George Masil, Harper Richard, Balamurugan Appathurai, Kilmer Greta, Bynum Latonya
University of Arkansas for Medical Sciences, Little Rock, AR, USA.
J Prim Care Community Health. 2011 Apr;2(2):122-6. doi: 10.1177/2150131910390818. Epub 2011 Feb 7.
To assess the prevalence of diabetic retinopathy and its risk factors among people with diabetes using a population-based survey and discuss strategies that can be used to both prevent and manage diabetes-related complications in a primary care setting.
The prevalence of self-reported doctor-diagnosed diabetic retinopathy and its risk factors were estimated using data from the Arkansas Behavioral Risk Factor Survey, 2003-2007. Five years of survey data were combined and weighted to the population to assess the risk factors that predict the prevalence of diabetic retinopathy. The study involved 2477 people who reported that they have been diagnosed with diabetes.
Twenty-two percent of survey respondents with diabetes had been diagnosed with diabetic retinopathy. Using a multivariate adjusted model, blacks (odds ratio [OR] = 1.76, 95% confidence interval [CI], 1.26, 2.45), those with some high school education (OR = 2.78, 95% CI, 1.80, 4.28), people with diabetes for more than 10 years (OR = 2.14, 95% CI 1.61, 2.85), people on insulin treatment (OR = 2.35, 95% CI 1.78, 3.08), those who had taken a course to manage their diabetes (OR = 1.54, 95% CI 1.20, 1.99), and those with chronic foot ulcers (OR = 2.24, 95% CI 1.62, 3.09) were more likely to have been diagnosed with diabetic retinopathy.
The prevalence of diabetic retinopathy and its risk factors are evident. Novel approaches to increase the screening and treatment of these frequent complications are key to optimize diabetes care.
通过一项基于人群的调查评估糖尿病患者中糖尿病视网膜病变的患病率及其危险因素，并讨论在基层医疗环境中可用于预防和管理糖尿病相关并发症的策略。
利用2003 - 2007年阿肯色州行为危险因素调查的数据，估计自我报告的医生诊断的糖尿病视网膜病变及其危险因素的患病率。将五年的调查数据合并并加权到总体人群，以评估预测糖尿病视网膜病变患病率的危险因素。该研究纳入了2477名报告已被诊断患有糖尿病的人。
22%的糖尿病调查受访者被诊断患有糖尿病视网膜病变。使用多变量调整模型，黑人（优势比[OR]=1.76，95%置信区间[CI]，1.26，2.45）、接受过一些高中教育的人（OR = 2.78，95% CI，1.80，4.28）、患糖尿病超过10年的人（OR = 2.14，95% CI 1.61，2.85）、接受胰岛素治疗的人（OR = 2.35，95% CI 1.78，3.08）、参加过糖尿病管理课程的人（OR = 1.54，95% CI 1.20，1.99）以及患有慢性足部溃疡的人（OR = 2.24，95% CI 1.62，3.09）更有可能被诊断患有糖尿病视网膜病变。
糖尿病视网膜病变及其危险因素的患病率很明显。增加对这些常见并发症的筛查和治疗的新方法是优化糖尿病护理的关键。
