![]() The total number of subjects (n = 5433) in NDSP-I combined data was higher than the sum of subjects examined in four individual studies. The first national diabetes survey of Pakistan (NDSP-I) was accomplished in four phases (1995–98), and the combined data were published in 2007. However, three national diabetes surveys have been conducted in Pakistan since 1947. Moreover, the World Health Organization (WHO) diabetes country profiles 2016 state that the national response to diabetes-including operational policy, national diabetes guidelines and diabetes registry-is not available in Pakistan. The International Diabetes Federation (IDF) diabetes atlas 2017 ranks Pakistan at 10 of 221 countries of the world, having 7.5 million cases of diabetes (20–79 years). Moreover, harmony between the stakeholders is much needed to seek a true picture of the diabetes burden in the country.ĭiabetes mellitus (DM) has a strong influence on the quality and length of patients’ lives, and puts a significant financial burden on them. The heterogeneity across studies observed in the meta-analysis suggested that the design of future diabetes surveys should be efficient and purposeful, and that valid tools and methods should be used to generate more precise data. 13.5%).Ĭonclusions: The prevalence of diabetes is on the rise in the adult population of Pakistan. However, pooled estimates of the WHO and the ADA criteria were similar (13.8 vs. 1.6%), and in HbA1c than in OGTT tests (23.9 vs. It was also higher in urban than in rural patients (15.1 vs. The subgroup analysis revealed a higher pooled estimate of diabetes in males than in females (13.1 vs. ![]() The level of heterogeneity observed across studies and between subgroups was moderate (<50%). Ten studies were published in ISI indexed journals, and nine of them were indexed for Medline. None of the twelve studies was of poor quality (<10 scores). Results: The pooled sample of twelve studies included 42,051 adults (≥20 years) comprised of both sexes from urban and rural Pakistan. Using Meta-Analyst 3.13 βeta, overall and subgroup pooled estimates were measured by random effects model. In the meta-analysis, PRISMA guidelines were used for reporting the AXIS tool for assessing quality and risk of bias within studies I2 statistics for measuring heterogeneity between studies and subgroups and Tableau Public 10.4 for geographic mapping of included studies. Methods: The prospective cross-sectional studies reporting adult diabetes in Pakistan and published on any date were retrieved from PubMed, ScienceDirect and PakMediNet databases. Objective: To measure the pooled prevalence of type 2 diabetes mellitus in the adult population of Pakistan. Background: The clinical and methodological diversity observed in national and regional diabetes surveys, emphasized on the need of the weighted average prevalence of diabetes.
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