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Accès ouvert déclaré 2024 review

Precision prognostics for cardiovascular disease in Type 2 diabetes: a systematic review and meta-analysis

48Citations signalées — pas une note de qualité
162Institutions déclarées
26Pays d’affiliation déclarés

Résumé fourni par la source

BACKGROUND: Precision medicine has the potential to improve cardiovascular disease (CVD) risk prediction in individuals with Type 2 diabetes (T2D). METHODS: We conducted a systematic review and meta-analysis of longitudinal studies to identify potentially novel prognostic factors that may improve CVD risk prediction in T2D. Out of 9380 studies identified, 416 studies met inclusion criteria. Outcomes were reported for 321 biomarker studies, 48 genetic marker studies, and 47 risk score/model studies. RESULTS: Out of all evaluated biomarkers, only 13 showed improvement in prediction performance. Results of pooled meta-analyses, non-pooled analyses, and assessments of improvement in prediction performance and risk of bias, yielded the highest predictive utility for N-terminal pro b-type natriuretic peptide (NT-proBNP) (high-evidence), troponin-T (TnT) (moderate-evidence), triglyceride-glucose (TyG) index (moderate-evidence), Genetic Risk Score for Coronary Heart Disease (GRS-CHD) (moderate-evidence); moderate predictive utility for coronary computed tomography angiography (low-evidence), single-photon emission computed tomography (low-evidence), pulse wave velocity (moderate-evidence); and low predictive utility for C-reactive protein (moderate-evidence), coronary artery calcium score (low-evidence), galectin-3 (low-evidence), troponin-I (low-evidence), carotid plaque (low-evidence), and growth differentiation factor-15 (low-evidence). Risk scores showed modest discrimination, with lower performance in populations different from the original development cohort. CONCLUSIONS: Despite high interest in this topic, very few studies conducted rigorous analyses to demonstrate incremental predictive utility beyond established CVD risk factors for T2D. The most promising markers identified were NT-proBNP, TnT, TyG and GRS-CHD, with the highest strength of evidence for NT-proBNP. Further research is needed to determine their clinical utility in risk stratification and management of CVD in T2D.

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Contrôle bibliographique ouvert

DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.

Titre Crossref
Precision prognostics for cardiovascular disease in Type 2 diabetes: a systematic review and meta-analysis
Date Crossref
22/01/2024
Éditeur
Springer Science and Business Media LLC
Type
journal-article

Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude et ne compte pas comme une seconde source scientifique indépendante.

Institutions déclarées

Lund UniversityChinese University of Hong KongUniversity of MalayaAsia Diabetes FoundationUniversity of PaduaDalian Medical UniversitySecond Affiliated Hospital of Chongqing Medical UniversityChongqing Medical UniversityUniversity of the WitwatersrandJohns Hopkins UniversityJohns Hopkins MedicineUniversity of OxfordOxford Centre for Diabetes, Endocrinology and MetabolismUniversity of KwaZulu-NatalJoslin Diabetes CenterUniversity Medical Center GroningenAzienda USL di BolognaUniversity of BolognaPopulation Health Research InstituteMcMaster UniversityImpactHamilton Health SciencesHarvard UniversityUniversity of CopenhagenNovo Nordisk FoundationMassachusetts General HospitalUniversity of CambridgeRosie HospitalUniversity of CalgaryMadras Diabetes Research FoundationCardinal Glennon Children’s Medical CenterSaint Louis UniversityUniversity of ExeterUniversitat Autònoma de BarcelonaInstituto de Salud Carlos IIIHospital de Sant PauBiomedical Research Networking Center in Bioengineering, Biomaterials and NanomedicineInstitut de Recerca Sant PauBroad InstituteIndiana University School of MedicineIndiana University – Purdue University IndianapolisRutgers, The State University of New JerseyCentre Hospitalier Universitaire Sainte-JustineUniversité de MontréalErasmus MCUniversity of DundeeGenomics (United Kingdom)Stanford UniversityUniversity of FloridaUniversity of North Carolina at Chapel HillUniversity of HelsinkiHelsinki University HospitalInstitute for Molecular Medicine FinlandFolkhälsans ForskningscentrumBoston Children's HospitalBoston Children's MuseumUniversity of Eastern FinlandKuopio University HospitalThe Queen's Medical Research InstituteUniversity of EdinburghUniversity of PittsburghZuyderland Medisch CentrumUniversity of ChicagoDeutsches Diabetes-Zentrum e.V.German Center for Diabetes ResearchHeinrich Heine University DüsseldorfVA Eastern Colorado Health Care SystemUniversity of Colorado DenverSlovak Academy of SciencesInstitute of Experimental Endocrinology of the Slovak Academy of SciencesUniversity of BergenHaukeland University HospitalEastern HealthMonash UniversityBaylor College of MedicineChildren's Nutrition Research Center at Baylor College of MedicineTexas Children's HospitalUniversity of ManitobaInsermSorbonne UniversitéNutrition et obésité : approches systémiquesAssistance Publique – Hôpitaux de ParisKing's College LondonUniversity of Colorado AnschutzRiley Hospital for ChildrenRichard L. Roudebush VA Medical CenterInstitut d'Investigació Biomèdica de GironaHospital Universitari de Girona Doctor Josep TruetaNorthwell HealthFeinstein Institute for Medical ResearchUniversity of California, San FranciscoCedars-Sinai Medical CenterThe University of AdelaideUniversity of South DakotaSanford Children's Specialty ClinicColorado School of Public HealthRoyal Devon & Exeter NHS Foundation TrustChildren's Hospital of PittsburghBenaroya Research InstituteNorthwestern UniversityUniversity of VirginiaUniversity of MinnesotaKU LeuvenUniversity of GlasgowUniversity of Southern DenmarkRigshospitaletBrigham and Women's HospitalNational Health Research InstitutesTaipei Veterans General HospitalTaichung Veterans General HospitalSteno Diabetes CentersAarhus University HospitalUniversity Children's Hospital TübingenInstitute of Diabetes ResearchNewcastle UniversityHôpital Saint-AntoineThe Royal Melbourne HospitalThe University of MelbourneDeakin UniversityWalter and Eliza Hall Institute of Medical ResearchGuy's and St Thomas' NHS Foundation TrustHôpital Necker-Enfants MaladesInstitut CochinUniversity of Maryland, BaltimoreDartmouth CollegePitié-Salpêtrière HospitalNational University of SingaporeKaiser PermanenteNational Institutes of HealthNational Institute of Diabetes and Digestive and Kidney DiseasesLurie Children's HospitalAmerican Diabetes AssociationUniversity of AntwerpUniversity of GondarUniversity of Colorado BoulderTrinity College DublinWexford General HospitalEndeavor HealthSanford ResearchUniversity of WashingtonUniversité de SherbrookeHarvard Pilgrim Health CareSeoul National University HospitalIcahn School of Medicine at Mount SinaiImperial College Healthcare NHS TrustImperial College LondonDr. Mohan's Diabetes Specialities CentreUniversity of AucklandCounties Manukau District Health BoardAuckland District Health BoardOxford BioMedica (United Kingdom)Wellcome/MRC Institute of Metabolic ScienceUniversity of MichiganTranslational Research Institute for Metabolism and DiabetesPennington Biomedical Research CenterInstitute of Genetics and CancerYale UniversityThe University of SydneyRoyal Prince Alfred HospitalKaiser Permanente Center for Health ResearchDüsseldorf University HospitalAarhus University

Une affiliation ne permet pas de déduire la nationalité d’un auteur.

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