Document Detail


Epidemiology of diabetic retinopathy: expected vs reported prevalence of cases in the French population.
MedLine Citation:
PMID:  19892578     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM AND METHODS: Impaired eyesight and vision loss due to retinopathy are among the most feared complications in diabetic patients. As the number of diabetic patients is predicted to increase, a corresponding increase in the number of patients with diabetic retinopathy (DR) is also to be expected. This review is an update of the published literature pertaining to the epidemiology of DR. RESULTS: Over the past 20 years, eight population-based studies have been conducted in Western countries using photographic evidence of DR. Their results have consistently suggested that the prevalence of DR is close to 28.7%, whereas proliferative DR and macular oedema account for 9% and 17%, respectively, of all diagnosed cases. Various longitudinal studies indicate an annual incidence of DR of 2-6%. However, in France, the epidemiology of DR has mostly been investigated by observational studies. The recorded prevalence of DR, based on physicians' reports, is estimated to be 10%, suggesting that DR is underdiagnosed in the French diabetic population. The discrepancy between the expected and reported prevalences of DR could be explained by the number of patients whose retinal status is unknown. DR screening with non-mydriatic fundus photography is effective for identifying early and advanced DR. Screening programmes carried out over the past 5 years in different regions of France indicate that 10-20% of diabetic patients with previously unknown retinal status have retinopathy. CONCLUSION: Further implementation of screening programmes is the key to improving DR diagnosis and preventing vision loss in the French diabetic population.
Authors:
C Delcourt; P Massin; M Rosilio
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Diabetes & metabolism     Volume:  35     ISSN:  1878-1780     ISO Abbreviation:  Diabetes Metab.     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-16     Completed Date:  2010-02-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9607599     Medline TA:  Diabetes Metab     Country:  France    
Other Details:
Languages:  eng     Pagination:  431-8     Citation Subset:  IM    
Affiliation:
Inserm, U897, Isped, universit? Victor-Segalen-Bordeaux 2, Bordeaux cedex, France. cecile.delcourt@isped.u-bordeaux2.fr
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MeSH Terms
Descriptor/Qualifier:
Diabetic Retinopathy / epidemiology*
European Continental Ancestry Group
France / epidemiology
Humans
Incidence
Mass Screening
Prevalence

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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