First nation-wide study of diabetic retinopathy in Poland in the years 2013–2017

Autor: Monika Udziela, Jacek P. Szaflik, Milena Kozioł, Michał S. Nowak, Iwona Grabska-Liberek, Paweł Piątkiewicz
Jazyk: angličtina
Rok vydání: 2020
Předmět:
First nation
Male
Endocrinology
Diabetes and Metabolism
medicine.medical_treatment
Vitrectomy
0302 clinical medicine
Endocrinology
Diabetes mellitus
Diabetic retinopathy
Risk Factors
Prevalence
Medicine
030212 general & internal medicine
Laser photocoagulation
Child
Aged
80 and over
education.field_of_study
General Medicine
Middle Aged
Child
Preschool
Original Article
Female
Adult
medicine.medical_specialty
Adolescent
Population
History
21st Century
03 medical and health sciences
Young Adult
Internal medicine
Internal Medicine
Humans
Anti-VEGF and steroid injections
education
Aged
Retrospective Studies
National health
Entire population
business.industry
Proportional hazards model
Pars plana vitrectomy
Infant
Newborn
Infant
medicine.disease
Diabetes Mellitus
Type 1
Diabetes Mellitus
Type 2
030221 ophthalmology & optometry
Poland
business
Zdroj: Acta Diabetologica
ISSN: 1432-5233
0940-5429
Popis: Aims To assess the prevalence and time trends of diabetic retinopathy (DR) in the overall population of Poland from 2013 to 2017 and diagnose the risk factors of occurring DR among patients with diabetes mellitus (DM). Methods Data from all levels of healthcare services at public and private institutions recorded in the National Health Fund (NHF) database were evaluated. International Classification of Diseases codes (ICD-9 and ICD-10) and unique NHF codes were used to identify DM type 1 and type 2 patients, DR and treatment procedures including laser photocoagulation, pars plana vitrectomy (PPV), anti-VEGF and steroid intravitreal injections. Results The overall registered prevalence of DR in the entire population of Poland was 0.81%. The mean prevalence of DR was 20.01% in the population with type 1 DM and 9.70% in the population with type 2 DM. In the study period, women represented 56.36% of all individuals registered with DR and 55.09% of all DM patients. In Poland, only 6.34% of all DM patients with DR received specific treatment with laser photocoagulation of the retina (82.32%), PPV (11.56%), anti-VEGF or steroid injections (5.15% and 0.97%, respectively). Cox regression hazard analysis showed that the risk of DR was associated with DM treatment only by GPs, female sex, coexisting systemic diseases and urban residence in both type 1 and type 2 DM. Conclusions A 5-year retrospective analysis reveals the mean prevalence of DR in the population with type 1 and type 2 DM in Poland was rather low.
Databáze: OpenAIRE
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