Articles producció científica> Medicina i Cirurgia

Changes observed in diabetic retinopathy. Eight year follow up of a Spanish population

  • Dades identificatives

    Identificador: imarina:5129885
    Autors:
    Romero-Aroca P., De La Riva-Fernandez S., Valls-Mateu A., Sagarra-Alamo R., Moreno-Ribas A., Soler N.
    Resum:
    Background/aims To determine the changes in the incidence of diabetic retinopathy (DR), diabetic macular oedema (DMO) and their risk factors in a population-based study of patients with diabetes mellitus (DM) referred to our 16 Primary Health Care Areas (HCAs). Methods Prospective population-based study of a total of 15 396 Caucasian patients with DM, who represent 86.53% of the total patients with DM in our HCAs, were studied over an 8-year follow-up period. All patients were screened with a mean follow-up of 3.18±1.11 times for each patient over the 8 years. Results The yearly mean value of any DR was 8.37±2.19% (8.09%-8.99%); of advanced DR yearly mean value of 0.46±0.22% (0.03-0.78); and of DMO a yearly mean value of 2.19±0.18% (2%-2.49%). A clear increase was observed in the last 3 years, any DR increased from 8.09% in 2007 to 8.99% in 2014, and DMO from 2% in 2007 to 2.49% in 2014. These increases were more evident in some age groups. For patients with any DR aged 41-50 and 51-60 and for patients with advanced DR aged 41-50, 51-60 and 61-70, the increase was more marked, related to an increase in HbA1c values or to patients treated with insulin. Conclusions An increase in the incidence of DR and DMO was observed, especially in the younger patients aged between 31 and 70 years. This is linked to bad metabolic control of DM. Our results suggest a greater number of ocular complications in the near future, such as neovascular glaucoma, if these current findings are not addressed.
  • Altres:

    Autor segons l'article: Romero-Aroca P., De La Riva-Fernandez S., Valls-Mateu A., Sagarra-Alamo R., Moreno-Ribas A., Soler N.
    Departament: Enginyeria Informàtica i Matemàtiques Medicina i Cirurgia
    Autor/s de la URV: Moreno Ribas, Antonio / Romero Aroca, Pedro / Valls Mateu, Aïda
    Paraules clau: Telemedicine retina public health mácula epidemiology
    Resum: Background/aims To determine the changes in the incidence of diabetic retinopathy (DR), diabetic macular oedema (DMO) and their risk factors in a population-based study of patients with diabetes mellitus (DM) referred to our 16 Primary Health Care Areas (HCAs). Methods Prospective population-based study of a total of 15 396 Caucasian patients with DM, who represent 86.53% of the total patients with DM in our HCAs, were studied over an 8-year follow-up period. All patients were screened with a mean follow-up of 3.18±1.11 times for each patient over the 8 years. Results The yearly mean value of any DR was 8.37±2.19% (8.09%-8.99%); of advanced DR yearly mean value of 0.46±0.22% (0.03-0.78); and of DMO a yearly mean value of 2.19±0.18% (2%-2.49%). A clear increase was observed in the last 3 years, any DR increased from 8.09% in 2007 to 8.99% in 2014, and DMO from 2% in 2007 to 2.49% in 2014. These increases were more evident in some age groups. For patients with any DR aged 41-50 and 51-60 and for patients with advanced DR aged 41-50, 51-60 and 61-70, the increase was more marked, related to an increase in HbA1c values or to patients treated with insulin. Conclusions An increase in the incidence of DR and DMO was observed, especially in the younger patients aged between 31 and 70 years. This is linked to bad metabolic control of DM. Our results suggest a greater number of ocular complications in the near future, such as neovascular glaucoma, if these current findings are not addressed.
    Àrees temàtiques: Sensory systems Saúde coletiva Química Ophthalmology Medicina iii Medicina ii Medicina i Interdisciplinar General medicine Ensino Engenharias iv Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Cellular and molecular neuroscience
    Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 00071161
    Adreça de correu electrònic de l'autor: antonio.moreno@urv.cat pedro.romero@urv.cat aida.valls@urv.cat
    Identificador de l'autor: 0000-0003-3945-2314 0000-0002-7061-8987 0000-0003-3616-7809
    Data d'alta del registre: 2024-09-07
    Versió de l'article dipositat: info:eu-repo/semantics/publishedVersion
    Enllaç font original: https://bjo.bmj.com/content/100/10/1366
    URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referència a l'article segons font original: British Journal Of Ophthalmology. 100 (10): 1366-1371
    Referència de l'ítem segons les normes APA: Romero-Aroca P., De La Riva-Fernandez S., Valls-Mateu A., Sagarra-Alamo R., Moreno-Ribas A., Soler N. (2016). Changes observed in diabetic retinopathy. Eight year follow up of a Spanish population. British Journal Of Ophthalmology, 100(10), 1366-1371. DOI: 10.1136/bjophthalmol-2015-307689
    DOI de l'article: 10.1136/bjophthalmol-2015-307689
    Entitat: Universitat Rovira i Virgili
    Any de publicació de la revista: 2016
    Tipus de publicació: Journal Publications
  • Paraules clau:

    Cellular and Molecular Neuroscience,Ophthalmology,Sensory Systems
    Telemedicine
    retina
    public health
    mácula
    epidemiology
    Sensory systems
    Saúde coletiva
    Química
    Ophthalmology
    Medicina iii
    Medicina ii
    Medicina i
    Interdisciplinar
    General medicine
    Ensino
    Engenharias iv
    Ciências biológicas iii
    Ciências biológicas ii
    Ciências biológicas i
    Cellular and molecular neuroscience
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