Sasongko Muhammad B, Agni Angela N, Wardhana Firman S, Kotha Satya P, Gupta Prateek, Widayanti Tri W, Widyaputri Felicia, Widyaningrum Rifa, Wong Tien Y, Kawasaki Ryo, Wang Jie Jin, Pawiroranu Suhardjo
a Department of Ophthalmology , Faculty of Medicine, Universitas Gadjah Mada , Yogyakarta , Indonesia.
b Helen Keller International , Jakarta , Indonesia.
Ophthalmic Epidemiol. 2017 Feb;24(1):48-56. doi: 10.1080/09286586.2016.1255763. Epub 2016 Dec 29.
There are no available data about diabetic retinopathy (DR) in the Indonesian population. This report summarizes the rationale and study design of the Jogjakarta Eye Diabetic Study in the Community (JOGED.COM), a community-based study to estimate the prevalence and risk factors of DR in persons with type 2 diabetes in Jogjakarta, Indonesia.
The JOGED.COM aimed to examine a cross-sectional sample of 1200 persons with type 2 diabetes aged 30 years and older residing in the study area. We identified 121 community health centers (CHCs) in Jogjakarta and listed 35 CHCs with non-communicable diseases facilities. Multi-stage, clustered random sampling was used to select 22 CHCs randomly. We included CHCs with coverage population >30,000, and excluded those classified as 100% rural. Lists of persons with diabetes confirmed by their family physician were provided from each CHC. Examinations procedures included detailed interviews, general and eye examinations, anthropometry and body composition scan, and dilated fundus photography.
We collaborated with local health authorities, family physicians, and local health practitioners in the recruitment phase. A total of 1435 invitations were distributed, and 1184 people (82.5%) with type 2 diabetes participated in this study, of whom 1138 (79.3%) had completed data with gradable retinal images.
JOGED.COM is the first epidemiologic study of DR in an Indonesian population. This study will provide key information about the prevalence and risk factors of DR in the community. These data are very important for future health promotion programs to reduce the burden of DR in the population.
印度尼西亚人群中尚无关于糖尿病视网膜病变（DR）的可用数据。本报告总结了印度尼西亚日惹市社区糖尿病眼病研究（JOGED.COM）的基本原理和研究设计，这是一项基于社区的研究，旨在估计日惹市2型糖尿病患者中DR的患病率和危险因素。
JOGED.COM旨在对居住在研究区域内1200名年龄在30岁及以上的2型糖尿病患者进行横断面抽样调查。我们在日惹市确定了121个社区卫生中心（CHC），并列出了35个设有非传染性疾病设施的CHC。采用多阶段整群随机抽样方法随机选择22个CHC。我们纳入了覆盖人口超过30000的CHC，并排除了那些被归类为100%农村地区的CHC。每个CHC提供了经家庭医生确诊的糖尿病患者名单。检查程序包括详细访谈、全身和眼部检查、人体测量和身体成分扫描以及散瞳眼底摄影。
在招募阶段，我们与当地卫生当局、家庭医生和当地卫生从业者进行了合作。共发放了1435份邀请函，1184名（82.5%）2型糖尿病患者参与了本研究，其中1138名（79.3%）完成了具有可分级视网膜图像的数据收集。
JOGED.COM是印度尼西亚人群中关于DR的第一项流行病学研究。本研究将提供有关社区中DR患病率和危险因素的关键信息。这些数据对于未来减轻人群中DR负担的健康促进项目非常重要。
