丹麦全国性数据揭示了糖尿病、糖尿病性视网膜病变和青光眼之间的联系。

Danish Nationwide Data Reveal a Link between Diabetes Mellitus, Diabetic Retinopathy, and Glaucoma.

作者信息

Horwitz Anna, Petrovski Beáta Éva, Torp-Pedersen Christian, Kolko Miriam

机构信息

Department of Neuroscience and Pharmacology, University of Copenhagen, Blegdamsvej 3, 2200 Copenhagen, Denmark; Center for Healthy Aging, University of Copenhagen, Blegdamsvej 3, 2200 Copenhagen, Denmark.

Department of Public Health, University of Szeged, Dóm Tér 10, Szeged 6720, Hungary; Akershus University Hospital and Institute of Clinical Medicine, University of Oslo, Campus Ahus, 1478 Lørenskog, Norway.

出版信息

J Diabetes Res. 2016;2016:2684674. doi: 10.1155/2016/2684674. Epub 2016 Oct 31.

Abstract

. To determine the association between treatment against diabetes mellitus (DM) and treatment with antiglaucomatous drugs in the entire Danish population and to investigate the comorbidity between DM and its complications with antiglaucomatous treatment. . Retrospective nationwide cohort study with data over a 16-year follow-up period. The National Danish Registry of Medicinal Products Statistics was used to identify all claimed prescriptions for antiglaucomatous medication and DM drugs. ICD-10 classifications were furthermore used to identify comorbidities between antiglaucomatous medication and the DM complications, diabetic retinopathy (DR), and nephropathy. . A total of 6,343,747 individuals in the period between 1996 and 2012 were analyzed. The overall incidence rate of new-onset glaucoma patients was 0.07 per 1000 person-years for the reference population compared to 36 per 1000 person-years for all diagnosed DM cases. Patients treated with DM drugs had about two times higher relative risk of glaucoma, when adjusting for a range of factors. The presence of DR alone or in combination with nephropathy increased the risk of glaucoma. . The present study reports a strong association between DM and onset of glaucoma treatment in the entire Danish population.

摘要

确定丹麦全体人群中糖尿病(DM)治疗与抗青光眼药物治疗之间的关联,并研究DM及其并发症与抗青光眼治疗之间的共病情况。

回顾性全国队列研究,随访期为16年。使用丹麦国家药品统计注册库来确定所有申报的抗青光眼药物和DM药物处方。此外,使用国际疾病分类第十版(ICD - 10)分类来确定抗青光眼药物与DM并发症、糖尿病视网膜病变(DR)和肾病之间的共病情况。

分析了1996年至2012年期间的6343747名个体。参考人群中新发青光眼患者的总体发病率为每1000人年0.07例,而所有确诊DM病例的发病率为每1000人年36例。在调整一系列因素后,接受DM药物治疗的患者患青光眼的相对风险高出约两倍。单独存在DR或与肾病合并存在会增加患青光眼的风险。

本研究报告了丹麦全体人群中DM与青光眼治疗发病之间的强关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66be/5107855/3165cf05c3e6/JDR2016-2684674.001.jpg

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