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Prevalence of Diabetic Retinopathy (DR) and its associated factors among diabetes patients in Primary Care Clinics, Kuantan, Pahang

Introduction: Diabetic retinopathy (DR) is one of the commonest complications of diabetes mellitus. This study was to determine the prevalence of diabetic retinopathy and its association with chronic kidney disease (CKD), high HbA1c and dyslipidemia among diabetic patients in government primary...

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Main Authors: Md Aris, Mohd Aznan, Mohd. Kamal, Khairidzan, Mohd Rus, Razman, Abdullah, Fa’iza
Format: Article
Language:English
English
Published: International Islamic University Malaysia 2018
Subjects:
R Medicine (General)
RE Ophthalmology
RZ Other systems of medicine
Online Access:http://irep.iium.edu.my/64616/7/64616%20Prevalence%20of%20Diabetic%20Retinopathy.pdf
http://irep.iium.edu.my/64616/13/64616_Prevalence%20of%20Diabetic%20Retinopathy%20%28DR%29_WOS.pdf
http://irep.iium.edu.my/64616/
http://iiumedic.net/imjm/v1/download/volume_17_no_2/Vol17No2-011-016.pdf
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spelling my.iium.irep.646162020-03-04T07:19:37Z http://irep.iium.edu.my/64616/ Prevalence of Diabetic Retinopathy (DR) and its associated factors among diabetes patients in Primary Care Clinics, Kuantan, Pahang Md Aris, Mohd Aznan Mohd. Kamal, Khairidzan Mohd Rus, Razman Abdullah, Fa’iza R Medicine (General) RE Ophthalmology RZ Other systems of medicine Introduction: Diabetic retinopathy (DR) is one of the commonest complications of diabetes mellitus. This study was to determine the prevalence of diabetic retinopathy and its association with chronic kidney disease (CKD), high HbA1c and dyslipidemia among diabetic patients in government primary care clinics. Methods: A cross sectional study was carried out. The respondents were selected from diabetic registry at two government primary care clinics in Kuantan, Pahang via stratified random sampling method during the study period from May 2010 to April 2011. The respondents were interviewed and assessed clinically using a structured questionnaire. Retinal examination was performed by accredited staff using non-mydratic retinal imaging and DR was classified according to the International Clinical Diabetic Retinopathy Disease Severity Scale. Results: Out of 400 respondents, 58.8% diagnosed diabetes less than 5 years and 51.0% had uncontrolled blood pressure (>130/80 mmHg). The prevalence of diabetic retinopathy and maculopathy were 33.5% and of 17.8% respectively. Most of these patients (22.3%) had mild non-proliferative diabetic retinopathy. DR-patients had higher percentages of chronic kidneys disease (17.9% vs. 6.8%; p<0.001) and a higher mean of HbA1C (8.69 vs. 8.11; p=0.015)compared to non-DR patients. The study revealed that DR was independently associated with chronic kidney disease {OR: 3.46, 95% CI (1.76, 6.80)} and high HbA1c {OR: 1.12, 95% CI (1.02, 1.23)}. Those with dyslipidemia however, has 39% less risk of diabetic retinopathy {OR: 0.61, 95% CI (0.39, 0.94)}. Conclusion: This study shows that diabetic patients with CKD and high HbA1c have greater risks to develop diabetic retinopathy but has protective risk with dyslipidemia. International Islamic University Malaysia 2018-08 Article PeerReviewed application/pdf en http://irep.iium.edu.my/64616/7/64616%20Prevalence%20of%20Diabetic%20Retinopathy.pdf application/pdf en http://irep.iium.edu.my/64616/13/64616_Prevalence%20of%20Diabetic%20Retinopathy%20%28DR%29_WOS.pdf Md Aris, Mohd Aznan and Mohd. Kamal, Khairidzan and Mohd Rus, Razman and Abdullah, Fa’iza (2018) Prevalence of Diabetic Retinopathy (DR) and its associated factors among diabetes patients in Primary Care Clinics, Kuantan, Pahang. International Medical Journal of Malaysia (IMJM), 17 (2). pp. 11-16. ISSN 1823-4631 http://iiumedic.net/imjm/v1/download/volume_17_no_2/Vol17No2-011-016.pdf
