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Incidence and progression of diabetic retinopathy: a systematic review

Published on Feb 1, 2019in The Lancet Diabetes & Endocrinology 24.54
· DOI :10.1016/S2213-8587(18)30128-1
Charumathi Sabanayagam30
Estimated H-index: 30
(NUS: National University of Singapore),
Riswana Banu1
Estimated H-index: 1
+ 11 AuthorsTien Wong121
Estimated H-index: 121
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Abstract
Summary Diabetic retinopathy is a leading cause of vision impairment and blindness. We systematically reviewed studies published from Jan 1, 1980, to Jan 7, 2018, assessed the methodological quality, and described variations in incidence of diabetic retinopathy by region with a focus on population-based studies that were conducted after 2000 (n=8, including two unpublished studies). Of these eight studies, five were from Asia, and one each from the North America, Caribbean, and sub-Saharan Africa. The annual incidence of diabetic retinopathy ranged from 2·2% to 12·7% and progression from 3·4% to 12·3%. Progression to proliferative diabetic retinopathy was higher in individuals with mild disease compared with those with no disease at baseline. Our Review suggests that more high-quality population-based studies capturing data on the incidence and progression of diabetic retinopathy with stratification by age and sex are needed to consolidate the evidence base. Our data is useful for conceptualisation and development of major public health strategies such as screening programmes for diabetic retinopathy.
  • References (37)
  • Citations (4)
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References37
Newest
Published on Dec 1, 2017in BMC Endocrine Disorders 1.82
Andrew Bastawrous12
Estimated H-index: 12
(Lond: University of London),
Wanjiku Mathenge6
Estimated H-index: 6
(International Institute of Minnesota)
+ 9 AuthorsPeter Blows3
Estimated H-index: 3
(UCL Institute of Ophthalmology)
Abstract Background The epidemic rise of diabetes carries major negative public health and economic consequences particularly for low and middle-income countries. The highest predicted percentage growth in diabetes is in the sub-Saharan Africa (SSA) region where to date there has been no data on the incidence of diabetic retinopathy from population-based cohort studies and minimal data on incident diabetes. The primary aims of this study were to estimate the cumulative six-year incidence of Diab...
Published on Dec 1, 2017in Ophthalmology 7.73
Gavin Tan18
Estimated H-index: 18
(NUS: National University of Singapore),
Alfred Tau Liang Gan5
Estimated H-index: 5
+ 7 AuthorsTien Wong121
Estimated H-index: 121
(NUS: National University of Singapore)
Purpose To evaluate the prevalence and risk factors for diabetic retinopathy (DR) in the Singapore Epidemiology of Eye Diseases (SEED) Study. Design Population-based, cross-sectional study. Participants Persons of Malay, Indian, and Chinese ethnicity aged 40+ years, living in Singapore. Methods Diabetes was defined as nonfasting plasma glucose ≥200 mg/dl (11.1 mmol/l), glycated hemoglobin A1c (HbA1c) >6.5%, self-reported physician-diagnosed diabetes, or the use of glucose-lowering medication. Re...
Published on Nov 1, 2017in Clinical and Experimental Ophthalmology 3.41
Charumathi Sabanayagam30
Estimated H-index: 30
,
Wanfen Yip4
Estimated H-index: 4
+ 8 AuthorsChing-Yu Cheng47
Estimated H-index: 47
Importance Asian Indians are the fastest growing migration groups in the world. Studies evaluating the impact of migration on disease outcomes in this population are rare. Background We describe the methodology of the Singapore Indian Eye Study-2 (SINDI-2) aimed to evaluate the impact of migration status on diabetic retinopathy (DR) and other major age-related eye diseases in Asian Indians living in an urban environment. Design Population-based cohort study Participants 2200 adults who participa...
