AustralieFrV1, Main, Exploration, bibRecord, 00B008

The prevalence of and factors associated with diabetic retinopathy in the Australian population

Identifieur interne : 00B008 ( Main/Exploration ); précédent : 00B007; suivant : 00B009

The prevalence of and factors associated with diabetic retinopathy in the Australian population

Auteurs : Robyn J. Tapp [Australie] ; Jonathan E. Shaw [Australie] ; C. Alex Harper [Australie] ; Maximilian P. De Courten [Australie] ; Beverley Balkau [France] ; Daniel J. Mccarty [Australie, États-Unis] ; Hugh R. Taylor [Australie] ; Timothy A. Welborn [Australie] ; Paul Z. Zimmet [Australie]

Source :

Diabetes care [ 0149-5992 ] ; 2003.

RBID : Pascal:03-0385558

Descripteurs français

Pascal (Inist)
- Obésité, Diabète non insulinodépendant, Rétinopathie, Complication, Prévalence, Australie, Caractéristiques, Facteur risque, Homme, Analyse statistique, Etat nutritionnel.
Wicri :
- geographic : Australie.
- topic : Homme.

English descriptors

KwdEn :
- Australia, Characteristics, Complication, Human, Non insulin dependent diabetes, Nutritional status, Obesity, Prevalence, Retinopathy, Risk factor, Statistical analysis.

Abstract

OBJECTIVE - To determine the prevalence and factors associated with diabetic retinopathy in the Australian population and to estimate the time difference between disease onset and clinical diagnosis of type 2 diabetes. RESEARCH DESIGN AND METHODS - The Australian Diabetes, Obesity and Life-style study (AusDiab) included 11,247 adults aged ≥25 years in 42 randomly selected areas of Australia. Retinopathy was assessed in participants identified as having diabetes (based on sell-report and oral glucose tolerance test), impaired fasting glucose, and impaired glucose tolerance and in a random sample with normal glucose tolerance. Data were available for 2,177 participants. RESULTS - Overall, 15.3% of those with diabetes had retinopathy The prevalence of retinopathy was 21.9% in those with known type 2 diabetes (KDM) and 6.2% in those newly diagnosed [NDM), The prevalence of proliferative diabetic retinopathy (PDR) was 2.1% in those with KDM No cases of PDR were found in those with NDM. Untreated vision threatening retinopathy (presence of PDR or macular edema) was present in 1.2% (n = 4). Factors associated with retinopathy were duration of diabetes, HbA_1c, and systolic blood pressure. Using linear extrapolation of the prevalence of retinopathy with diabetes duration, the onset of diabetes in this population was approximately the time of diagnosis. CONCLUSIONS - This is one of the first national studies of diabetic retinopathy in a developed country. The prevalence of retinopathy was similar to that in other population-based studies. Vision threatening retinopathy was relatively rare; however, four untreated cases were identified. Regular screening for diabetic retinopathy and more aggressive management of modifiable risk factors could reduce the numbers of people who develop vision-threatening retinopathy.

Affiliations:

