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HLA-B51/B5 and the risk of Behçets disease: A systematic review and meta-analysis of case-control genetic association studies
Arthritis Care and Research , 10/02/09
de Menthon M et al. – The strength of the association between BD and HLA-B51/B5, and its consistency across populations of various ethnicities, lends further support to this allele being a primary and causal risk determinant for BD. Variations according to sex support an interaction of this allele with BD characteristics.
Methods- Relevant studies identified using PubMed Medline database and manual searches of the literature
- Pooled odds ratios (ORs) and 95% confidence intervals (95% CIs) were calculated using the random-effects model
- Subgroup meta-analyses and meta-regression analyses undertaken to investigate effects of selected study-level parameters on pooled OR
- Heterogeneity assessed using I2 statistic
- Pooled results were used to calculate population-attributable risks (PAR) for BD in relationship to HLA-B51/B5
- 4,800 patients with BD from 78 independent studies (published 1975-2007)
- 16,289 controls from 78 independent studies (published 1975-2007) selected
- Pooled OR of HLA-B51/B5 allele carriers to develop BD compared with noncarriers was 5.78 (95% CI 5.00-6.67), with moderate between-study heterogeneity (I2 = 61%)
- Subgroup analyses stratifying studies by geographic locations (Eastern Asia, Middle East/North Africa, Southern Europe, Northern/Eastern Europe) yielded consistent OR ranges (5.31-7.20), with I2 ranges of 52-70%
- Univariate random-effects meta-regression indicated percentage of male BD cases as source of heterogeneity
- PAR within the various geographic areas estimated at 32-52%
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