Diabetic retinopathy and its risk factors in a society with a type 2 diabetes epidemic: a Saudi National Diabetes Registry-based study

被引:81
|
作者
Al-Rubeaan, Khalid [1 ]
Abu El-Asrar, Ahmed M. [2 ]
Youssef, Amira M. [3 ]
Subhani, Shazia N. [4 ]
Ahmad, Najlaa A. [5 ]
Al-Sharqawi, Ahmad H. [5 ]
Alguwaihes, Abdullah [6 ]
Alotaibi, Metib S. [6 ]
Al-Ghamdi, Ali [6 ]
Ibrahim, Heba M. [3 ]
机构
[1] King Saud Univ, Univ Diabet Ctr, Coll Med, Riyadh 11415, Saudi Arabia
[2] King Saud Univ, Coll Med, Dept Ophthalmol, Riyadh 11415, Saudi Arabia
[3] King Saud Univ, Univ Diabet Ctr, Registry Dept, Riyadh 11415, Saudi Arabia
[4] King Faisal Specialist Hosp & Res Ctr, Dept Biostat Epidemiol & Sci Comp, Riyadh 11211, Saudi Arabia
[5] King Saud Univ, Univ Diabet Ctr, Biostat Dept, Riyadh 11415, Saudi Arabia
[6] King Saud Univ, Univ Diabet Ctr, Clin Dept, Riyadh 11415, Saudi Arabia
关键词
diabetic retinopathy; macular oedema; non-proliferative diabetic retinopathy; proliferative diabetic retinopathy; risk factors; Saudi National Diabetes Registry; GLOBAL DATA; PREVALENCE; ASSOCIATION; DIAGNOSIS; AGE;
D O I
10.1111/aos.12532
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
PurposeTo assess diabetic retinopathy prevalence and its risk factors in a society with type 2 diabetes epidemic using the Saudi National Diabetes Registry (SNDR). MethodThis is a cross-sectional study using patient's clinical data found in SNDR data base. A cohort of 50464 Saudi patients with type 2 diabetes aged 25years were selected to assess for the prevalence and risk factors for diabetic retinopathy. ResultsThe 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. ConclusionvThe 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.
引用
收藏
页码:E140 / E147
页数:8
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