Prevalence of diabetes in liver cirrhosis: A systematic review and meta‐analysis

• Published in: Diabetes/metabolism research and reviews Vol. 35; no. 6; pp. e3157 - n/a
• Main Authors: Lee, Wai Gin, Wells, Cameron I., McCall, John L., Murphy, Rinki, Plank, Lindsay D.
• Format: Journal Article
• Language: English
• Published: England Wiley Subscription Services, Inc 01.09.2019
• Subjects: Cirrhosis; Diabetes; Diabetes mellitus; Diabetes Mellitus - epidemiology; Diabetes Mellitus - etiology; disease aetiology; disease severity; Evidence-based medicine; Fatty liver; Hepatitis; Hepatitis B; Hepatitis C; Humans; Liver cirrhosis; Liver Cirrhosis - complications; liver disease; Liver diseases; Meta-analysis; Prevalence; Prognosis; Risk Factors; Systematic review; prevalence; disease aetiology; liver disease; diabetes; disease severity
• ISSN: 1520-7552; 1520-7560
• DOI: 10.1002/dmrr.3157

An association between diabetes mellitus (DM) and liver cirrhosis is well‐known, but estimates of the prevalence of DM in patients with liver cirrhosis vary widely. A systematic review was undertaken to determine the prevalence of DM in adult patients with liver cirrhosis. The Medline, EMBASE, and Cochrane Library databases were searched for peer‐reviewed studies published in English (1979‐2017) that investigated the prevalence of diabetes in adult patients with cirrhosis. Pooled estimates of prevalence of DM were determined for all eligible patients and according to aetiology and severity of liver disease. Fifty‐eight studies satisfied criteria for inclusion, with 9705 patients included in the pooled prevalence analysis. The overall prevalence of DM was 31%. The prevalence of DM was highest in patients with nonalcoholic fatty liver disease (56%), cryptogenic (51%), hepatitis C (32%), or alcoholic (27%) cirrhosis. For assessing prevalence of DM as a function of severity of liver disease, evaluable data were available only for hepatitis C and hepatitis B cirrhosis. DM may be more prevalent in cirrhosis than previously thought. This has implications for prognosis and treatment in these patients.