The evaluation of prothrombin time and activated partial thromboplastin time among diabetic and healthy controls in Africa: systematic review and meta-analysis
2024

Coagulation Tests in Diabetic Patients in Africa

Sample size: 20 publication 10 minutes Evidence: moderate

Author Information

Author(s): Getu Fasil, Alemayehu Ermiyas, Tesfaye Addisu, Genanew Birhanu, Walle Muluken

Primary Institution: Jigjiga University

Hypothesis

What is the pooled Standard Mean Difference (SMD) of prothrombin time (PT) and activated partial thromboplastin time (APTT) among diabetic patients in Africa compared to healthy controls?

Conclusion

This study found no statistically significant difference in prothrombin time and activated partial thromboplastin time between diabetic patients and healthy controls in Africa.

Supporting Evidence

  • The pooled SMD of PT among DM patients in Africa was −0.18.
  • The pooled SMD of APTT among DM patients in Africa was −0.48.
  • Type 1 DM patients showed a statistically significant difference in APTT compared to Type 2 DM patients.
  • High heterogeneity was observed in the included studies.
  • Subgroup analyses revealed no significant differences in PT and APTT across different regions in Africa.

Takeaway

Doctors checked blood clotting times in diabetes patients in Africa and found that diabetes doesn't change these times much compared to healthy people.

Methodology

This systematic review and meta-analysis followed PRISMA guidelines, included studies from various databases, and used random-effect models for analysis.

Potential Biases

High level of heterogeneity was observed in the analyses.

Limitations

The study is limited by the inclusion of only English-language studies and the observational nature of the included studies.

Participant Demographics

Participants included various racial and ethnic groups from different African countries.

Statistical Information

P-Value

p=0.041 for Type 1 DM APTT

Confidence Interval

95% CI: −0.72, 0.36 for PT; 95% CI: −1.18, 0.21 for APTT

Statistical Significance

p=0.514 for PT, p=0.174 for APTT

Digital Object Identifier (DOI)

10.3389/fmed.2024.1445031

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