Published on Sep 3, 2017in Ophthalmic Epidemiology
Rajiv Raman21
Estimated H-index: 21
(SN: Sankara Nethralaya),
Suganeswari Ganesan7
Estimated H-index: 7
(SN: Sankara Nethralaya)
+ 3 AuthorsTarun Sharma31
Estimated H-index: 31
(SN: Sankara Nethralaya)
ABSTRACTPurpose: To evaluate the 4-year incidence and progression of and risk factors for diabetic retinopathy (DR) in an Indian population.Methods: From a cross-sectional study of 1425 subjects with diabetes, 911 (63.9%) returned for 4-year follow-up. After excluding 21 with ungradable retinal images, data from 890 subjects were analyzed. Participants underwent examinations based on a standard protocol, which included grading of retinal photographs.Results: The incidences of DR, diabetic macula...
Published on Sep 1, 2017in Ophthalmology 7.73
Chui Ming Gemmy Cheung21
Estimated H-index: 21
(NUS: National University of Singapore),
Peng Guan Ong8
Estimated H-index: 8
(Visual Sciences)
+ 7 AuthorsTien Wong121
Estimated H-index: 121
(NUS: National University of Singapore)
Purpose To determine the 6-year incidence of early and late age-related macular degeneration (AMD) in a Singaporean Malay population and to validate the Age-Related Eye Disease Study (AREDS) simplified severity scale in Asians. Design Prospective, population cohort study. Participants The Singapore Malay Eye Study baseline participants (age, ≥40 years; 2006–2008) were followed up in 2011 through 2013, and 1901 of 3280 of eligible participants (72.1%) took part. Methods Fundus photographs were gr...
Published on Jul 1, 2017in Diabetic Medicine 3.11
Digsu N. Koye5
Estimated H-index: 5
(University of Gondar),
Jonathan E. Shaw90
Estimated H-index: 90
(Monash University)
+ 3 AuthorsDianna J. Magliano45
Estimated H-index: 45
(Monash University)
Aims The aim was to systematically review published articles that reported the incidence of chronic kidney disease among people with diabetes. Methods A systematic literature search was performed using MEDLINE, Embase and CINAHL databases. The titles and abstracts of all publications identified by the search were reviewed and 10 047 studies were retrieved. Results A total of 71 studies from 30 different countries with sample sizes ranging from 505 to 211 132 met the inclusion criteria. The annua...
Published on Apr 20, 2017in The New England Journal of Medicine 70.67
David M. Nathan104
Estimated H-index: 104
,
Ionut Bebu13
Estimated H-index: 13
+ 5 AuthorsJohn M. Lachin75
Estimated H-index: 75
Abstract In patients who have had type 1 diabetes for 5 years, current recommendations regarding screening for diabetic retinopathy include annual dilated retinal examinations to detect proliferative retinopathy or clinically significant macular edema, both of which require timely intervention to preserve vision. During 30 years of the Diabetes Control and Complications Trial (DCCT) and its longitudinal follow-up Epidemiology of Diabetes Interventions and Complications (EDIC) study, retinal phot...
Published on Sep 1, 2016in Pediatric Diabetes 3.35
Nan-Kai Wang16
Estimated H-index: 16
(CGU: Chang Gung University),
Chi-Chun Lai23
Estimated H-index: 23
(CGU: Chang Gung University)
+ 6 AuthorsFu-Sung Lo1
Estimated H-index: 1
(CGU: Chang Gung University)
Background The aim of this study was to examine risk factors associated with the development of diabetic retinopathy (DR) 10 yr after the diagnosis of juvenile-onset type 1 diabetes in Taiwan. Methods This retrospective cohort study of 153 individuals with type 1 diabetes for >10 yr duration (mean duration: 13.1 yr) included participants in the Chang Gung Juvenile Diabetes Eye Study. Risk factors assessed for association with DR included age, gender, age at onset and duration of diabetes, self-r...
