De novo metabolic syndrome after liver transplantation : a meta-analysis on cumulative incidence, risk factors, and outcomes
Copyright © 2023 American Association for the Study of Liver Diseases..
Post-transplant metabolic syndrome (PTMS) has been associated with increased cardiovascular risk which significantly impacts the morbidity and mortality rates of liver transplant (LT) recipients. This study sought to conduct a meta-analysis and systematic review on the cumulative incidence, risk factors, and cardiovascular outcomes associated with de novo PTMS.Medline and Embase were searched for articles describing the incidence, risk factors, and cardiovascular outcomes of de novo PTMS. Meta-analysis of proportions was conducted to calculate incidence. Conventional pairwise analysis using random effects model was used to tabulate OR and hazard ratio for risk factors and cardiovascular outcomes, respectively. Fifteen studies involving 2683 LT recipients were included. Overall rate of de novo PTMS was 24.7% (CI: 18.0%-32.9%) over a mean follow-up period of 15.3 months and was highest in patients with NAFLD (60.0%, CI: 52.0%-67.5%) compared with other liver diseases. Older age (OR: 1.05, CI: 1.01-1.09, p = 0.02) and pre-LT type II diabetes mellitus (OR: 5.00, CI: 4.17-5.99, p < 0.01) were predictive factors of de novo PTMS. Patients with de novo PTMS had significantly higher likelihood of cardiovascular disease events compared with those who did not (hazard ratio: 2.42, CI: 1.54-3.81, p < 0.01). De novo PTMS is a common complication and is significantly associated with increased cardiovascular disease morbidity. High-risk patients such as elderly recipients, those with pre-LT type II diabetes mellitus, or NASH-related cirrhosis should undergo routine screening to allow timely intervention.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:29 |
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| Enthalten in: |
Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society - 29(2023), 4 vom: 01. Apr., Seite 413-421 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Lim, Wen Hui [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 21.03.2023 Date Revised 09.05.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1097/LVT.0000000000000004 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM352352027 |
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| 100 | 1 | |a Lim, Wen Hui |e verfasserin |4 aut | |
| 245 | 1 | 3 | |a De novo metabolic syndrome after liver transplantation |b a meta-analysis on cumulative incidence, risk factors, and outcomes |
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| 500 | |a Date Revised 09.05.2023 | ||
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2023 American Association for the Study of Liver Diseases. | ||
| 520 | |a Post-transplant metabolic syndrome (PTMS) has been associated with increased cardiovascular risk which significantly impacts the morbidity and mortality rates of liver transplant (LT) recipients. This study sought to conduct a meta-analysis and systematic review on the cumulative incidence, risk factors, and cardiovascular outcomes associated with de novo PTMS.Medline and Embase were searched for articles describing the incidence, risk factors, and cardiovascular outcomes of de novo PTMS. Meta-analysis of proportions was conducted to calculate incidence. Conventional pairwise analysis using random effects model was used to tabulate OR and hazard ratio for risk factors and cardiovascular outcomes, respectively. Fifteen studies involving 2683 LT recipients were included. Overall rate of de novo PTMS was 24.7% (CI: 18.0%-32.9%) over a mean follow-up period of 15.3 months and was highest in patients with NAFLD (60.0%, CI: 52.0%-67.5%) compared with other liver diseases. Older age (OR: 1.05, CI: 1.01-1.09, p = 0.02) and pre-LT type II diabetes mellitus (OR: 5.00, CI: 4.17-5.99, p < 0.01) were predictive factors of de novo PTMS. Patients with de novo PTMS had significantly higher likelihood of cardiovascular disease events compared with those who did not (hazard ratio: 2.42, CI: 1.54-3.81, p < 0.01). De novo PTMS is a common complication and is significantly associated with increased cardiovascular disease morbidity. High-risk patients such as elderly recipients, those with pre-LT type II diabetes mellitus, or NASH-related cirrhosis should undergo routine screening to allow timely intervention | ||
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| 700 | 1 | |a Tan, Caitlyn |e verfasserin |4 aut | |
| 700 | 1 | |a Xiao, Jieling |e verfasserin |4 aut | |
| 700 | 1 | |a Tan, Darren Jun Hao |e verfasserin |4 aut | |
| 700 | 1 | |a Ng, Cheng Han |e verfasserin |4 aut | |
| 700 | 1 | |a Yong, Jie Ning |e verfasserin |4 aut | |
| 700 | 1 | |a Fu, Clarissa |e verfasserin |4 aut | |
| 700 | 1 | |a Chan, Kai En |e verfasserin |4 aut | |
| 700 | 1 | |a Zeng, Rebecca Wenling |e verfasserin |4 aut | |
| 700 | 1 | |a Ren, Yi Ping |e verfasserin |4 aut | |
| 700 | 1 | |a Goh, Xin Lei |e verfasserin |4 aut | |
| 700 | 1 | |a Chew, Nicholas |e verfasserin |4 aut | |
| 700 | 1 | |a Tseng, Michael |e verfasserin |4 aut | |
| 700 | 1 | |a Syn, Nicholas |e verfasserin |4 aut | |
| 700 | 1 | |a Mak, Lung Yi |e verfasserin |4 aut | |
| 700 | 1 | |a Fung, James |e verfasserin |4 aut | |
| 700 | 1 | |a Muthiah, Mark |e verfasserin |4 aut | |
| 700 | 1 | |a Siddiqui, Mohammad Shadab |e verfasserin |4 aut | |
| 700 | 1 | |a Tan, Eunice X X |e verfasserin |4 aut | |
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