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Published on: January 12, 2024
The Association of Diabetic Retinopathy and Cardiovascular Disease: A 13-Year Nationwide Population-Based Cohort
Chin-Yuan Hsu1, Chee-Ming Lee2,3, Kuan-Yu Chou2,3
1Department of Health Policy and Management, Chung Shan Medical University, Taichung 40201, Taiwan.
Insights
Patients with diabetic retinopathy (DR) face a significantly higher risk of cardiovascular disease (CVD). Early detection and monitoring of DR in diabetes mellitus (DM) patients are crucial for managing CVD risk.
Area of Science:
- Ophthalmology
- Cardiology
- Endocrinology
Background:
- Diabetic retinopathy (DR) is associated with increased cardiovascular disease (CVD) risk factors.
- A hypothesis suggests a higher relative risk of CVD in patients with more severe DR.
Purpose of the Study:
- To investigate the association between DR and CVD.
- To evaluate the incidence and risk of CVD in patients with DR.
Main Methods:
- Utilized the National Health Insurance Research Database (NHIRD) in Taiwan.
- Conducted a nationwide population-based retrospective cohort study from 2001 to 2013.
- Analyzed CVD incidence in patients with DR over a 13-year follow-up period.
Main Results:
- CVD incidence rates were 2.026 times higher in diabetes mellitus (DM) without DR compared to the Non-DM group.
- CVD incidence rates were 2.75 times higher in DM with DR compared to the Non-DM group.
- The relative risk of CVD was elevated in DR patients compared to the Non-DM group for both sexes.
Conclusions:
- DR is linked to a significantly increased risk of CVD.
- Close monitoring of DM patients, particularly those with co-existing DR, is essential for cardiovascular health.
- Clinical care strategies should prioritize managing CVD risk in the DR population.
Objectives:
Previous studies have demonstrated that patients with diabetic retinopathy (DR) have a higher prevalence of risk factors known to be associated with cardiovascular disease (CVD). We hypothesized that patients with more severe DR could have a higher relative risk of CVD.
Methods:
To test this hypothesis, we used the National Health Insurance Research Database (NHIRD) to evaluate whether associations exist between DR and CVD. The data for this nationwide population-based retrospective cohort study were obtained from the NHIRD in Taiwan from 2001 to 2013. The assessed study outcome used was the incidence and other statistical analyses of CVD in patients with DR during a 13-year follow-up period.
Results:
Our findings obtained from 2001 to 2013 suggest that the incidence rates of CVD are 2.026 times that of diabetes mellitus (DM) without DR (95% C.I. = 1.876-2.187) and 2.75 times that of DM with DR (95% C.I. = 2.487-3.04) compared with the Non-DM group.
Conclusion:
The relative risk of CVD in DR was greater than that in the Non-DM group for both men and women. Targeted monitoring of DM, especially the co-existence of diabetic retinopathy, is of utmost importance in the clinical care of the DM population.
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