Prevalence and types of insulin-pump-related skin complications in children and adolescents with type 1 diabetes: A systematic review and meta-analysis.
Chuhao Zhang, Ting Yuan, Xiaochun Chen et al.
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In 30 seconds
This systematic review and meta-analysis examined the prevalence and types of insulin-pump-related skin complications in children and adolescents with type 1 diabetes. It included 13 studies, with a meta-analysis of 796 participants revealing a pooled prevalence of 63.8% for any skin complication. The study highlights the commonality of these complications in this population.
Key findings
- The pooled prevalence of any skin complication was 63.8% (95% CI 47.8%-77.2%).
- Scarring/insertion marks had a pooled prevalence of 36.7%.
- Lipohypertrophy occurred in 24.1% of cases.
- Eczema/dermatitis-like reactions were present in 16.6% of participants.
Why it matters
Understanding the prevalence and types of skin complications associated with insulin pump use is crucial for clinicians managing pediatric patients with type 1 diabetes. This knowledge can inform better monitoring and care strategies.
What to keep in mind
Interpretation of findings is limited by inconsistent definitions and heterogeneous outcome reporting across studies.