Published on Sep 1, 2016in Diabetes Care 15.27
Janet L Leasher34
Estimated H-index: 34
(NSU: Nova Southeastern University),
Rupert Bourne48
Estimated H-index: 48
(ARU: Anglia Ruskin University)
+ 9 AuthorsTien Wong121
Estimated H-index: 121
(NUS: National University of Singapore)
OBJECTIVE To estimate global and regional trends from 1990 to 2010 of the prevalence and number of persons visually impaired specifically by diabetic retinopathy (DR), as a complication of the precipitous trends in global diabetes, is fundamental for health planning purposes. RESEARCH DESIGN AND METHODS The meta-analysis of published population studies from 1990 to 2012 for the Global Burden of Disease Study 2010 (GBD) yielded estimated global regional trends in DR among other causes of moderate...
Published on Nov 17, 2014in PLOS ONE 2.78
Peiyao Jin4
Estimated H-index: 4
,
Jinjuan Peng3
Estimated H-index: 3
+ 6 AuthorsXi Zhang11
Estimated H-index: 11
Purpose To determine the rate and risk factors of diabetic retinopathy (DR) onset and regression in Chinese type 2 diabetes mellitus patients.
Cited By4
Newest
Published on Apr 26, 2019in Diabetes and Vascular Disease Research 2.36
Judith Lechner10
Estimated H-index: 10
('QUB': Queen's University Belfast),
Jose R. Hombrebueno7
Estimated H-index: 7
('QUB': Queen's University Belfast)
+ 2 AuthorsHeping Xu36
Estimated H-index: 36
('QUB': Queen's University Belfast)
Published in Current Diabetes Reports 4.00
Valentina Bellemo , Gilbert Lim5
Estimated H-index: 5
+ -3 AuthorsWynne Hsu43
Estimated H-index: 43
(NUS: National University of Singapore)
Purpose of Review This paper systematically reviews the recent progress in diabetic retinopathy screening. It provides an integrated overview of the current state of knowledge of emerging techniques using artificial intelligence integration in national screening programs around the world. Existing methodological approaches and research insights are evaluated. An understanding of existing gaps and future directions is created.
Published on May 1, 2019in Journal of Diabetes and Its Complications 2.68
Gauhar Nadri , Sandeep Saxena12
Estimated H-index: 12
+ 4 AuthorsPeter Kruzliak (Mercy Medical Center (Baltimore, Maryland))
Abstract Purpose To study the correlation between disorganization of inner retinal layer (DRIL) and macular thickness parameters, ellipsoid zone (EZ) disruption and retinal nerve fiber layer (RNFL) thickness on spectral domain optical coherence tomography (SD-OCT) in diabetic retinopathy (DR), for the first time. Methods A tertiary care center-based cross-sectional study was undertaken. One hundred and four consecutive study subjects of type 2 diabetes mellitus were included: diabetes mellitus w...
Published on Jan 1, 2017in Acta Diabetologica 3.00
Marina Trento16
Estimated H-index: 16
,
Olga Durando2
Estimated H-index: 2
+ 14 AuthorsMaria Carla Donati7
Estimated H-index: 7
(UniFI: University of Florence)
Aims Diabetic retinopathy remains asymptomatic until its late stages but remains a leading cause of vision impairment and blindness. We studied quality of life and the ability to deal with the discomfort deriving from the presence of a chronic disease in patients with type 1 diabetes and different stages of retinopathy.
Robera Olana Fite1
Estimated H-index: 1
(College of Health Sciences, Bahrain),
Eyasu Alem Lake (College of Health Sciences, Bahrain), Lolemo Kelbiso Hanfore (College of Health Sciences, Bahrain)
Abstract Aims this systemic review and meta-analysis was aimed at determining the level of diabetic retinopathy among diabetes mellitus patients in Ethiopia. Materials and methods PubMed, Science Direct, Google Scholar and Excerpta Medica Database (EMBASE) were searched. The data were extracted using Microsoft Excel and analyzed by using STATA version 11. Publication bias was checked by funnel plot and more objectively through Egger's regression test, with P 2 test. Pooled analysis was conducted...