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June 1, 2016Angiology

Subclinical Atherosclerosis in Patients With Inflammatory Bowel Diseases: A Systematic Review and Meta-Analysis

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Key result

Patients with inflammatory bowel diseases showed significantly higher carotid intima-media thickness (SMD 0.534; 95% CI 0.230 to 0.838; P=.001) and lower flow-mediated dilation than controls.

Why the study?

Do patients with inflammatory bowel diseases have increased markers of subclinical atherosclerosis compared to controls?

Population

Patients with inflammatory bowel diseases (IBDs) and control groups across 28 studies

Comparison

Presence of inflammatory bowel disease (IBD) vs Control groups without IBD

Design

Meta-analysis

Authors

GWGuo‐Cui WuRLRui‐Xue LengLQLu Qi

Discussion

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Member takes

Overview

May warrant closer CV surveillance in IBD; leaves open causality and whether interventions improve outcomes.

Study Design

Type

Meta-Analysis

Structured PICO

Do patients with inflammatory bowel diseases have increased markers of subclinical atherosclerosis compared to controls?

P
Population
Patients with inflammatory bowel diseases (IBDs) and control groups across 28 studies
I
Intervention
Presence of inflammatory bowel disease (IBD)
C
Comparator
Control groups without IBD
O
Outcome
Differences in major markers of cardiovascular risk: mean carotid intima-media thickness (CIMT), flow-mediated dilation (FMD%), and carotid-femoral pulse wave velocity (cfPWV)surrogate

Main Result

Effect estimate: SMD 0.534 (95% CI 0.230 to 0.838)

p-value: p=.001

Patients with inflammatory bowel disease have an elevated cardiovascular burden as evidenced by significantly worse markers of subclinical atherosclerosis compared to controls.

Cite This Study

Wu et al. (2016) conducted a meta-analysis in Inflammatory Bowel Diseases. Inflammatory Bowel Diseases vs. Controls was evaluated on Carotid intima-media thickness (CIMT) (SMD 0.534, 95% CI 0.230 to 0.838, p=.001). Patients with inflammatory bowel diseases showed significantly higher carotid intima-media thickness (SMD 0.534; 95% CI 0.230 to 0.838; P=.001) and lower flow-mediated dilation than controls.

synapsesocial.com/papers/6a10ef8069716c70d0488fa9https://doi.org/10.1177/0003319716652031
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