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Meta-Analysis
. 2018 May 31;18(1):34.
doi: 10.1186/s12902-018-0262-2.

General health status in Iranian diabetic patients assessed by short-form-36 questionnaire: a systematic review and meta-analysis

Masoud Behzadifar  1 , Rahim Sohrabi  2 , Roghayeh Mohammadibakhsh  3 , Morteza Salemi  4 , Sharare Taheri Moghadam  3 , Masood Taheri Mirghaedm  3 , Meysam Behzadifar  5 , Hamid Reza Baradaran  6 , Nicola Luigi Bragazzi  7
Affiliations
Meta-Analysis

General health status in Iranian diabetic patients assessed by short-form-36 questionnaire: a systematic review and meta-analysis

Masoud Behzadifar et al. BMC Endocr Disord. .

Abstract

Background: Diabetes mellitus is one of the most prevalent diseases worldwide. Diabetes is a chronic disease associated with micro- and macro-vascular complications and deterioration in general health status. Therefore, the aim of this study was to estimate general health status among Iranian diabetic patients through a systematic review and meta-analysis of study utilizing the Short-Form-36 questionnaire.

Methods: Searching the EMBASE, PubMed, ISI/Web of Sciences (WOS), MEDLINE via Ovid, PsycoINFO, as well as Iranian databases (MagIran, Iranmedex, and SID) from January 2000 to December 2017. The methodological quality of the studies was evaluated using the "A Cochrane Risk of Bias Assessment Tool: for Non-Randomized Studies of Interventions" (ACROBAT-NRSI). Random-effect model was used and the means were reported with their 95% confidence interval (CI). To evaluate the heterogeneity between studies, I2 test was used. Egger's regression test was used to assess the publication bias.

Results: Fourteen studies were retained in the final analysis. The mean general health status using SF-36 in diabetic patients of Iran was 51.9 (95% CI: 48.64 to 53.54). The mean physical component summary was 52.92 [95% CI: 49.46-56.38], while the mean mental component summary was 51.02 [95% CI: 46.87-55.16].

Conclusion: The findings of this study showed that general health status in Iranian diabetic patients is low. Health policymakers should work to improve the health status in these patients and take appropriate interventions.

Keywords: Diabetes; General health status; Iran; Meta-analysis; Short-Form-36 questionnaire.

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The authors declare that they have no competing interests.

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Figures

Fig. 1
Fig. 1
Flowchart of the study retrieval and selection
Fig. 2
Fig. 2
The result of quality assessment of risk of bias of included studies
Fig. 3
Fig. 3
The Mean health status in Iranian diabetic patients (2011–2017), based on the random-effects model
Fig. 4
Fig. 4
Probability of publication bias in the included studies
Fig. 5
Fig. 5
The Physical component summaries (PCS)
Fig. 6
Fig. 6
The mental component summaries (MCS)
Fig. 7
Fig. 7
The results of pooling together case-control studies
See this image and copyright information in PMC

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References

    1. Zimmet P, Alberti KG, Magliano DJ, Bennett PH. Diabetes mellitus statistics on prevalence and mortality: facts and fallacies. Nat Rev Endocrinol. 2016;12(10):616–622. doi: 10.1038/nrendo.2016.105. - DOI - PubMed
    1. NCD Risk Factor Collaboration (NCD-RisC) Worldwide trends in diabetes since 1980: a pooled analysis of 751 population-based studies with 4.4 million participants. Lancet. 2016;387(10027):1513–1530. doi: 10.1016/S0140-6736(16)00618-8. - DOI - PMC - PubMed
    1. Speight J, Reaney MD, Barnard KD. Not all roads lead to Rome-a review of quality of life measurement in adults with diabetes. Diabet Med. 2009;26(4):315–327. doi: 10.1111/j.1464-5491.2009.02682.x. - DOI - PubMed
    1. Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med. 2006;3(11):e442. doi: 10.1371/journal.pmed.0030442. - DOI - PMC - PubMed
    1. Guariguata L, Whiting DR, Hambleton I, Beagley J, Linnenkamp U, Shaw JE. Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Res Clin Pract. 2014;103(2):137–149. doi: 10.1016/j.diabres.2013.11.002. - DOI - PubMed