中国东北地区未诊断的糖尿病视网膜病变:患病率和决定因素
Bo Zang1, Shisong Rong2, Dong Li1
1Department of Ophthalmology, Fushun Eye Hospital, Fushun, Liaoning, China.
Frontiers in endocrinology
|December 14, 2023
概括
在中国东北部发现了未诊断的糖尿病视网膜病变 (DR) 的高患病率,特别是在非视力威胁的病例中. 解决诊断障碍对于早期发现和干预DR患者至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 糖尿病视网膜病变 (DR) 是可预防的失明的主要原因.
- 早期发现和管理DR对于预防视力丧失至关重要.
- 了解患病率和导致未诊断的DR的因素对于有针对性的干预措施至关重要.
研究的目的:
- 确定中国东北部人口中未诊断的糖尿病视网膜病变 (DR) 的患病率.
- 确定与未诊断的DR相关的临床和社会人口因素,包括视力威胁的DR (VTDR) 和非VTDR (NVTDR).
主要方法:
- 分析了福顺糖尿病视网膜病变队列研究中的800名受试者.
- 一个问卷评估了DR诊断的激励和障碍.
- 后勤回归确定了与未诊断的DR相关的因素,并对VTDR和NVTDR进行了子组分析.
主要成果:
- 89%的DR患者 (712/800) 没有被诊断出来.
- 未被诊断的NVTDR为94.2% (566/601),而未被诊断的VTDR为73.4% (146/199).
- 未被诊断的VTDR的因素包括年龄较大,糖尿病持续时间较长,视力受损,缺乏提醒和关于DR的误解;没有任何因素与未被诊断的NVTDR有关.
结论:
- 在这个人群中,糖尿病视网膜病变病例的很大一部分仍未被诊断出来.
- 影响视力威胁DR诊断的因素不同于非视力威胁DR.
- 需要针对已确定障碍的干预措施,以改善早期DR检测.
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