https://scholars.lib.ntu.edu.tw/handle/123456789/383533
DC 欄位 | 值 | 語言 |
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dc.contributor.author | Lin, Jen-Chieh | en |
dc.contributor.author | Shau, Wen-Yi | en |
dc.contributor.author | Lai, Mei-Shu | en |
dc.creator | Lin, J.-C. and Shau, W.-Y. and Lai, M.-S. | - |
dc.creator | Lin, Jen-Chieh;Shau, Wen-Yi;Lai, Mei-Shu | en |
dc.creator | 賴美淑 | zh-tw |
dc.date.accessioned | 2018-09-10T14:50:59Z | - |
dc.date.available | 2018-09-10T14:50:59Z | - |
dc.date.issued | 2014 | - |
dc.identifier.uri | http://www.scopus.com/inward/record.url?eid=2-s2.0-84907343734&partnerID=MN8TOARS | - |
dc.identifier.uri | http://scholars.lib.ntu.edu.tw/handle/123456789/383533 | - |
dc.description.abstract | IMPORTANCE The prevalence of diabetic retinopathy (DR) is high in individuals with diabetes mellitus. Published estimates for sight-threatening DR (STDR) prevalence range widely. There is a need for precise contemporary estimates of the prevalence and incidence of STDR for providing optimal strategies of clinical management in Taiwan. OBJECTIVE To determine the precise contemporary estimates of the prevalence and incidence of STDR in patients with type 2 diabetes mellitus in Taiwan. DESIGN, SETTING, AND PARTICIPANTS Datawere collected from a representative database, the Longitudinal Health Insurance Database 2005, from 2005 to 2011, on a total of 2926 incident cases of patients with STDR among 63 582 patients with type 2 diabetes. Sight-threatening DR was defined as clinically significant macular edema, severe non-proliferative DR, or proliferative DR according to the classification of the Early Treatment Diabetic Retinopathy Study research Group. Sex-specific and age-Adjusted incidence and prevalence rates of STDR were analyzed for patients with type 2 diabetes and STDR identified using International Classification of Diseases, Ninth Revision, Clinical Modification codes and procedure codes. MAIN OUTCOMES AND MEASURES Procedure codeswere used to determine the diagnosis of STDR. RESULTS The number of incident cases of STDR increased in line with the increasing diabetic population during 2005-2011. Sex differences in the age-Adjusted incidence rates were observed, showing a declining trend from 10.84 (95%CI, 10.69%-10.99%) to 6.00 (95%CI, 5.86%-6.14%) per 1000 person-years for women (P < .001) contrasting with an increasing trend in men, from 14.86 (95%CI, 14.71%-15.01%) to 21.89 (95%CI, 21.76%-22.02%) per 1000 person-years (P < .001). The age-Adjusted prevalence rates of STDR were in decreasing trends for both sexes, with a mean of 2.75%for women and 2.87%for men. Apart from apparent sex differences in prevalence rates of STDR, increasing trends were observed among younger patients (aged <60 years). CONCLUSIONS AND RELEVANCE We found considerable variation in the incidence trends between sexes. Our findings provide evidence that the incident cases of STDR have increased among patients with type 2 diabetes, but the overall prevalence of STDR is in a declining trend in Taiwan, suggesting that decreased mortality rate, better diabetes management, and early detection of treatable DR might contribute to the prevalence patterns. Copyright 2014 American Medical Association. All rights reserved. | - |
dc.language | en | en |
dc.relation | JAMA Ophthalmol., 132(8), 922-928 | - |
dc.relation.ispartof | JAMA Ophthalmology | en_US |
dc.source | AH | - |
dc.subject.classification | [SDGs]SDG3 | - |
dc.subject.other | adult; age; aged; article; diabetic retinopathy; female; human; incidence; major clinical study; male; non insulin dependent diabetes mellitus; prevalence; priority journal; sex difference; sight threatening diabetic retinopathy; Taiwan; Age Factors; Diabetic Retinopathy; Female; Humans; Incidence; Macular Edema; Male; Prevalence; Sex Characteristics; Taiwan | - |
dc.title | Sex- and age-specific prevalence and incidence rates of sight-threatening diabetic retinopathy in Taiwan | - |
dc.type | journal article | en |
dc.identifier.doi | 10.1001/jamaophthalmol.2014.859 | - |
dc.relation.pages | 922-928 | - |
dc.relation.journalvolume | 132 | - |
dc.relation.journalissue | 8 | - |
item.openairecristype | http://purl.org/coar/resource_type/c_6501 | - |
item.openairetype | journal article | - |
item.grantfulltext | none | - |
item.cerifentitytype | Publications | - |
item.fulltext | no fulltext | - |
顯示於: | 流行病學與預防醫學研究所 |
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