Incidence of Type 2 Diabetes in Japan: A Systematic Review and Meta-Analysis
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{"title"=>"Incidence of Type 2 Diabetes in Japan: A Systematic Review and Meta-Analysis", "type"=>"generic", "authors"=>[{"first_name"=>"Atsushi", "last_name"=>"Goto", "scopus_author_id"=>"36339255500"}, {"first_name"=>"Maki", "last_name"=>"Goto", "scopus_author_id"=>"55190216400"}, {"first_name"=>"Mitsuhiko", "last_name"=>"Noda", "scopus_author_id"=>"7402801468"}, {"first_name"=>"Shoichiro", "last_name"=>"Tsugane", "scopus_author_id"=>"7005204049"}], "year"=>2013, "source"=>"PLoS ONE", "identifiers"=>{"scopus"=>"2-s2.0-84883639005", "sgr"=>"84883639005", "issn"=>"19326203", "doi"=>"10.1371/journal.pone.0074699", "pmid"=>"24040326", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)", "pui"=>"369770041"}, "id"=>"62753301-977f-31e8-9c38-92a923bb3fdf", "abstract"=>"BACKGROUND: The definition of incident type 2 diabetes varies across studies; hence, the actual incidence of type 2 diabetes in Japan is unclear. Here, we reviewed the various definitions of incident type 2 diabetes used in previous epidemiologic studies and estimated the diabetes incidence rate in Japan.\\n\\nMETHODS: We searched for related literature in the MEDLINE, EMBASE, and Ichushi databases through September 2012. Two reviewers selected studies that evaluated incident type 2 diabetes in the Japanese population.\\n\\nRESULTS: From 1824 relevant articles, we included 33 studies with 386,803 participants. The follow-up period ranged from 2.3 to 14 years and the studies were initiated between 1980 and 2003. The random-effects model indicated that the pooled incidence rate of diabetes was 8.8 (95% confidence interval, 7.4-10.4) per 1000 person-years. We observed a high degree of heterogeneity in the results (I(2) = 99.2%; p < 0.001), with incidence rates ranging from 2.3 to 52.6 per 1000 person-years. Three studies based their definition of incident type 2 diabetes on self-reports only, 10 on laboratory data only, and 20 on self-reports and laboratory data. Compared with studies defining diabetes using laboratory data (n = 30; pooled incidence rate = 9.6; 95% confidence interval = 8.3-11.1), studies based on self-reports alone tended to show a lower incidence rate (n = 3; pooled incidence rate = 4.0; 95% confidence interval = 3.2-5.0; p for interaction < 0.001). However, stratified analyses could not entirely explain the heterogeneity in the results.\\n\\nCONCLUSIONS: Our systematic review and meta-analysis indicated the presence of a high degree of heterogeneity, which suggests that there is a considerable amount of uncertainty regarding the incidence of type 2 diabetes in Japan. They also suggested that laboratory data may be important for the accurate estimation of the incidence of type 2 diabetes.", "link"=>"http://www.mendeley.com/research/incidence-type-2-diabetes-japan-systematic-review-metaanalysis-1", "reader_count"=>17, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>2, "Librarian"=>1, "Student > Doctoral Student"=>2, "Researcher"=>2, "Student > Ph. D. Student"=>3, "Student > Master"=>2, "Student > Bachelor"=>3, "Lecturer"=>1, "Professor"=>1}, "reader_count_by_user_role"=>{"Professor > Associate Professor"=>2, "Librarian"=>1, "Student > Doctoral Student"=>2, "Researcher"=>2, "Student > Ph. D. Student"=>3, "Student > Master"=>2, "Student > Bachelor"=>3, "Lecturer"=>1, "Professor"=>1}, "reader_count_by_subject_area"=>{"Environmental Science"=>1, "Medicine and Dentistry"=>10, "Agricultural and Biological Sciences"=>2, "Psychology"=>1, "Social Sciences"=>1, "Decision Sciences"=>1, "Economics, Econometrics and Finance"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>10}, "Social Sciences"=>{"Social Sciences"=>1}, "Decision Sciences"=>{"Decision Sciences"=>1}, "Psychology"=>{"Psychology"=>1}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>2}, "Environmental Science"=>{"Environmental Science"=>1}}, "reader_count_by_country"=>{"Brazil"=>1, "United Kingdom"=>1, "Thailand"=>1}, "group_count"=>1}

