Trends in prevalence rates of blindness among patients with diabetic retinopathy in high-income countries from 1990 to 2019: A joinpoint regression analysis
Diabetic retinopathy (DR) is the leading cause of blindness in patients with diabetes mellitus (DM). We investigated its trends in high-income countries to gain insights into preventing DR-related blindness in diabetes-epidemic areas. For joinpoint regression analysis, we extracted data from the Glo...
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| Veröffentlicht in: | Diabetes research and clinical practice 2023-08, Vol.202, p.110823-110823, Article 110823 |
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| container_title | Diabetes research and clinical practice |
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| creator | Chen, Jianqi Zhu, Yingting Li, Zhidong Zhang, Yuan Ye, Guitong Chen, Kezhe Zhuo, Xiaohua Zhang, Shaochong Lin, Lifeng Zhuo, Yehong |
| description | Diabetic retinopathy (DR) is the leading cause of blindness in patients with diabetes mellitus (DM). We investigated its trends in high-income countries to gain insights into preventing DR-related blindness in diabetes-epidemic areas.
For joinpoint regression analysis, we extracted data from the Global Burden of Disease 2019 study and analysed the prevalence trends of DR-related blindness according to DM type, patients’ sex and age, region, and nation.
Overall, the age-standardised prevalence rate (ASPR) of DR-related blindness has decreased. The prevalence rates of blindness decreased more sharply for Type 1 DM than for Type 2 DM. The ASPR was higher and the decreasing trend was less pronounced in women than in men. Southern Latin America had the highest ASPR, whereas Australasia had the lowest ASPR. Singapore experienced the greatest decline, whereas unfavourable trends were observed in the USA.
Despite decrease in the overall ASPR of DR-related blindness during the study period, large improvement opportunities were identified. As DM prevalence increases and the population ages rapidly in high-income countries, novel effective screening, treatment, and prevention strategies are urgently needed to improve the visual outcomes of individuals with DM or at risk of DM. |
| doi_str_mv | 10.1016/j.diabres.2023.110823 |
| format | Article |
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For joinpoint regression analysis, we extracted data from the Global Burden of Disease 2019 study and analysed the prevalence trends of DR-related blindness according to DM type, patients’ sex and age, region, and nation.
Overall, the age-standardised prevalence rate (ASPR) of DR-related blindness has decreased. The prevalence rates of blindness decreased more sharply for Type 1 DM than for Type 2 DM. The ASPR was higher and the decreasing trend was less pronounced in women than in men. Southern Latin America had the highest ASPR, whereas Australasia had the lowest ASPR. Singapore experienced the greatest decline, whereas unfavourable trends were observed in the USA.
Despite decrease in the overall ASPR of DR-related blindness during the study period, large improvement opportunities were identified. As DM prevalence increases and the population ages rapidly in high-income countries, novel effective screening, treatment, and prevention strategies are urgently needed to improve the visual outcomes of individuals with DM or at risk of DM.</description><identifier>ISSN: 0168-8227</identifier><identifier>EISSN: 1872-8227</identifier><identifier>DOI: 10.1016/j.diabres.2023.110823</identifier><identifier>PMID: 37429361</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Blindness ; Diabetic retinopathy ; Joinpoint regression analysis ; Prevalence</subject><ispartof>Diabetes research and clinical practice, 2023-08, Vol.202, p.110823-110823, Article 110823</ispartof><rights>2023 Elsevier B.V.</rights><rights>Copyright © 2023 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-327d1dc02905813ed432166177ede56cef9b173637d3a962de080d07245b51e53</citedby><cites>FETCH-LOGICAL-c365t-327d1dc02905813ed432166177ede56cef9b173637d3a962de080d07245b51e53</cites><orcidid>0000-0003-3247-7199</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0168822723005867$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37429361$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Jianqi</creatorcontrib><creatorcontrib>Zhu, Yingting</creatorcontrib><creatorcontrib>Li, Zhidong</creatorcontrib><creatorcontrib>Zhang, Yuan</creatorcontrib><creatorcontrib>Ye, Guitong</creatorcontrib><creatorcontrib>Chen, Kezhe</creatorcontrib><creatorcontrib>Zhuo, Xiaohua</creatorcontrib><creatorcontrib>Zhang, Shaochong</creatorcontrib><creatorcontrib>Lin, Lifeng</creatorcontrib><creatorcontrib>Zhuo, Yehong</creatorcontrib><title>Trends in prevalence rates of blindness among patients with diabetic retinopathy in high-income countries from 1990 to 2019: A joinpoint regression analysis</title><title>Diabetes research and clinical practice</title><addtitle>Diabetes Res Clin Pract</addtitle><description>Diabetic retinopathy (DR) is the leading cause of blindness in patients with diabetes mellitus (DM). We investigated its trends in high-income countries to gain insights into preventing DR-related blindness in diabetes-epidemic areas.
For joinpoint regression analysis, we extracted data from the Global Burden of Disease 2019 study and analysed the prevalence trends of DR-related blindness according to DM type, patients’ sex and age, region, and nation.
Overall, the age-standardised prevalence rate (ASPR) of DR-related blindness has decreased. The prevalence rates of blindness decreased more sharply for Type 1 DM than for Type 2 DM. The ASPR was higher and the decreasing trend was less pronounced in women than in men. Southern Latin America had the highest ASPR, whereas Australasia had the lowest ASPR. Singapore experienced the greatest decline, whereas unfavourable trends were observed in the USA.
