-1.67).CONCLUSION:Diabetes is associated with a significantly increased risk of glaucoma.
基金
Supported by the Plan of Wenzhou Science and Technology(No.Y20160439)