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  • {"files"=>["https://ndownloader.figshare.com/files/1194386"], "description"=>"<p>Literature search.</p>", "links"=>[], "tags"=>[], "article_id"=>791294, "categories"=>["Biological Sciences"], "users"=>["Atsushi Goto", "Maki Goto", "Mitsuhiko Noda", "Shoichiro Tsugane"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0074699.g001", "stats"=>{"downloads"=>1, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Literature_search_/791294", "title"=>"Literature search.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-09-06 02:00:34"}
  • {"files"=>["https://ndownloader.figshare.com/files/1194391"], "description"=>"<div><p>Background</p><p>The definition of incident type 2 diabetes varies across studies; hence, the actual incidence of type 2 diabetes in Japan is unclear. Here, we reviewed the various definitions of incident type 2 diabetes used in previous epidemiologic studies and estimated the diabetes incidence rate in Japan.</p> <p>Methods</p><p>We searched for related literature in the MEDLINE, EMBASE, and <i>Ichushi</i> databases through September 2012. Two reviewers selected studies that evaluated incident type 2 diabetes in the Japanese population.</p> <p>Results</p><p>From 1824 relevant articles, we included 33 studies with 386,803 participants. The follow-up period ranged from 2.3 to 14 years and the studies were initiated between 1980 and 2003. The random-effects model indicated that the pooled incidence rate of diabetes was 8.8 (95% confidence interval, 7.4–10.4) per 1000 person-years. We observed a high degree of heterogeneity in the results (I<sup>2</sup> = 99.2%; p < 0.001), with incidence rates ranging from 2.3 to 52.6 per 1000 person-years. Three studies based their definition of incident type 2 diabetes on self-reports only, 10 on laboratory data only, and 20 on self-reports and laboratory data. Compared with studies defining diabetes using laboratory data (n = 30; pooled incidence rate = 9.6; 95% confidence interval = 8.3–11.1), studies based on self-reports alone tended to show a lower incidence rate (n = 3; pooled incidence rate = 4.0; 95% confidence interval = 3.2–5.0; p for interaction < 0.001). However, stratified analyses could not entirely explain the heterogeneity in the results.</p> <p>Conclusions</p><p>Our systematic review and meta-analysis indicated the presence of a high degree of heterogeneity, which suggests that there is a considerable amount of uncertainty regarding the incidence of type 2 diabetes in Japan. They also suggested that laboratory data may be important for the accurate estimation of the incidence of type 2 diabetes.</p> </div>", "links"=>[], "tags"=>["systematic"], "article_id"=>791299, "categories"=>["Biological Sciences"], "users"=>["Atsushi Goto", "Maki Goto", "Mitsuhiko Noda", "Shoichiro Tsugane"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0074699", "stats"=>{"downloads"=>1, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Incidence_of_Type_2_Diabetes_in_Japan_A_Systematic_Review_and_Meta_Analysis_/791299", "title"=>"Incidence of Type 2 Diabetes in Japan: A Systematic Review and Meta-Analysis", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-09-06 02:00:34"}
  • {"files"=>["https://ndownloader.figshare.com/files/1194390"], "description"=>"<p>A bubble shows a study, and the size of the bubble is proportional to the inverse of the variance of the log-transformed incidence rate. Diabetes incidence rate was calculated by dividing the number of new-onset diabetes cases by the duration of follow-up. When the mean follow-up duration was not available, the median was used.</p>", "links"=>[], "tags"=>["incidence"], "article_id"=>791298, "categories"=>["Biological Sciences"], "users"=>["Atsushi Goto", "Maki Goto", "Mitsuhiko Noda", "Shoichiro Tsugane"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0074699.g003", "stats"=>{"downloads"=>1, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Bubble_plots_of_diabetes_incidence_rate_against_the_year_of_study_initiation_/791298", "title"=>"Bubble plots of diabetes incidence rate against the year of study initiation.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-09-06 02:00:34"}
  • {"files"=>["https://ndownloader.figshare.com/files/1194387"], "description"=>"<p>CI indicates confidence interval.Dots indicate diabetes incidence rates. Horizontal lines indicate 95% CIs for incidence rates. The diamonds represent the pooled incidence rate estimates with 95% CIs.</p>", "links"=>[], "tags"=>["incidence"], "article_id"=>791295, "categories"=>["Biological Sciences"], "users"=>["Atsushi Goto", "Maki Goto", "Mitsuhiko Noda", "Shoichiro Tsugane"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0074699.g002", "stats"=>{"downloads"=>0, "page_views"=>14, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Forest_plots_of_diabetes_incidence_rate_/791295", "title"=>"Forest plots of diabetes incidence rate.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-09-06 02:00:34"}

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Relative Metric

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