Serum prolactin and gonadal hormones in hemodialysis women: a meta-analysis

BMC Endocrine Disorders

Research

Qiling Li¹  Miao Guo¹  Lanbo Zhao¹  Yadi Bin¹  Kailu Zhang¹  Xue Zhou¹  Min Li¹  Lu Han¹ 

[1] Department of Obstetrics and Gynecology, the First Affiliated Hospital of Xi’an Jiaotong University, 710061, Xi’an, China;

关键词: Hemodialysis;    Sex hormones;    Prolactin;    Luteinizing hormone;    Follicle-stimulating hormone;   

DOI  :  10.1186/s12902-023-01452-w

 received in 2022-05-03, accepted in 2023-09-08,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundA meta-analysis followed by PRISMA 2020 statement was performed aiming to present a whole prolactin and sex hormone profile in hemodialysis women.MethodsLiteratures were searched in PubMed, Cochrane library, Embase, and Web of science before March 11, 2023. Trial sequential analysis (TSA) was performed to test the conclusiveness of this meta-analysis. Egger’s test and trim-and-fill analysis was used to test publication bias. We took standardized mean difference (SMD) as pool effect of hormones values including prolactin (PRL), follicle-stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2) and progesterone (P). This study was registered in PROSPERO and the number was CRD42023394503.ResultsTwenty-two articles from 13 countries were analyzed. Combining the results of TSA and meta-analysis, we found that compared with healthy control, hemodialysis women had higher PRL, follicular FSH and LH values and lower P levels (PRL: I2 = 87%, SMD 1.24, 95% CI: 0.79–1.69, p < 0.00001; FSH: I2 = 0%, SMD 0.34, 95% CI: 0.13–0.55, p = 0.002; LH: I2 = 39%, SMD 0.64, 95% CI: 0.34–0.93, p < 0.00001; P: I2 = 30%, SMD − 1.62, 95% CI: -2.04 to -1.20, p < 0.00001). What’s more, compared with women after renal transplantation, hemodialysis women had higher PRL levels (I2 = 0%, SMD 0.51, 95% CI: 0.25–0.78, p = 0.0001). There was not enough evidence to draw a conclusion on the comparison of hormones between regular and irregular menses hemodialysis women. Egger’s test and trim-and-fill analysis didn’t show significant publication bias.ConclusionsHemodialysis women had higher serum PRL, follicular phase FSH, LH and lower serum P values compared with healthy control. PRL values of hemodialysis women were also higher than that of women after renal transplantation.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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