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Le document en format XML

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<s2>Perth</s2>
<s3>AUS</s3>
<sZ>8 aut.</sZ>
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<country>Australie</country>
<wicri:noRegion>Perth</wicri:noRegion>
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</author>
<author><name sortKey="Zimmet, Paul Z" sort="Zimmet, Paul Z" uniqKey="Zimmet P" first="Paul Z." last="Zimmet">Paul Z. Zimmet</name>
<affiliation wicri:level="3"><inist:fA14 i1="01"><s1>The International Diabetes Institute</s1>
<s2>Melbourne</s2>
<s3>AUS</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>9 aut.</sZ>
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<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
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<series><title level="j" type="main">Diabetes care</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Australia</term>
<term>Characteristics</term>
<term>Complication</term>
<term>Human</term>
<term>Non insulin dependent diabetes</term>
<term>Nutritional status</term>
<term>Obesity</term>
<term>Prevalence</term>
<term>Retinopathy</term>
<term>Risk factor</term>
<term>Statistical analysis</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Obésité</term>
<term>Diabète non insulinodépendant</term>
<term>Rétinopathie</term>
<term>Complication</term>
<term>Prévalence</term>
<term>Australie</term>
<term>Caractéristiques</term>
<term>Facteur risque</term>
<term>Homme</term>
<term>Analyse statistique</term>
<term>Etat nutritionnel</term>
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<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Australie</term>
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<front><div type="abstract" xml:lang="en">OBJECTIVE - To determine the prevalence and factors associated with diabetic retinopathy in the Australian population and to estimate the time difference between disease onset and clinical diagnosis of type 2 diabetes. RESEARCH DESIGN AND METHODS - The Australian Diabetes, Obesity and Life-style study (AusDiab) included 11,247 adults aged ≥25 years in 42 randomly selected areas of Australia. Retinopathy was assessed in participants identified as having diabetes (based on sell-report and oral glucose tolerance test), impaired fasting glucose, and impaired glucose tolerance and in a random sample with normal glucose tolerance. Data were available for 2,177 participants. RESULTS - Overall, 15.3% of those with diabetes had retinopathy The prevalence of retinopathy was 21.9% in those with known type 2 diabetes (KDM) and 6.2% in those newly diagnosed [NDM), The prevalence of proliferative diabetic retinopathy (PDR) was 2.1% in those with KDM No cases of PDR were found in those with NDM. Untreated vision threatening retinopathy (presence of PDR or macular edema) was present in 1.2% (n = 4). Factors associated with retinopathy were duration of diabetes, HbA<sub>1c</sub>
, and systolic blood pressure. Using linear extrapolation of the prevalence of retinopathy with diabetes duration, the onset of diabetes in this population was approximately the time of diagnosis. CONCLUSIONS - This is one of the first national studies of diabetic retinopathy in a developed country. The prevalence of retinopathy was similar to that in other population-based studies. Vision threatening retinopathy was relatively rare; however, four untreated cases were identified. Regular screening for diabetic retinopathy and more aggressive management of modifiable risk factors could reduce the numbers of people who develop vision-threatening retinopathy.</div>
</front>
</TEI>
<affiliations><list><country><li>Australie</li>
<li>France</li>
<li>États-Unis</li>
</country>
<region><li>Victoria (État)</li>
<li>Wisconsin</li>
</region>
<settlement><li>Melbourne</li>
</settlement>
<orgName><li>Université de Melbourne</li>
</orgName>
</list>
<tree><country name="Australie"><region name="Victoria (État)"><name sortKey="Tapp, Robyn J" sort="Tapp, Robyn J" uniqKey="Tapp R" first="Robyn J." last="Tapp">Robyn J. Tapp</name>
</region>
<name sortKey="De Courten, Maximilian P" sort="De Courten, Maximilian P" uniqKey="De Courten M" first="Maximilian P." last="De Courten">Maximilian P. De Courten</name>
<name sortKey="Harper, C Alex" sort="Harper, C Alex" uniqKey="Harper C" first="C. Alex" last="Harper">C. Alex Harper</name>
<name sortKey="Mccarty, Daniel J" sort="Mccarty, Daniel J" uniqKey="Mccarty D" first="Daniel J." last="Mccarty">Daniel J. Mccarty</name>
<name sortKey="Shaw, Jonathan E" sort="Shaw, Jonathan E" uniqKey="Shaw J" first="Jonathan E." last="Shaw">Jonathan E. Shaw</name>
<name sortKey="Taylor, Hugh R" sort="Taylor, Hugh R" uniqKey="Taylor H" first="Hugh R." last="Taylor">Hugh R. Taylor</name>
<name sortKey="Welborn, Timothy A" sort="Welborn, Timothy A" uniqKey="Welborn T" first="Timothy A." last="Welborn">Timothy A. Welborn</name>
<name sortKey="Zimmet, Paul Z" sort="Zimmet, Paul Z" uniqKey="Zimmet P" first="Paul Z." last="Zimmet">Paul Z. Zimmet</name>
</country>
<country name="France"><noRegion><name sortKey="Balkau, Beverley" sort="Balkau, Beverley" uniqKey="Balkau B" first="Beverley" last="Balkau">Beverley Balkau</name>
</noRegion>
</country>
<country name="États-Unis"><region name="Wisconsin"><name sortKey="Mccarty, Daniel J" sort="Mccarty, Daniel J" uniqKey="Mccarty D" first="Daniel J." last="Mccarty">Daniel J. Mccarty</name>
</region>
</country>
</tree>
</affiliations>
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The prevalence of and factors associated with diabetic retinopathy in the Australian population

The prevalence of and factors associated with diabetic retinopathy in the Australian population

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri