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首页> 外文期刊>Endocrinology, Diabetes & Metabolism >Anaemia and its associated factors among diabetes mellitus patients in Ethiopia: A systematic review and meta-analysis
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Anaemia and its associated factors among diabetes mellitus patients in Ethiopia: A systematic review and meta-analysis

机译：贫血症及其在埃塞俄比亚患者糖尿病患者中的相关因素：系统审查与荟萃分析

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Introduction Anaemia is common but often overlooked in diabetes mellitus (DM) patients. There is also no official nationwide survey registry that estimated the prevalence of anaemia in DM patients in Ethiopia. Therefore, the main aim of this study is to determine the countrywide pooled prevalence and associated factors of anaemia in DM patients. Methods This systematic review and meta-analysis were conducted as per the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. STATA 11 software was used for all statistical analysis. Random effects model was used to estimate the pooled prevalence of anaemia and associated factors at a 95% confidence interval (CI) with its respective odds ratio (OR). Subgroup analysis and egger test were used to determine heterogeneity and publication bias, respectively. Results Nine articles were included in this systematic review and meta-analysis with a total of 2889 DM patients. The pooled prevalence of anaemia among DM patients in Ethiopia was 22.11% (95% CI: 15.83–28.39) I 2 ?=?94.8%. The prevalence of anaemia in type I and type II DM patients was (16.78% [95% CI: 11.53–22.04]) and (31.12% [95% CI; 9.66–52.58]), respectively. The prevalence of anaemia was higher among male (36.72% [95% CI: 22.58–50.87] I 2 ?=?97.6%) than female (27.51% [95% CI: 16.12–38.90] I 2 ?=?96.3%). Moreover, the odds of anaemia were higher among patients with age ? 60 (OR?=?2.98; 95% CI: 1.83, 4.87), low estimated glomerular filtration rate (eGFR) (OR?=?8.59; 95% CI: 4.76, 15.57), and duration of illness ≥5?years (OR?=?2.66; 95%: 1.38, 5.13). Conclusions The result of this review implies that anaemia is a moderate public health problem among DM patients in Ethiopia. Older age, poor glycemic control, low eGFR and longer duration of illness were found to be the contributing factors for the development of anaemia in DM patients. Therefore, by considering the negative impact of anaemia, it is important to include anaemia screening into routine assessment of DM-related complications targeting patients with older age, poor glycemic control, low eGFR, and longer duration of illness to reduce the magnitude of the problem.
机译：引言贫血是常见的，但经常被忽视在糖尿病（DM）患者中。在全国范围内没有官方的官方调查登记处，估计埃塞俄比亚DM患者中贫血患者的患病率。因此，本研究的主要目的是确定DM患者中贫血血症患病率和相关因素。方法根据系统评价和荟萃分析（PRISMA）指南的首选报告项目，进行该系统审查和荟萃分析。 Stata 11软件用于所有统计分析。随机效果模型用于估算95％置信区间（CI）的贫血和相关因素的汇集患病率，其各自的差距（或）。亚组分析和Egger测试分别用于确定异质性和出版物偏差。结果含有9篇文章，并含有共分析，共2889名DM患者。埃塞俄比亚DM患者中贫血中贫血的流行率为22.11％（95％CI：15.83-28.39）I 2？= 94.8％。 I型和II型DM患者贫血患病率（16.78％[95％CI：11.53-22.04]）和（31.12％[95％CI; 9.66-52.58]）。男性中贫血的患病率较高（36.72％[95％CI：22.58-50.87] I 2？= 97.6％）（27.51％[95％CI：16.12-38.90] I 2？= 96.3％） 。此外，贫血的几率在年龄患者中较高？ 60（或？=？2.98; 95％CI：1.83,4.87），估计肾小球过滤速率（或？=？8.59; 95％CI：4.76,15.57），≥5岁的持续时间（或者？=？2.66; 95％：1.38,5.13）。结论本综述结果意味着贫血是埃塞俄比亚DM患者中适度的公共卫生问题。年龄较大，血糖控制差，较低的EGFR和较长的疾病持续时间被认为是DM患者贫血症的贡献因素。因此，通过考虑贫血的负面影响，重要的是将贫血筛查与靶向DM相关的并发症的常规评估靶向靶向年龄较大的患者，血糖控制差，低EGFR，更长的疾病持续时间，以降低问题的严重程度。

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