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探索 2 型糖尿病与糖尿病视网膜病变之间的潜在途径:基于韩国国家样本队列的大数据分析。

Discovering potential pathways between type 2 diabetes mellitus and diabetic retinopathy: A big data analysis of the South Korean National Sample Cohort.

机构信息

School of Computer Science and Information Engineering, The Catholic University of Korea, Bucheon, Korea.

Department of Urology, Korea University College of Medicine, Seoul, Korea.

出版信息

Medicine (Baltimore). 2023 Aug 4;102(31):e34576. doi: 10.1097/MD.0000000000034576.

DOI:10.1097/MD.0000000000034576
PMID:37543803
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10402935/
Abstract

Diabetes mellitus, a prevalent metabolic disorder, is associated with a multitude of complications that necessitate vigilant management post-diagnosis. A notable complication, diabetic retinopathy, could lead to intense ocular injury, including vision impairment and blindness, due to the impact of the disease. Studying the transition from diabetes to diabetic retinopathy is paramount for grasping and halting the progression of complications. In this study, we examine the statistical correlation between type 2 diabetes mellitus and retinal disorders classified elsewhere, ultimately proposing a comprehensive disease network. The National Sample Cohort of South Korea, containing approximately 1 million samples and primary diagnoses based on the International Statistical Classification of Diseases and Related Health Problems 10th Revision classification, was utilized for this retrospective analysis. The diagnoses of both conditions displayed a statistically significant correlation with a chi-square test value of P < .001, and the t test for the initial diagnosis date also yielded a P < .001 value. The devised network, comprising 27 diseases and 142 connections, was established through statistical evaluations. This network offers insight into potential pathways leading to diabetic retinopathy and intermediary diseases, encouraging medical researchers to further examine various risk factors associated with these connections.

摘要

糖尿病是一种常见的代谢紊乱疾病,与多种并发症相关,这些并发症需要在确诊后进行严密管理。一种显著的并发症——糖尿病视网膜病变,由于疾病的影响,可能导致严重的眼部损伤,包括视力损害和失明。研究从糖尿病到糖尿病视网膜病变的转变对于理解和阻止并发症的进展至关重要。在这项研究中,我们检查了 2 型糖尿病与其他地方分类的视网膜疾病之间的统计相关性,最终提出了一个全面的疾病网络。我们对韩国国家样本队列进行了回顾性分析,该队列包含大约 100 万个样本,其主要诊断基于国际疾病分类第 10 次修订版。这两种情况的诊断都显示出与卡方检验值 P <.001 的统计学显著相关性,而初始诊断日期的 t 检验也产生了 P <.001 的值。通过统计评估,建立了包含 27 种疾病和 142 个连接的网络。该网络提供了关于可能导致糖尿病视网膜病变和中间疾病的潜在途径的见解,鼓励医学研究人员进一步研究与这些连接相关的各种风险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3c0/10402935/4b0385c7e5df/medi-102-e34576-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3c0/10402935/1d4829914053/medi-102-e34576-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3c0/10402935/4b0385c7e5df/medi-102-e34576-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3c0/10402935/1d4829914053/medi-102-e34576-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3c0/10402935/4b0385c7e5df/medi-102-e34576-g002.jpg

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The Veterans Affairs Continuous Positive Airway Pressure Use and Diabetic Retinopathy Study.退伍军人事务部持续气道正压通气使用与糖尿病视网膜病变研究
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Presence of diabetic retinopathy is lower in type 2 diabetic patients with non-alcoholic fatty liver disease.非酒精性脂肪性肝病的2型糖尿病患者中糖尿病视网膜病变的发生率较低。
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