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Prevalence of diabetic retinopathy and vision-threatening diabetic retinopathy in adults with diabetes in China

Author

Listed:
  • Xuhong Hou

    (Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease)

  • Limin Wang

    (Chinese Center for Disease Control and Prevention)

  • Dalong Zhu

    (Drum Tower Hospital Affiliated to Nanjing University Medical School)

  • Lixin Guo

    (Department of Endocrinology, Beijing Hospital)

  • Jianping Weng

    (the First Affiliated Hospital, Division of Life Sciences and Medicine, University of Science and Technology of China)

  • Mei Zhang

    (Chinese Center for Disease Control and Prevention)

  • Zhiguang Zhou

    (Central South University)

  • Dajin Zou

    (Changhai Hospital, Second Military Medical University)

  • Qiuhe Ji

    (Department of Endocrinology, Xijing Hospital)

  • Xiaohui Guo

    (Peking University First Hospital)

  • Qiang Wu

    (Shanghai Jiao Tong University Affiliated Sixth People’s Hospital)

  • Siyu Chen

    (Suzhou Dushu Lake Hospital (Dushu Lake Hospital Affiliated to Soochow University))

  • Rong Yu

    (Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease)

  • Hongli Chen

    (Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease)

  • Zhengjing Huang

    (Chinese Center for Disease Control and Prevention)

  • Xiao Zhang

    (Chinese Center for Disease Control and Prevention)

  • Jiarui Wu

    (University of Chinese Academy of Sciences
    Center for Excellence in Molecular Science, Chinese Academy of Sciences)

  • Jing Wu

    (Chinese Center for Disease Control and Prevention)

  • Weiping Jia

    (Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease)

Abstract

The current epidemic status of diabetic retinopathy in China is unclear. A national prevalence survey of diabetic complications was conducted. 50,564 participants with gradable non-mydriatic fundus photographs were enrolled. The prevalence rates (95% confidence intervals) of diabetic retinopathy and vision-threatening diabetic retinopathy were 16.3% (15.3%–17.2%) and 3.2% (2.9%–3.5%), significantly higher in the northern than in the southern regions. The differences in prevalence between those who had not attained a given metabolic goal and those who had were more pronounced for Hemoglobin A1c than for blood pressure and low-density lipoprotein cholesterol. The participants with vision-threatening diabetic retinopathy had significantly higher proportions of visual impairment and blindness than those with non-vision-threatening diabetic retinopathy. The likelihoods of diabetic retinopathy and vision-threatening diabetic retinopathy were also associated with education levels, household income, and multiple dietary intakes. Here, we show multi-level factors associated with the presence and the severity of diabetic retinopathy.

Suggested Citation

  • Xuhong Hou & Limin Wang & Dalong Zhu & Lixin Guo & Jianping Weng & Mei Zhang & Zhiguang Zhou & Dajin Zou & Qiuhe Ji & Xiaohui Guo & Qiang Wu & Siyu Chen & Rong Yu & Hongli Chen & Zhengjing Huang & Xia, 2023. "Prevalence of diabetic retinopathy and vision-threatening diabetic retinopathy in adults with diabetes in China," Nature Communications, Nature, vol. 14(1), pages 1-11, December.
    • Handle: RePEc:nat:natcom:v:14:y:2023:i:1:d:10.1038_s41467-023-39864-w
    DOI: 10.1038/s41467-023-39864-w
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    References listed on IDEAS

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    1. Ling Dai & Liang Wu & Huating Li & Chun Cai & Qiang Wu & Hongyu Kong & Ruhan Liu & Xiangning Wang & Xuhong Hou & Yuexing Liu & Xiaoxue Long & Yang Wen & Lina Lu & Yaxin Shen & Yan Chen & Dinggang Shen, 2021. "A deep learning system for detecting diabetic retinopathy across the disease spectrum," Nature Communications, Nature, vol. 12(1), pages 1-11, December.
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