Prevalence and severity of diabetic retinopathy in patients attending the endocrinology diabetes clinic at Mulago Hospital in Uganda

Magan, Tejal; Pouncey, Anna; Gadhvi, Kunal A; Katta, Mohamed; Posner, Marcus

doi:10.1016/j.diabres.2019.04.024

Cited by 12 publications

(15 citation statements)

References 30 publications

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“…Our finding was in line with the findings of studies conducted in mainland China (12.6%), 20 Zimbabwe (11.40%), 21 and Uganda (14.6). 22 However, our finding was higher than findings reported from population-based studies in Singapore (8.90%) 23 and Zambia (5.5%). 24 This variation could be accountable for the difference in study population characteristics and labeling of STDR.…”

Section: Discussioncontrasting

confidence: 84%

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Sight-threatening Diabetic Retinopathy and Associated Risk Factors Among Adult Diabetes Patients at Debre Tabor General Hospital, Northwest Ethiopia

Mersha¹,

Woredekal²,

Tesfaw³

2020

OPTH

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Section: Discussioncontrasting

confidence: 84%

“…Our finding was in line with the findings of studies conducted in mainland China (12.6%), 20 Zimbabwe (11.40%), 21 and Uganda (14.6). 22 …”

Section: Discussionmentioning

confidence: 99%

Sight-threatening Diabetic Retinopathy and Associated Risk Factors Among Adult Diabetes Patients at Debre Tabor General Hospital, Northwest Ethiopia

Mersha¹,

Woredekal²,

Tesfaw³

2020

OPTH

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“…On the other hand the prevalence figure was higher compared to previous hospital based studies in African Nations such as, Uganda (19%) [40], Zimbabwe (28.40%) [13], Tanzania (27.90%) [41], and Egypt (24.00%), [24]. However, it was lower in contrast to Sudan [20] (82.60%), Zambia [42] (52.00%) and Cameroon [43] (40.30%), The variation may result from the discrepancy in sample size, nature of the study population and methods of screening DR.…”

Section: Discussioncontrasting

confidence: 71%

Prevalence of diabetic retinopathy among diabetic patients in Northwest Ethiopia—A cross sectional hospital based study

2022

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Background Diabetic retinopathy is the most common microvascular complication of diabetes mellitus on eye and it is the leading cause of visual impairment among productive segment of the population. Globally, the prevalence of diabetic retinopathy is reported to be 27%. In Ethiopia, sufficient data is lacking on the prevalence of diabetic retinopathy as well as information on its predisposing factors. The study was required to assess the prevalence of diabetic retinopathy and its predisposing factors in diabetic patients attending at a General Hospital in Ethiopia. Methods An institution based cross sectional study was employed on 331 diabetic patients recruited with a systematic random sampling technique. Data were collected through structured questionnaire, tracing patients’ medical folder and ocular health examination. Data were analyzed with Statistical Package for Social Science Version 20. Logistic regression methods of analysis were used to figure out predisposing factors of diabetic retinopathy. Adjusted odds ratio with 95% confidence interval was used to determine the strength of association. Result A total of 331 diabetic patients completed the study with a response rate of 99.10%. The median duration of diabetes was 5 years. The prevalence of diabetic retinopathy was 34.1% (95%Confidence Interval (CI): 28.7%-39.3%). Low family monthly income (Adjusted Odds Ratio (AOR) = 7.43, 95% CI: 2.44–22.57), longer duration of diabetes (AOR = 1.44, 95% CI: 1.30–1.58), poor glycemic control (AOR = 4.76, 95%CI: 2.26–10.00), and being on insulin treatment alone (AOR = 3.85, 95%CI: 1.16–12.74) were independently associated with diabetic retinopathy. Conclusion and recommendation The prevalence of diabetic retinopathy was 34.1%, higher than national and global figures. Low family monthly income, longer duration of diabetes, poor glucose control and being on insulin treatment alone were important risk factors of diabetic retinopathy. Proper diabetes self management and early screening of diabetic retinopathy in all diabetic patients were recommended.

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“…Association of poor glycemic control with DR was also shown by studies done in other parts of the world. [ 20 27 28 29 30 ] This difference in the findings between our study and other studies may have resulted from the use of HbA1c to assess the level of glycemic control in the studies mentioned.…”

Section: Discussioncontrasting

confidence: 59%

Prevalence of Diabetic Retinopathy and Risk Factors among Diabetic Patients at University of Gondar Tertiary Eye Care and Training Center, North-West Ethiopia

Ejigu

Tsegaw

2021

Middle East African Journal of Ophthalmology

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PURPOSE: Diabetic retinopathy (DR) is one of the most serious complications of diabetes mellitus (DM). It is the most common cause of blindness among the working age group in the developed world and the fifth leading cause of global blindness. In Sub-Saharan Africa, 2.8% of all blindness is caused by DR. Studies addressing the prevalence of DR and associated factors are scarce in Ethiopia. The objective of this study was to determine the Prevalence and associated factors of DR development among DM patients attending University of Gondar, Tertiary Eye Care and Training center. METHODS: A cross-sectional study was carried out from March 2019 to February 2020 involving all consecutive diabetes patients who visited the center during the study period. Data were collected using a semi-structured questionnaire and data extraction check list and entered into SPSS version 20 and analyzed. Univariate and multivariable logistic regression analysis were done to identify predictors of DR. Statistical significance was determined with 95% confidence interval (CI) using odds ratio and P < 0.05. RESULTS: A total of 225 DM patients with a mean age of 55.4 ± 13.5 years were studied, of whom 95 (42.2%) had DR. Duration of diabetes ≥6 years (AOR = 2.91: 95% CI; 1.01–8.35) and baseline age < 60 years (AOR = 3.2: 95% CI; 1.19–8.63) were significantly associated with DR. DR was significantly associated with the form of therapy. Those on insulin (P = 0.025) and oral hypoglycemic agents (OHA) with insulin combination (P = 0.014) had statistically significantly associated with the development of DR. Patients with systolic blood pressure of <140 mmHg were 3.6 times (AOR = 0.28: 95% CI: 0.09–0.82) less likely to have DR. A majority of patients had nonproliferative DR without diabetic macular edema (DME) (34.2%). DME and proliferative DR were seen in 5.7% and 3.6% of the patients, respectively. Vision threatening DR (VTDR) was seen in 10.7% of patients. There was a significant association between age <60 years and VTDR (AOR = 4.19: 95% CI; 1.23–14.35). CONCLUSION: The prevalence of DR among our study patients was very high. Longer duration of diabetes, higher systolic blood pressure, baseline age <60 years, use of insulin alone, and use of combination of insulin with OHA were independently associated with DR. Health education, early screening, and treatment are recommended.

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Prevalence and severity of diabetic retinopathy in patients attending the endocrinology diabetes clinic at Mulago Hospital in Uganda

Cited by 12 publications

References 30 publications

Sight-threatening Diabetic Retinopathy and Associated Risk Factors Among Adult Diabetes Patients at Debre Tabor General Hospital, Northwest Ethiopia

Sight-threatening Diabetic Retinopathy and Associated Risk Factors Among Adult Diabetes Patients at Debre Tabor General Hospital, Northwest Ethiopia

Prevalence of diabetic retinopathy among diabetic patients in Northwest Ethiopia—A cross sectional hospital based study

Prevalence of Diabetic Retinopathy and Risk Factors among Diabetic Patients at University of Gondar Tertiary Eye Care and Training Center, North-West Ethiopia

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