Epidemiology and risk factors of diabetic retinopathy in upper Egypt: a 3-year prospective study
Objective To determine the prevalence and risk factors of diabetic retinopathy (DR) in adult diabetic patients during 3 years. Patients and methods This is a cross-sectional study that was carried out on the adult diabetic population who attended a large private referral ophthalmology center in Assi...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-05-01
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| Series: | Journal of the Egyptian Ophthalmological Society |
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| Online Access: | https://journals.lww.com/10.4103/ejos.ejos_6_24 |
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| author | Hassan S. Yousef Mohamed E. Ahmed Esam A. G. Abu El Wafa Mohamed A. K. Salih |
| author_facet | Hassan S. Yousef Mohamed E. Ahmed Esam A. G. Abu El Wafa Mohamed A. K. Salih |
| author_sort | Hassan S. Yousef |
| collection | DOAJ |
| description | Objective
To determine the prevalence and risk factors of diabetic retinopathy (DR) in adult diabetic patients during 3 years.
Patients and methods
This is a cross-sectional study that was carried out on the adult diabetic population who attended a large private referral ophthalmology center in Assiut City, Upper Egypt for 3 years. All cases were subjected to full history taking, ophthalmological examination, and dilated fundus examination for evidence of DR, and besides, the associated systemic complications were assessed.
Results
The study included a total of 2178 cases and the prevalence of DR was 18.2%. DR was more prevalent in females than males (67.9% vs. 32.1%). Also, DR was significantly associated with insulin use, moderate and poor control of diabetes mellitus, uncontrolled hypertension (HTN), dyslipidemia, and nephropathy (P<0.01 for all). The risk factors for DR were; older age (adjusted odds ratio (AOR) 1.69; 95% CI =0.91–1.97; P≤0.01), female sex (AOR 1.65; 95% CI =1.21–1.86; P =0.02), smoking (AOR 1.73; 95% CI =1.41–2.11; P =0.02), longer duration of DM (> 15 years) (AOR 2.87; 95% CI =2.48–3.29; P ≤0.01), insulin use (AOR 1.42; 95% CI =0.94–1.65; P=0.03), poor control of DM (AOR 3.98; 95% CI =3.69–5.41; P≤0.01), presence of HTN (AOR 2.62; 95% CI =2.37–2.89; P≤0.01) and dyslipidemia (AOR 1.65; 95% CI =1.42–2.02; P=0.03).
Conclusion
The prevalence of DR in adult diabetic patients was 18.2% and the significant risk factors for DR (arranged descendingly in power) were; poor control of DM, longer duration of DM (> 15 years), presence of HTN, smoking, high age, dyslipidemia, female sex, and insulin use. |
| format | Article |
| id | doaj-art-b4d4e2a524cd40ce890f8f50efd81559 |
| institution | Kabale University |
| issn | 2090-0686 |
| language | English |
| publishDate | 2024-05-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of the Egyptian Ophthalmological Society |
| spelling | doaj-art-b4d4e2a524cd40ce890f8f50efd815592025-01-04T10:27:45ZengWolters Kluwer Medknow PublicationsJournal of the Egyptian Ophthalmological Society2090-06862024-05-01117217818310.4103/ejos.ejos_6_24Epidemiology and risk factors of diabetic retinopathy in upper Egypt: a 3-year prospective studyHassan S. YousefMohamed E. AhmedEsam A. G. Abu El WafaMohamed A. K. SalihObjective To determine the prevalence and risk factors of diabetic retinopathy (DR) in adult diabetic patients during 3 years. Patients and methods This is a cross-sectional study that was carried out on the adult diabetic population who attended a large private referral ophthalmology center in Assiut City, Upper Egypt for 3 years. All cases were subjected to full history taking, ophthalmological examination, and dilated fundus examination for evidence of DR, and besides, the associated systemic complications were assessed. Results The study included a total of 2178 cases and the prevalence of DR was 18.2%. DR was more prevalent in females than males (67.9% vs. 32.1%). Also, DR was significantly associated with insulin use, moderate and poor control of diabetes mellitus, uncontrolled hypertension (HTN), dyslipidemia, and nephropathy (P<0.01 for all). The risk factors for DR were; older age (adjusted odds ratio (AOR) 1.69; 95% CI =0.91–1.97; P≤0.01), female sex (AOR 1.65; 95% CI =1.21–1.86; P =0.02), smoking (AOR 1.73; 95% CI =1.41–2.11; P =0.02), longer duration of DM (> 15 years) (AOR 2.87; 95% CI =2.48–3.29; P ≤0.01), insulin use (AOR 1.42; 95% CI =0.94–1.65; P=0.03), poor control of DM (AOR 3.98; 95% CI =3.69–5.41; P≤0.01), presence of HTN (AOR 2.62; 95% CI =2.37–2.89; P≤0.01) and dyslipidemia (AOR 1.65; 95% CI =1.42–2.02; P=0.03). Conclusion The prevalence of DR in adult diabetic patients was 18.2% and the significant risk factors for DR (arranged descendingly in power) were; poor control of DM, longer duration of DM (> 15 years), presence of HTN, smoking, high age, dyslipidemia, female sex, and insulin use.https://journals.lww.com/10.4103/ejos.ejos_6_24assiutdiabetic retinopathyprevalencerisk factorsupper egypt |
| spellingShingle | Hassan S. Yousef Mohamed E. Ahmed Esam A. G. Abu El Wafa Mohamed A. K. Salih Epidemiology and risk factors of diabetic retinopathy in upper Egypt: a 3-year prospective study Journal of the Egyptian Ophthalmological Society assiut diabetic retinopathy prevalence risk factors upper egypt |
| title | Epidemiology and risk factors of diabetic retinopathy in upper Egypt: a 3-year prospective study |
| title_full | Epidemiology and risk factors of diabetic retinopathy in upper Egypt: a 3-year prospective study |
| title_fullStr | Epidemiology and risk factors of diabetic retinopathy in upper Egypt: a 3-year prospective study |
| title_full_unstemmed | Epidemiology and risk factors of diabetic retinopathy in upper Egypt: a 3-year prospective study |
| title_short | Epidemiology and risk factors of diabetic retinopathy in upper Egypt: a 3-year prospective study |
| title_sort | epidemiology and risk factors of diabetic retinopathy in upper egypt a 3 year prospective study |
| topic | assiut diabetic retinopathy prevalence risk factors upper egypt |
| url | https://journals.lww.com/10.4103/ejos.ejos_6_24 |
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