Prevalence of diabetic retinopathy in India: The All India Ophthalmological Society Diabetic Retinopathy Eye Screening Study 2014.
Prevalence of diabetic retinopathy in India: The All India Ophthalmological Society Diabetic Retinopathy Eye Screening Study 2014.
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DOI：
10.4103/0301-4738.178144
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发表时间：
2016-01
影响因子：
3.1
通讯作者：
Nayak BK
中科院分区：
文献类型：
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作者：
Gadkari SS;Maskati QB;Nayak BK
本研究的目的是确定全国糖尿病患者中糖尿病视网膜病变（DR）的患病率，并试图建立基于病史的危险因素。2014年11月14日至11月21日，全印度眼科学会发起了一项糖尿病患者横断面研究。已知的糖尿病患者自愿评估的社会成员在194个中心使用的结构化协议由社会提供的检查。评价结果以确定研究人群中DR的患病率，并使用卡方检验建立与性别、年龄和基于病史的风险因素（如糖尿病持续时间、胰岛素使用和其他终末器官疾病）的关系。共筛查了6218名已知糖尿病患者。共有5130份数据录入表被认为适合进一步评价。约61.2%为男性，88.6%的患者年龄在40 - 80岁之间，近三分之二的患者来自西部和南部地区，超过一半的患者患有糖尿病超过5年。数据集主要是城市84.7%和46.1%没有家族史。整个数据集中的DR患病率为21.7%。男性（P = 0.007）、糖尿病5年以上（P = 0.001）、40岁以上（P = 0.01）、胰岛素使用者（P = 0.001）和血管意外史（P = 0.0014）的患病率较高。有22.18%的DR患者的视力为6/18或更好。这项研究重申了早期在泛印度范围内进行的区域研究的结果，并正确地看待了数据。
The aim of this study is to ascertain the prevalence of diabetic retinopathy (DR) in diabetic patients across the nation and attempt to establish history-based risk factors. A cross-sectional study of diabetic patients was conducted as an initiative of the All India Ophthalmological Society from 14th November to 21st November 2014. Known diabetics were evaluated voluntarily by members of the society at 194 centers using a structured protocol provided by the society for examination. The results were evaluated to ascertain the prevalence of DR in the population studied and to establish relation with gender, age, and history-based risk factors such as duration of diabetes, insulin use, and other end-organ disease using the Chi-square test. A total of 6218 known diabetics were screened. Totally, 5130 data entry forms were considered suitable for further evaluation. About 61.2% were males, 88.6% were between 40 and 80 years of age, almost two-thirds of the patients were from the west and south zones, and over half had diabetes more than 5 years. The data set was predominantly urban 84.7% and 46.1% had no family history. DR prevalence in the entire data set was 21.7%. Prevalence was more in males (P = 0.007), diabetics more than 5 years (P = 0.001), those above 40 years (P = 0.01), insulin users (P = 0.001), and history of vascular accidents (P = 0.0014). Significantly 22.18% of patients detected with DR had a vision of 6/18 or better in the worse eye. The study reiterated the findings of earlier regional studies on a pan Indian scale and put data in perspective.