Association Between Diabetes Mellitus and the Risk of Herpes Zoster: A Systematic Review and Meta-analysis
| Autor: | Chun-Ta Huang, Ming-Chieh Tsai, Shu-Jung Liu, Po-Chih Liang, Heng-You Sung, Chi-Yu Lee |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Endocrinology Diabetes and Metabolism Clinical Biochemistry Population Context (language use) Disease Herpes Zoster Biochemistry Chickenpox Vaccine Endocrinology Risk Factors Internal medicine Diabetes Mellitus medicine Humans education education.field_of_study business.industry Health Policy Vaccination Biochemistry (medical) Confidence interval Systematic review Cardiovascular Diseases Relative risk Meta-analysis Practice Guidelines as Topic business Cohort study |
| Zdroj: | The Journal of Clinical Endocrinology & Metabolism. 107:586-597 |
| ISSN: | 1945-7197 0021-972X |
| Popis: | Context Individuals with diabetes mellitus (DM) are susceptible to various infections. Objective We estimated the risk of herpes zoster (HZ) among individuals with DM compared with individuals in the general population. Methods We searched the PubMed, Embase, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Cumulative Index to Nursing and Allied Health Literature, and PerioPath databases from their inception to January 30, 2021, for studies on the risk of HZ in individuals with DM. Two authors independently screened all articles identified. The same 2 authors independently extracted the data. Four case-control studies and 12 cohort studies were included. Results Meta-analyses were performed using fixed and mixed-effects models. In the pooled analysis, individuals with DM had a higher risk of developing HZ (pooled relative risk [RR]: 1.38; 95% CI, 1.21-1.57) than individuals in the general population. The results were consistent in subgroup analyses stratified by type of diabetes, age, and study design. In individuals with DM, cardiovascular disease had an additive effect on increasing the risk of HZ (pooled RR: 1.19; 95% CI, 1.11-1.28). There was a linear dose-response association between age and the risk of HZ in individuals with DM. Conclusion Individuals with DM have an increased risk of HZ compared with the general population. Varicella vaccination should be provided to individuals with DM regardless of their age, prioritizing older adults and those with cardiovascular disease. Varicella vaccination policies for individuals with DM should be updated based on the evidence. |
| Databáze: | OpenAIRE |
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