Evidence map›Paper›PMID 34001088›Full record

SynthesisBMC public health2021

The prevalence of diabetes in Afghanistan: a systematic review and meta-analysis.

Sohail Akhtar, Jamal Abdul Nasir, Amara Javed, Mariyam Saleem, Sundas Sajjad, Momna Khan, Abdul Wadood, Khwaja Saeed

Open access · goldAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 7 pooled it
2.9field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 7 syntheses or guidelines pooled it, 26 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 3 countries.

Sohail AkhtarDepartment of Statistics, Government College University, Lahore, Pakistan. s.akhtar@gcu.edu.pk.ORCID 0000-0001-8293-6328
Jamal Abdul NasirDepartment of Statistics, Government College University, Lahore, Pakistan.
Amara JavedDepartment of Statistics, Government College University, Lahore, Pakistan.
Mariyam SaleemDepartment of Statistics, Government College University, Lahore, Pakistan.
Sundas SajjadDepartment of Statistics, Government College University, Lahore, Pakistan.
Momna KhanDepartment of Statistics, Government College University, Lahore, Pakistan.
Abdul WadoodDepartment of Medical Biotechnology, Edinburgh Napier University , Edinburgh, UK.
Khwaja SaeedMinistry of Public Health, Afghanistan National Public Health Institute (ANPHI), Kabul, Afghanistan.
Government College University, Lahore · PKEdinburgh Napier University · GBMinhaj University Lahore · PKMinistry of Public Health · AF

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this paper is to investigate the prevalence of diabetes and its associated risk factors in Afghanistan through a systematic review and meta-analysis.

methodsA comprehensive literature search was conducted using EMBASE, PubMed, Web of Sciences, Google Scholar and the Cochrane library, carried out from inception to April 312,020, without language restriction. Meta-analysis was performed using DerSimonian and Laird random-effects models with inverse variance weighting. The existence of publication bias was initially assessed by visual inspection of a funnel plot and then tested by the Egger regression test. Subgroup analyses and meta-regression were used to explore potential sources of heterogeneity. This systematic review was reported by following the PRISMA guidelines and the methodological quality of each included study was evaluated using the STROBE guidelines.

resultsOut of 64 potentially relevant studies, only 06 studies fulfilled the inclusion criteria and were considered for meta-analysis. The pooled prevalence of diabetes in the general population based on population-based studies were 12.13% (95% CI: 8.86-16.24%), based on a pooled sample of 7071 individuals. Results of univariate meta-regression analysis revealed that the prevalence of diabetes increased with mean age, hypertension and obesity. There was no significant association between sex (male vs female), smoking, the methodological quality of included articles or education (illiterate vs literate) and the prevalence of diabetes.

conclusionsThis meta-analysis reports the 12.13% prevalence of diabetes in Afghanistan,with the highest prevalence in Kandahar and the lowest in Balkh province. The main risk factors include increasing age, obesity and hypertension. Community-based care and preventive training programmes are recommended.

trial registrationThis review was registered on PROSPERO (registration number CRD42020172624 ).

Indexed as

Diabetes MellitusHypertensionAfghanistanFemaleHumansMaleObesityPrevalenceAfghanistanDiabetesMeta-analysis and systematic reviewPrevalence

Identifiers

PMID34001088
PMCPMC8130421
OpenAlexW3117819991

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.