Despite decrease in the overall ASPR of DR-related blindness during the study period, large improvement opportunities were identified. As DM prevalence increases and the population ages rapidly in high-income countries, novel effective screening, treatment, and prevention strategies are urgently needed to improve the visual outcomes of individuals with DM or at risk of DM.</description><subject>Blindness</subject><subject>Diabetic retinopathy</subject><subject>Joinpoint regression analysis</subject><subject>Prevalence</subject><issn>0168-8227</issn><issn>1872-8227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNqFkc-OFCEQxonRuOPqI2g4eumRP91AezGbja4mm3hZz4SG6hkm3dACs2bexYeV3hm9eqCohK--ouqH0FtKtpRQ8eGwdd4MCfKWEca3lBLF-DO0oUqyRjEmn6NN1amn_Aq9yvlACBG87V6iKy5b1nNBN-j3Q4LgMvYBLwkezQTBAk6mQMZxxMPkgwuQMzZzDDu8mOIhlIx_-bLH6w-geItTjSHWx_1pddr73b7xwcYZsI3HUJKvdmOKM6Z9T3CJmBHaf8Q3-BB9WOop1WNXp8k-BmyCmU7Z59foxWimDG8u9zX68eXzw-3X5v773bfbm_vGctGVhjPpqLOE9aRTlINrOaNCUCnBQScsjP1AJRdcOm56wRwQRRyRrO2GjkLHr9H7s--S4s8j5KJnny1MkwkQj1kz1dadK9XRKu3OUptizglGvSQ_m3TSlOgVjD7oCxi9gtFnMLXu3aXFcZjB_av6S6IKPp0FUAd99JB0tn6F4XwCW7SL_j8t_gBHPaJm</recordid><startdate>20230801</startdate><enddate>20230801</enddate><creator>Chen, Jianqi</creator><creator>Zhu, Yingting</creator><creator>Li, Zhidong</creator><creator>Zhang, Yuan</creator><creator>Ye, Guitong</creator><creator>Chen, Kezhe</creator><creator>Zhuo, Xiaohua</creator><creator>Zhang, Shaochong</creator><creator>Lin, Lifeng</creator><creator>Zhuo, Yehong</creator><general>Elsevier B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3247-7199</orcidid></search><sort><creationdate>20230801</creationdate><title>Trends in prevalence rates of blindness among patients with diabetic retinopathy in high-income countries from 1990 to 2019: A joinpoint regression analysis</title><author>Chen, Jianqi ; Zhu, Yingting ; Li, Zhidong ; Zhang, Yuan ; Ye, Guitong ; Chen, Kezhe ; Zhuo, Xiaohua ; Zhang, Shaochong ; Lin, Lifeng ; Zhuo, Yehong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-327d1dc02905813ed432166177ede56cef9b173637d3a962de080d07245b51e53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Blindness</topic><topic>Diabetic retinopathy</topic><topic>Joinpoint regression analysis</topic><topic>Prevalence</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Jianqi</creatorcontrib><creatorcontrib>Zhu, Yingting</creatorcontrib><creatorcontrib>Li, Zhidong</creatorcontrib><creatorcontrib>Zhang, Yuan</creatorcontrib><creatorcontrib>Ye, Guitong</creatorcontrib><creatorcontrib>Chen, Kezhe</creatorcontrib><creatorcontrib>Zhuo, Xiaohua</creatorcontrib><creatorcontrib>Zhang, Shaochong</creatorcontrib><creatorcontrib>Lin, Lifeng</creatorcontrib><creatorcontrib>Zhuo, Yehong</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Diabetes research and clinical practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Jianqi</au><au>Zhu, Yingting</au><au>Li, Zhidong</au><au>Zhang, Yuan</au><au>Ye, Guitong</au><au>Chen, Kezhe</au><au>Zhuo, Xiaohua</au><au>Zhang, Shaochong</au><au>Lin, Lifeng</au><au>Zhuo, Yehong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trends in prevalence rates of blindness among patients with diabetic retinopathy in high-income countries from 1990 to 2019: A joinpoint regression analysis</atitle><jtitle>Diabetes research and clinical practice</jtitle><addtitle>Diabetes Res Clin Pract</addtitle><date>2023-08-01</date><risdate>2023</risdate><volume>202</volume><spage>110823</spage><epage>110823</epage><pages>110823-110823</pages><artnum>110823</artnum><issn>0168-8227</issn><eissn>1872-8227</eissn><abstract>Diabetic retinopathy (DR) is the leading cause of blindness in patients with diabetes mellitus (DM). We investigated its trends in high-income countries to gain insights into preventing DR-related blindness in diabetes-epidemic areas.
For joinpoint regression analysis, we extracted data from the Global Burden of Disease 2019 study and analysed the prevalence trends of DR-related blindness according to DM type, patients’ sex and age, region, and nation.
Overall, the age-standardised prevalence rate (ASPR) of DR-related blindness has decreased. The prevalence rates of blindness decreased more sharply for Type 1 DM than for Type 2 DM. The ASPR was higher and the decreasing trend was less pronounced in women than in men. Southern Latin America had the highest ASPR, whereas Australasia had the lowest ASPR. Singapore experienced the greatest decline, whereas unfavourable trends were observed in the USA.
Despite decrease in the overall ASPR of DR-related blindness during the study period, large improvement opportunities were identified. As DM prevalence increases and the population ages rapidly in high-income countries, novel effective screening, treatment, and prevention strategies are urgently needed to improve the visual outcomes of individuals with DM or at risk of DM.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>37429361</pmid><doi>10.1016/j.diabres.2023.110823</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0003-3247-7199</orcidid></addata></record> |
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| subjects | Blindness Diabetic retinopathy Joinpoint regression analysis Prevalence |
| title | Trends in prevalence rates of blindness among patients with diabetic retinopathy in high-income countries from 1990 to 2019: A joinpoint regression analysis |
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