Prevalence of Diabetes Mellitus among individuals with chronic kidney disease: systematic review and meta-analysis

Authors

DOI:

https://doi.org/10.17267/2675-021Xevidence.2023.e4060

Keywords:

Diabetes Mellitus, Chronic kidney disease, Systematic review, Meta-analysis, Prevalence

Abstract

BACKGROUND: Diabetes Mellitus (DM) is currently considered a global epidemic, with alarming estimates for the coming years on all continents, with Chronic Kidney Disease (CKD) as one of its main consequences when a timely diagnosis is not made. OBJECTIVE: The objective of this study is to estimate the prevalence of DM among individuals diagnosed with CKD by means of a systematic review and meta-analysis. METHODS: A systematic review was carried out in the main free-access databases such as Pubmed (Medlaine), Lilacs, Scopus and Scielo. Two researchers selected the articles, extracted the data and evaluated the quality. The collected data were evaluated using a random effects model. RESULTS: Of 994 articles, 17 studies were included that looked at three continents. The group prevalence of DM among individuals with CKD (95% CI) was 29% (23-35%), with heterogeneity I2 = 99,86% and p = 0.00, which was not explained by meta-regression and subgroups. CONCLUSIONS: The present study confirmed the high prevalence of DM among individuals with CKD, especially among those with end-stage renal disease, demonstrating the need for early diagnosis and timely treatment of DM and new studies in this area, considering the social and economic impact of these diseases worldwide.

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References

(1) World Health Organization. Global Report on Diabetes [Internet]; Geneva: WHO; 2016. 88 p. Available from: https://www.who.int/publications/i/item/9789241565257

(2) International Diabetes Federation. Atlas de la DIABETES de la FID [Internet]; Brussels: IDF; 2015. 144 p. Available from: https://www.fundaciondiabetes.org/upload/publicaciones_ficheros/95/IDF_Atlas_2015_SP_WEB_oct2016.pdf

(3) National Kidney Foundation. KDIGO 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Kidney Int Suppl [Internet]. 2013;3(1):163 p. Available from: https://kdigo.org/wp-content/uploads/2017/02/KDIGO_2012_CKD_GL.pdf

(4) Saran R, Li Y, Robinson B, et al. US Renal Data System 2015 Annual Data Report: epidemiology of kidney disease in the United States. Am J Kidney Dis. 2016;67(3)(1):S1-S434. https://doi.org/10.1053/j.ajkd.2015.12.015

(5) United States Renal Data System (USRDS). Excerpts from 2008. Annual data report: Atlas of end-stage renal disease in the United States. Am J Kidney Dis. 2009;53(1):S1-S5). https://doi.org/10.1053/j.ajkd.2008.11.003

(6) United States Renal Data System (USRDS). Excerpts from 2005. Annual data report: Atlas of end-stage renal disease in the United States. Am J Kidney Dis. 2006;47(1):1-2. https://doi.org/10.1053/S0272-6386(05)01820-2

(7) Galvão TF, Pansani TSA, Harrad D. Principais Itens Para Relatar Revisões Sistemáticas e Meta-Análises: A Recomendação PRISMA. Epidemiol Serv Saúde. 2015;24(2):335–42. https://doi.org/10.5123/S1679-49742015000200017

(8) Loney PL, Chambers LW, Bennett KJ, Roberts JG, Stratford PW. Critical appraisal of the health research literature: prevalence or incidence of a health problem. Chronic Dis Can.1998;19(4):170-6. Cited: PMID: 10029513

(9) Sterne JA, Sutton AJ, Ioannidis JP, Terrin N, Jones DR, Lau J, et al. Recommendations for examining and interpreting funnel plot asymmetry in meta-analyses of randomised controlled trials. BMJ. 2011;343:d4002. https://doi.org/10.1136/bmj.d4002

(10) Bersan SAL, Amaral CFS, Gomes IC, Cherchiglia ML. Fatality and hospitalization in hemodialysis patients in a health plan. Rev Saúde Públ. 2013;47(3):624-33. https://doi.org/10.1590/S0034-8910.2013047004016

(11) Takaoka HH, Tecchio GT, Fukuda PE, Riella MC, Nascimento MM. Perfil de pacientes diabéticos em diálise. J BrasNefrol [Internet]. 2009;31(2):98-103. Available from: https://bjnephrology.org/wp-content/uploads/2019/07/jbn_v31n2a06-ing.pdf

(12) Burmeister JE, Mosmann CB, Bau R, Rosito GA. Prevalence of diabetes mellitus in chronic renal failure patients under haemodialysis in Porto Alegre, Brazil. Braz J Nephrol. 2012;34(2):117–21. https://doi.org/10.1590/S0101-28002012000200003

(13) Kolesnyk I, Noordzij M, Kolesnyk M, Kulyzky M, Jager KJ. Renal replacement therapy in Ukraine : epidemiology and international comparisons. Clin Kidney J. 2014;7(3):330–5. https://doi.org/10.1093/ckj/sfu037

(14) Mungrue K, Ramdial S, Barran A, Lorinda B, Bridgelal A, Gildharie S, et al. The Epidemiology of End Stage Renal Disease at a Centre in Trinidad. West IndianMed J. 2011;60(5):553–6. Cited: PMID: 22519232

(15) Cieza JM, Huamán CM, Carlos A, Gómez J, Castillo WM. Prevalencia de insuficiencia renal crónica enlaciudad de lima-perú, enero 1990. Rev Peru Epidemiol [Internet]. 1992;5(1):22–7. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/lil-123153.

