• RI - Unifesp
    • Documentos
    • Tutoriais
    • Perguntas frequentes
    • Atendimento
    • Equipe
    • português (Brasil)
    • English
    • español
  • Sobre
    • RI Unifesp
    • Documentos
    • Tutoriais
    • Perguntas frequentes
    • Atendimento
    • Equipe
  • English 
    • português (Brasil)
    • English
    • español
    • português (Brasil)
    • English
    • español
  • Login
View Item 
  •   DSpace Home
  • Escola Paulista de Medicina (EPM)
  • EPM - Artigos
  • View Item
  •   DSpace Home
  • Escola Paulista de Medicina (EPM)
  • EPM - Artigos
  • View Item
JavaScript is disabled for your browser. Some features of this site may not work without it.

Regional differences in the prevalence of diabetic retinopathy: a multi center study in Brazil

Thumbnail
View/Open
WOS000427895500001.pdf (774.5Kb)
Date
2018
Author
Drummond, Karla Rezende Guerra
Malerbi, Fernando Korn [UNIFESP]
Morales, Paulo Henrique [UNIFESP]
Mattos, Tessa Cerqueira Lemos
Pinheiro, Andre Araujo
Mallmann, Felipe
Perez, Ricardo Vessoni
Leal, Franz Schubert Lopes
Melo, Laura Gomes Nunes de
Gomes, Marilia Brito
Type
Artigo
ISSN
1758-5996
Is part of
Diabetology & Metabolic Syndrome
DOI
10.1186/s13098-018-0319-4
Metadata
Show full item record
Abstract
Background: Diabetic retinopathy has a significant impact in every healthcare system. Despite that fact, there are few accurate estimates in the prevalence of DR in Brazil's different geographic regions, particularly proliferative DR and diabetic macular edema. This study aims to determine the prevalence of diabetic retinopathy in Brazil's five continental regions and its determinant factors. Methods: This multi center, cross-sectional, observational study, conducted between August 2011 and December 2014, included patients with type 1 diabetes from the 5 Brazilian geographic regions (South, Southeast, North, Northeast and Midwest). During a clinical visit, a structured questionnaire was applied, blood sampling was collected and each patient underwent mydriatic binocular indirect ophthalmoscopy evaluation. Results: Data was obtained from 1644 patients, aged 30.2 +/- 12 years (56.1% female, 54.4% Caucasian), with a diabetes duration of 15.5 +/- 9.3 years. The prevalence of diabetic retinopathy was 242 (36.1%) in the Southeast, 102 (42.9%) in the South, 183 (29.9%) in the North and Northeast and 54 (41.7%) in the Midwest. Multinomial regression showed no difference in the prevalence of non-proliferative diabetic retinopathy in each geographic region, although, prevalence of proliferative diabetic retinopathy (p = 0.022), and diabetic macular edema (p = 0.003) was higher in the Midwest. Stepwise analyses reviled duration of diabetes, level of HbA1c and hypertension as independent variables. Conclusions: The prevalence of non proliferative diabetic retinopathy in patients with type 1 diabetes was no different between each geographic region of Brazil. The Midwest presented higher prevalence of proliferative diabetic retinopathy and diabetic macular edema. Duration of DM and glycemic control is of central importance to all. Hypertension is another fundamental factor to every region, at special in the South and Southeast. Glycemic control and patients in social and economic vulnerability deserves special attention in the North and Northeast of Brazil.
Citation
Diabetology & Metabolic Syndrome. London, v. 10, p. -, 2018.
Keywords
Diabetic retinopathy
Diabetic macular edema
Risk factors
Sponsorship
Conselho Nacional de Desenvolvimento Cientifico e Tecnologico-CNPq
Fundacao de Amparo a Pesquisa do Estado do Rio de Janeiro-Faperj
URI
https://repositorio.unifesp.br/handle/11600/55820
Collections
  • EPM - Artigos [16302]

DSpace software copyright © 2002-2016  DuraSpace
Contact Us
Theme by 
Atmire NV
 

 

Browse

All of DSpaceCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsBy Submit DateThis CollectionBy Issue DateAuthorsTitlesSubjectsBy Submit Date

My Account

Login

Statistics

View Usage Statistics

DSpace software copyright © 2002-2016  DuraSpace
Contact Us
Theme by 
Atmire NV