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Fig 1.

Flowchart of the meta-analysis.

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Table 1.

Methodological quality of studies included in the final analysis based on the AHRQ for assessing the quality of cross-sectional study.

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Table 2.

Methodological quality of studies included in the final analysis based on the NOS for assessing the quality of case-control study.

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Table 3.

Characteristics of included studies.

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Fig 2.

Duration of diabetes and risk of DPN.

The summary mean difference was calculated using a random-effects model. The mean difference and 95% CI for each study and the final combined results are displayed numerically on the left and graphically as a forest plot on the right. A and B are based on univariate analysis and multivariate analysis data, respectively. The sensitivity analysis results are shown in C.

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Fig 3.

Age and risk of DPN.

The summary mean difference was calculated using a random-effects model. The mean difference and 95% CI for each study and the final combined results are displayed numerically on the left and graphically as a forest plot on the right. A and B are based on univariate analysis and multivariate analysis data for cross-sectional studies, respectively. C showed significant differences in age in the case-control studies. The sensitivity analysis results are shown in D.

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Fig 4.

HbA1c and risk of DPN.

The summary mean difference was calculated using a random-effects model. The mean difference and 95% CI for each study and the final combined results are displayed numerically on the left and graphically as a forest plot on the right. A and B are based on univariate analysis and multivariate analysis data, respectively. The sensitivity analysis results are shown in C.

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Fig 5.

DR and risk of DPN.

The summary odds ratio was calculated using a fixed-effects model. The odds ratio and 95% CI for each study and the final combined results are displayed numerically on the left and graphically as a forest plot on the right. A and B are based on univariate analysis and multivariate analysis data, respectively.

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Fig 6.

Smoking and risk of DPN.

The summary odds ratio was calculated using a random-effects model. The odds ratio and 95% CI for each study and the final combined results are displayed numerically on the left and graphically as a forest plot on the right. A and B are based on univariate analysis and multivariate analysis data, respectively.

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Fig 7.

BMI and risk of DPN.

The summary mean difference was calculated using a random-effects model. The mean difference and 95% CI for each study and the final combined results are displayed numerically on the left and graphically as a forest plot on the right. A and B are based on univariate analysis and multivariate analysis data, respectively. A subgroup analysis was conducted on the basis of ethnicity; the results are shown in C. The sensitivity analysis results are shown in D.

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Fig 8.

TC and risk of DPN.

The summary mean difference was calculated using a random-effects model. The mean difference and 95% CI for each study and the final combined results are displayed numerically on the left and graphically as a forest plot on the right. A and B are based on univariate analysis and multivariate analysis data, respectively.

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Fig 9.

TG and risk of DPN.

The summary mean difference was calculated using a random-effects model. The mean difference and 95% CI for each study and the final combined results are displayed numerically on the left and graphically as a forest plot on the right.

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