Sulfonylurea and fracture risk in patients with type 2 diabetes mellitus: A meta-analysis.
Diabetes Res Clin Pract
; 159: 107990, 2020 Jan.
Article
em En
| MEDLINE
| ID: mdl-31866530
ABSTRACT
AIMS:
This meta-analysis was conducted to investigate the fracture risk among patients with T2DM treated with sulfonylurea.METHODS:
The PubMed and other databases were searched for eligible studies. Both randomized controlled trials and observational studies that compared the fracture risk of sulfonylurea to other hypoglycemic agents were included. Pooled risk ratios and 95% confidence intervals were calculated. Subgroup analysis and meta-regression analyses were conducted to explore the source of heterogeneity.RESULTS:
A total of 11 studies involving 255,644 individuals were included in our meta-analysis. In comparing sulfonylurea users with patients who had not taken sulfonylurea, the pooled risk ratio for developing fracture was 1.14 (95% confifidence interval, 1.08-1.19). In subgroup analyses, the pooled risk ratio of bone fracture in patients receiving sulfonylurea versus thiazolidinedione, metformin and insulin was 0.90 (95% CI, 0.76-1.06), 1.25 (95% CI, 1.18-1.32) and 0.81 (95% CI, 0.74-0.89) respectively. Meta regression showed that age and gender were not related to the effect of sulfonylurea on fracture.CONCLUSIONS:
Sulfonylurea use was associated with 14% increase in the risk of developing fracture in T2DM. The risk of fracture caused by sulfonylurea was similar to thiazolidinedione, higher than metformin and lower than insulin.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Compostos de Sulfonilureia
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Diabetes Mellitus Tipo 2
/
Fraturas Ósseas
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Observational_studies
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Risk_factors_studies
/
Systematic_reviews
Limite:
Humans
Idioma:
En
Revista:
Diabetes Res Clin Pract
Ano de publicação:
2020
Tipo de documento:
Article