title: Patients with giant cell arteritis have a lower prevalence of diabetes mellitus: A systematic review and meta-analysis.
abstract: OBJECTIVE
  The aim of this study is to compare the prevalence of diabetes mellitus (DM) in patients who are recently diagnosed with giant cell arteritis (GCA) with age- and sex-matched controls.
  
  
  METHODS
  We conducted a systematic review and meta-analysis of observational studies that (1) consisted of GCA cohort and non-GCA cohort that was randomly selected from the same population and (2) provided prevalences of DM at the time of diagnosis for patients with GCA and at the index date for controls. Pooled odds ratios and 95% confidence intervals (CIs) were calculated using a random-effect, Mantel-Haenszel analysis.
  
  
  RESULTS
  Five studies with 903 patients with GCA and 1064 controls were identified and included in our data analysis. We demonstrated a statistically significant lower prevalence of DM among patients with GCA with the pooled OR of 0.74 (95% CI, 0.57-0.97).
  
  
  CONCLUSIONS
  At diagnosis, patients with GCA had a lower prevalence of DM. Whether DM could be a protective factor against the development of GCA needs further investigations.
authors.affiliation: a Department of Internal Medicine , Division of Rheumatology, Mayo Clinic , Rochester , MN , USA .|b Department of Medicine , Faculty of Medicine Siriraj Hospital, Division of Rheumatology , Bangkok , Thailand , and.
authors.forename: Patompong
authors.initials: P
authors.lastname: Ungprasert
authors.affiliation: c Department of Medicine , Bassett Medical Center , New York , NY , USA.
authors.forename: Sikarin
authors.initials: S
authors.lastname: Upala
authors.affiliation: c Department of Medicine , Bassett Medical Center , New York , NY , USA.
authors.forename: Anawin
authors.initials: A
authors.lastname: Sanguankeo
authors.affiliation: a Department of Internal Medicine , Division of Rheumatology, Mayo Clinic , Rochester , MN , USA .
authors.forename: Kenneth J
authors.initials: KJ
authors.lastname: Warrington
mesh_terms: D015897:Comorbidity; D003920:Diabetes Mellitus / Q000453:epidemiology*; D013700:Giant Cell Arteritis / Q000175:diagnosis / Q000453:epidemiology*; D006801:Humans; D015995:Prevalence; D012307:Risk Factors
keywords: Epidemiology; Giant cell arteritis; Meta-analysis; Systematic review; Temporal arteritis