title: New-onset diabetes mellitus after shock wave lithotripsy for urinary stone: a systematic review and meta-analysis.
abstract: The purpose of the study was to evaluate the association between shock wave lithotripsy (SWL) for urinary stone and new-onset diabetes mellitus (DM). A comprehensive data collection was performed in the Pubmed database, Embase database, Chinese Biomedical database, Chinese National Knowledge Infrastructure database and VIP database. Difference in incidence of new-onset DM after SWL between cases and controls was evaluated by odds ratio (OR) with its 95% confidence interval (CI). And summary adjusted risk ratios (RRs) and 95% CIs were calculated to assess the strength of association between SWL and new-onset DM, and then subgroup analyses were conducted. Five studies were included in this meta-analysis. The incidence of new-onset DM after SWL is not higher than that in the population who do not receive SWL [OR = 1.59, 95% CI (0.92, 2.74), P = 0.10]. And statistical association between SWL and new-onset DM could not be found significantly [RR = 1.33, 95% CI (0.83, 2.13), P = 0.24], either. However, body mass index (BMI) [RR = 1.09, 95% CI (1.04, 1.14), P < 0.001] and family history of DM (FHx DM) [RR = 0.35, 95% CI (0.15, 0.80), P = 0.013] were found significantly associated with the development of DM in subgroup analyses. Our data suggests that there is no association between SWL for urinary stone and new-onset DM.
authors.affiliation: Department of Urology Surgery, West China School of Medicine/West China Hospital, Sichuan University, No. 37 Guo Xue Xiang, Chengdu, 610041, Sichuan Province, People's Republic of China.
authors.forename: Tuo
authors.initials: T
authors.lastname: Deng
authors.forename: Banghua
authors.initials: B
authors.lastname: Liao
authors.forename: Ye
authors.initials: Y
authors.lastname: Tian
authors.forename: Deyi
authors.initials: D
authors.lastname: Luo
authors.forename: Jiaming
authors.initials: J
authors.lastname: Liu
authors.forename: Tao
authors.initials: T
authors.lastname: Jin
authors.forename: Kunjie
authors.initials: K
authors.lastname: Wang
mesh_terms: D003920:Diabetes Mellitus / Q000453:epidemiology / Q000209:etiology*; D006801:Humans; D008096:Lithotripsy / Q000009:adverse effects*; D011183:Postoperative Complications / Q000453:epidemiology; D014545:Urinary Calculi / Q000628:therapy*