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Prevalence of gastroparesis in diabetic patients: a systematic review and meta-analysis

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SCIENTIFIC REPORTS
卷 13, 期 1, 页码 -

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NATURE PORTFOLIO
DOI: 10.1038/s41598-023-41112-6

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Although the meta-publication showed no significant heterogeneity, sensitivity analyses revealed significant heterogeneity. The prevalence of gastroparesis was higher in women than in men, and the prevalence of type 2 diabetes was higher than type 1 diabetes. The prevalence of diabetic gastroparesis was slightly lower in patients over 60 years old compared to patients under 60 years old. Overall, the combined estimated prevalence of gastroparesis in diabetic patients was 9.3%. However, the results were highly sensitive, had low robustness, and significant bias factors were identified through subgroup analysis.
Although there was no significant heterogeneity in the meta-publication, sensitivity analyses revealed significant heterogeneity. Overall, the prevalence was higher in women (N = 6, R = 4.6%, 95% CI 3.1%, 6.0%, and I2 = 99.8%) than in men (N = 6, R = 3.4%, 95% CI 2.0%, 4.7%, and I2 = 99.6the %); prevalence of type 2 diabetes (N = 9, R = 12.5%, 95% CI 7.7%, 17.3%, and I2 = 95.4%) was higher than type 1 diabetes (N = 7, R = 8.3%, 95% CI 6.4%, 10.2%, and I-2 = 93.6%); the prevalence of DGP was slightly lower in DM patients aged over 60 years (N = 6, R = 5.5%, 95% CI 3.3%, 7.7%, and I-2 = 99.9%) compared to patients under 60 years of age (N = 12, R = 15.8%, 95% CI 11 15.8%, 95% CI 11.4%, 20.2%, and I2 = 88.3%). In conclusion, our findings indicate that the combined estimated prevalence of gastroparesis in diabetic patients is 9.3%. However, the sensitivity of the results is high, the robustness is low, and there are significant bias factors. The subgroup analysis revealed that the prevalence of DM-DGP is associated with factors such as gender, diabetes staging, age, and study method.

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