Diabetic retinopathy and its risk factors in a society with a type 2 diabetes epidemic: a Saudi National Diabetes Registry-based study
| Autor: | Ahmed M. Abu El-Asrar, Ali S. Al-Ghamdi, Ahmad H. Al-Sharqawi, Heba M. Ibrahim, Khalid Al-Rubeaan, Metib S. Alotaibi, Shazia N. Subhani, Najlaa A. Ahmad, Amira M. Youssef, Abdullah M. Alguwaihes |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Saudi Arabia Type 2 diabetes Nephropathy Age Distribution Risk Factors Diabetes mellitus Internal medicine Prevalence Medicine Humans Registries Sex Distribution Aged Diabetic Retinopathy business.industry General Medicine Diabetic retinopathy Odds ratio Middle Aged medicine.disease Obesity Confidence interval Surgery Ophthalmology Cross-Sectional Studies Diabetes Mellitus Type 2 Cohort Female business |
| Zdroj: | Acta ophthalmologica. 93(2) |
| ISSN: | 1755-3768 |
| Popis: | Purpose To assess diabetic retinopathy prevalence and its risk factors in a society with type 2 diabetes epidemic using the Saudi National Diabetes Registry (SNDR). Method This is a cross-sectional study using patient's clinical data found in SNDR data base. A cohort of 50 464 Saudi patients with type 2 diabetes aged ≥25 years were selected to assess for the prevalence and risk factors for diabetic retinopathy. Results The overall prevalence of diabetic retinopathy is 19.7%, where 9.1% have non-proliferative diabetic retinopathy (NPDR), 10.6% have proliferative diabetic retinopathy (PDR) and 5.7% have macular oedema (ME). Duration of diabetes and age are the most significant risk factors for diabetic retinopathy with odds ratio (OR) and 95% confidence interval (95% CI) 8.88 (8.30–9.50) and 5.76 (5.10–6.55), respectively. Nephropathy, neuropathy, insulin use, poor glycemic control, hypertension and male gender significantly increased the risk for diabetic retinopathy. Smoking, hyperlipidemia and obesity significantly reduced the risk for diabetic retinopathy among type 2 Saudi diabetic cohort. Conclusion vThe low prevalence of diabetic retinopathy in our registry may be a result of the shortage or absence of well-structured screening programmes. Therefore, many patients with NPDR might have been missed. A prevention programme is needed to reduce the effect of diabetic retinopathy risk factors in this society. |
| Databáze: | OpenAIRE |
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