(16) Peres LAB, Matsuo T, Delfino VDA, Peres CPA, Netto JHA, Ann H, et al. Increase in prevalence of diabetes mellitus as a cause of dialytic end-stage renal disease: analysis of 20 years in the west region of Paraná. Arq Bras Endocrinol Metab. 2007;51(1):111–15. https://doi.org/10.1590/S0004-27302007000100018

(17) Beirys RP, Constantin AR. Hipertension arterial en pacientes com insuficiência renal crónica em hemodiálises. MEDISAN [Internet]. 2009; 13(6):1029-3019. Available from: https://www.redalyc.org/articulo.oa?id=368448456003

(18) Rodrigues TC, Pecis M, Canani LH, Schreiner L, Kramer CK, Biavatti K, et al. Caracterização de Pacientes Com Diabetes Mellitus Tipo 1 do Sul do Brasil: complicações crônicas e fatores associados. Rev Assoc Med Bras. 2010;56(1):67–73. https://doi.org/10.1590/S0104-42302010000100019

(19) Ronqui TT, Nomoto P, Yamada SS, Baron EA. Caracterização Epidemiológica Dos Pacientes Atendidos No Ambulatório de Nefrologia Do Hospital Universitário de Maringá No Ano de 2004. Arq Ciênc Saúd UNIPAR [Internet]. 2007;11(3):205–9. Available from: https://revistas.unipar.br/index.php/saude/article/view/2040

(20) Awad SM. Chronic Renal Failure in Al-Anbar of Iraq. Saudi J Kidney Dis Transpl. 2011;22(6):1280–84. Cited: PMID: 22089804

(21) Sanhueza ME, Cotera A, Elgueta L, López G, Loncon P, Macan F, Pérez F, et al. Diabetes y hemodiálisis .Caracterización de una cohorte y seguimiento a cuatroaños. Rev Méd Chile. 2008;136:279–86. http://dx.doi.org/10.4067/S0034-98872008000300001

(22) Moukeh G, Yacoub R, Fahdi F, Rastam S, Albitar S. Epidemiology of Hemodialysis Patients in Aleppo City. Saudi J Kidney Dis Transplant. 2009;20(1):140–46. Cited: PMID: 19112237

(23) Barton EN, Williams W, Morgan AG, Burden RP. A Prospective Study Of Ward Referrals for Renal Disease at a Jamaican and a United Kingdom Hospital. West Indian Med J. 1996;45(4):110–2. Cited: PMID: 9033229

(24) Sarmento LR, Fernandes PFCBC, Pontes MX, Correia DBS, Chaves VCB, Carvalho CFA, et. al. Prevalence of clinically validated primary causes ofend-stagerenal disease (ESRD) in a State Capital in Northeastern Brazil. J Bras Nefrol. 2018;40(2):130-135. https://doi.org/10.1590/2175-8239-JBN-3781

(25) Diaz JFPO, López MA, Valdés RH, Machín MM, Morales MM. Registry of Chronic Kidney Disease in Primary Health Care in Cuba, 2017. Rev haban cienc méd [Internet]. 2017;17(6):1009-21. Available from: https://revhabanera.sld.cu/index.php/rhab/article/view/2355

(26) Zunigã JB, Inga JG, Onofre PC, Gómez RC, Monteverde PC. Early detection of chronic renal disease: coordinated work between primary and specialized care in anambulatory renal network of Peru. Braz. J. Nephrol. 2019;41(2):176-184. https://doi.org/10.1590/2175-8239-JBN-2018-0101

(27) Wild S, Roglic G, Green A, Green A, Sicree R, King H. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diab Care 2004;27(5):1047-53. https://doi.org/10.2337/diacare.27.5.1047

(28) Nieto-Martínez R, Mechanick JI, Brajkovich I, Ugel E, Risques A, Florez H, et. al. Prevalence of diabetes in three regions of Venezuela. The VEMSOLS study results. Prim Care Diabetes. 2018;12(2):126-132. https://doi.org/10.1016/j.pcd.2017.11.005

(29) Arora P, Vasa P, Brenner D, Iglar K, McFarlane P, Morrison W, et. al. Prevalence estimates of chronic kidney disease in Canada: results of a nationally representative survey. 2013;185(9):417–23. https://doi.org/10.1503/cmaj.120833

(30) Ploth DW, Mbwambo JK, Fonner VA, Horowitz B, Zager P, Schrader R, et. al. Prevalence of CKD, Diabetes, and Hypertension in Rural Tanzania. Kidney Int Report. 2018;3(4):905–15. https://doi.org/10.1016/j.ekir.2018.04.006

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Published

03/14/2023

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Section

Systematic Reviews

How to Cite

1.
Borges LD, Dias HH, Ferreira E de S, Alves PM, Silva BO, Santos K de P, et al. Prevalence of Diabetes Mellitus among individuals with chronic kidney disease: systematic review and meta-analysis . Evidence [Internet]. 2023 Mar. 14 [cited 2024 Nov. 25];5:e4060. Available from: https://www5.bahiana.edu.br/index.php/evidence/article/view/4060