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
English
topic R Medicine (General)
RE Ophthalmology
RZ Other systems of medicine
spellingShingle R Medicine (General)
RE Ophthalmology
RZ Other systems of medicine
Md Aris, Mohd Aznan
Mohd. Kamal, Khairidzan
Mohd Rus, Razman
Abdullah, Fa’iza
Prevalence of Diabetic Retinopathy (DR) and its associated factors among diabetes patients in Primary Care Clinics, Kuantan, Pahang
description Introduction: Diabetic retinopathy (DR) is one of the commonest complications of diabetes mellitus. This study was to determine the prevalence of diabetic retinopathy and its association with chronic kidney disease (CKD), high HbA1c and dyslipidemia among diabetic patients in government primary care clinics. Methods: A cross sectional study was carried out. The respondents were selected from diabetic registry at two government primary care clinics in Kuantan, Pahang via stratified random sampling method during the study period from May 2010 to April 2011. The respondents were interviewed and assessed clinically using a structured questionnaire. Retinal examination was performed by accredited staff using non-mydratic retinal imaging and DR was classified according to the International Clinical Diabetic Retinopathy Disease Severity Scale. Results: Out of 400 respondents, 58.8% diagnosed diabetes less than 5 years and 51.0% had uncontrolled blood pressure (>130/80 mmHg). The prevalence of diabetic retinopathy and maculopathy were 33.5% and of 17.8% respectively. Most of these patients (22.3%) had mild non-proliferative diabetic retinopathy. DR-patients had higher percentages of chronic kidneys disease (17.9% vs. 6.8%; p<0.001) and a higher mean of HbA1C (8.69 vs. 8.11; p=0.015)compared to non-DR patients. The study revealed that DR was independently associated with chronic kidney disease {OR: 3.46, 95% CI (1.76, 6.80)} and high HbA1c {OR: 1.12, 95% CI (1.02, 1.23)}. Those with dyslipidemia however, has 39% less risk of diabetic retinopathy {OR: 0.61, 95% CI (0.39, 0.94)}. Conclusion: This study shows that diabetic patients with CKD and high HbA1c have greater risks to develop diabetic retinopathy but has protective risk with dyslipidemia.
format Article
author Md Aris, Mohd Aznan
Mohd. Kamal, Khairidzan
Mohd Rus, Razman
Abdullah, Fa’iza
author_facet Md Aris, Mohd Aznan
Mohd. Kamal, Khairidzan
Mohd Rus, Razman
Abdullah, Fa’iza
author_sort Md Aris, Mohd Aznan
title Prevalence of Diabetic Retinopathy (DR) and its associated factors among diabetes patients in Primary Care Clinics, Kuantan, Pahang
title_short Prevalence of Diabetic Retinopathy (DR) and its associated factors among diabetes patients in Primary Care Clinics, Kuantan, Pahang
title_full Prevalence of Diabetic Retinopathy (DR) and its associated factors among diabetes patients in Primary Care Clinics, Kuantan, Pahang
title_fullStr Prevalence of Diabetic Retinopathy (DR) and its associated factors among diabetes patients in Primary Care Clinics, Kuantan, Pahang
title_full_unstemmed Prevalence of Diabetic Retinopathy (DR) and its associated factors among diabetes patients in Primary Care Clinics, Kuantan, Pahang
title_sort prevalence of diabetic retinopathy (dr) and its associated factors among diabetes patients in primary care clinics, kuantan, pahang
publisher International Islamic University Malaysia
publishDate 2018
url http://irep.iium.edu.my/64616/7/64616%20Prevalence%20of%20Diabetic%20Retinopathy.pdf
http://irep.iium.edu.my/64616/13/64616_Prevalence%20of%20Diabetic%20Retinopathy%20%28DR%29_WOS.pdf
http://irep.iium.edu.my/64616/
http://iiumedic.net/imjm/v1/download/volume_17_no_2/Vol17No2-011-016.pdf
_version_ 1662753708096618496
score 13.211869

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