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Prevalence of diabetic retinopathy and vision-threatening diabetic retinopathy in adults with diabetes in China

The current epidemic status of diabetic retinopathy in China is unclear. A national prevalence survey of diabetic complications was conducted. 50,564 participants with gradable non-mydriatic fundus photographs were enrolled. The prevalence rates (95% confidence intervals) of diabetic retinopathy and...

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Detalles Bibliográficos
Autores principales: Hou, Xuhong, Wang, Limin, Zhu, Dalong, Guo, Lixin, Weng, Jianping, Zhang, Mei, Zhou, Zhiguang, Zou, Dajin, Ji, Qiuhe, Guo, Xiaohui, Wu, Qiang, Chen, Siyu, Yu, Rong, Chen, Hongli, Huang, Zhengjing, Zhang, Xiao, Wu, Jiarui, Wu, Jing, Jia, Weiping
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10354077/
https://www.ncbi.nlm.nih.gov/pubmed/37463878
http://dx.doi.org/10.1038/s41467-023-39864-w
Descripción
Sumario:The current epidemic status of diabetic retinopathy in China is unclear. A national prevalence survey of diabetic complications was conducted. 50,564 participants with gradable non-mydriatic fundus photographs were enrolled. The prevalence rates (95% confidence intervals) of diabetic retinopathy and vision-threatening diabetic retinopathy were 16.3% (15.3%–17.2%) and 3.2% (2.9%–3.5%), significantly higher in the northern than in the southern regions. The differences in prevalence between those who had not attained a given metabolic goal and those who had were more pronounced for Hemoglobin A1c than for blood pressure and low-density lipoprotein cholesterol. The participants with vision-threatening diabetic retinopathy had significantly higher proportions of visual impairment and blindness than those with non-vision-threatening diabetic retinopathy. The likelihoods of diabetic retinopathy and vision-threatening diabetic retinopathy were also associated with education levels, household income, and multiple dietary intakes. Here, we show multi-level factors associated with the presence and the severity of diabetic retinopathy.