Prevalência e fatores de risco para retinopatia diabética em pacientes diabéticos atendidos por demanda espontânea: um estudo transversal

Galvão, Fernanda Mendonça; Silva, Yael Porto; Resende, Mateus Inácio Lemes de; Barbosa, Frederico Romano; Martins, Thiago Alves; Carneiro, Luciana Barbosa

doi:10.37039/1982.8551.20210006

Cited by 11 publications

(8 citation statements)

References 14 publications

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“…The 43 prevalence studies included 47 585 participants and their characteristics are shown in Table 1 . With respect to scientific production by country, eighteen studies were conducted in Brazil [ 30 , 32 , 33 , 35 – 37 , 39 – 42 , 44 , 50 , 54 , 58 , 59 , 65 – 67 ], twelve in Mexico [ 27 – 29 , 38 , 45 , 47 , 49 , 51 , 55 , 57 , 60 , 64 ], four in Cuba [ 31 , 34 , 43 , 48 ], two in Peru [ 46 , 61 ] two in Chile [ 63 , 69 ], and one in Argentina [ 68 ], Costa Rica [ 62 ], Ecuador [ 56 ], Puerto Rico [ 52 ], and Suriname [ 53 ].…”

Section: Resultsmentioning

confidence: 99%

“…Regarding the populations assessed, in twenty-four studies the participants were assessed in the hospital [ 29 , 32 – 35 , 37 – 41 , 44 – 46 , 49 – 52 , 56 – 58 , 62 , 65 , 67 , 68 ], ten in the community [ 18 , 19 , 21 , 33 , 34 , 38 , 44 , 46 , 50 , 51 ], and nine in primary care [ 31 , 36 , 48 , 54 , 61 , 63 , 64 , 66 , 69 ]. For the type of DM, eight studies assessed T1DM [ 32 , 34 , 35 , 39 , 40 , 44 , 50 , 58 ], eighteen T2DM [ 27 , 33 , 37 , 41 , 42 , 45 , 46 , 48 , 49 , 51 , 54 –…”

Section: Resultsmentioning

confidence: 99%

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Prevalence and incidence of diabetic retinopathy in patients with diabetes of Latin America and the Caribbean: A systematic review and meta-analysis

Medina-Ramirez,

Soriano-Moreno,

Tuco

et al. 2024

PLoS ONE

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Objectives This systematic review aimed to assess the prevalence and incidence of diabetic retinopathy in patients with diabetes of Latin America and the Caribbean. Methods We searched Web of Science (WoS)/Core Collection, WoS/MEDLINE, WoS/Scielo, Scopus, PubMed/Medline and Embase databases until January 16, 2023. We meta-analyzed prevalences according to type 1 diabetes mellitus (T1DM) and type 2 diabetes mellitus (T2DM). Results Forty-three prevalence studies (47 585 participants) and one incidence study (436 participants) were included. The overall prevalence of retinopathy in patients with T1DM was 40.6% (95% CI: 34.7 to 46.6; I2: 92.1%) and in T2DM was 37.3% (95% CI: 31.0 to 43.8; I2: 97.7), but the evidence is very uncertain (very low certainty of evidence). In meta-regression, we found that age (T1DM) and time in diabetes (T2DM) were factors associated with the prevalence. On the other hand, one study found a cumulative incidence of diabetic retinopathy of 39.6% at 9 years of follow-up. Conclusions Two out of five patients with T1DM or T2DM may present diabetic retinopathy in Latin America and the Caribbean, but the evidence is very uncertain. This is a major public health problem, and policies and strategies for early detection and opportunely treatment should be proposed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Prevalence and incidence of diabetic retinopathy in patients with diabetes of Latin America and the Caribbean: A systematic review and meta-analysis

Medina-Ramirez,

Soriano-Moreno,

Tuco

et al. 2024

PLoS ONE

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“…No Módulo 2 (Equipes) das 28 questões selecionadas, apenas 4 mantiveram-se sem alterações ao longo dos ciclos. A maioria das questões (17) tiveram alta compatibilidade e ara 6 questões encontrou-se alterações significativas, mas ainda foi possível compará-las utilizando-se uma aproximação conceitual ou proxy. A pergunta QE16 sobre a oferta ações educativas e de promoção da saúde para prevenção e tratamento de DM foi descontinuada após 2012.…”

Section: Resultsunclassified

“…A realização de exame de fundo de olho pelas equipes continuou baixa, chegando a 32,9% no país em 2017. A literatura aponta que há uma demanda maior que a oferta de serviços de acompanhamento para os pacientes com diabetes, tal como a insuficiente realização de exame de fun-do de olho (40%), com ampla variação regional (Norte 25% -Sudeste 52%), refletindo-se em uma alta prevalência de retinopatia 1,17 . Destacase ainda o baixo ou nenhum conhecimento sobre essa complicação entre os usuários do SUS 18 .…”

Section: Discussionunclassified

Caracterização da atenção ao paciente com diabetes na atenção primária a partir do PMAQ-AB

Muzy

Campos

Emmerick

et al. 2022

Ciênc. saúde coletiva

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Resumo Este artigo tem o objetivo de apresentar uma proposta de compatibilização dos instrumentos utilizados nos três ciclos do PMAQ-AB e analisar as informações de acesso, cobertura, estrutura, organização e oferta de serviços na APS relacionadas ao cuidado para DM no Brasil, segundo regiões, a partir da perspectiva das equipes de saúde da família e dos usuários. Foi realizada uma análise do grau de compatibilidade das questões do PMAQ-AB (2012, 2014 e 2017). Para análise da evolução temporal dos componentes realizou-se teste de diferença de proporção. Calculou-se a diferença percentual entre a perspectiva das Equipes e dos Usuários, por ano analisado, para Brasil. Em geral, houve melhora da qualidade do cuidado e realização de exames, com exceção do pé diabético. Foram encontrados resultados piores para o Norte em relação às demais regiões. Apesar da melhora estrutural e na qualidade da atenção reportada pelas equipes, foram evidenciadas lacunas significativas na qualidade do cuidado ao paciente com DM no SUS. No cenário de investimento escasso e crescente prevalência de DM, os obstáculos tornam-se cada vez mais desafiadores e, por isso, o monitoramento e avaliação da qualidade dos serviços prestados são tarefas precípuas do SUS.

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“…The performance of eye fundus exams by the teams remained low, reaching 32.9% in the country in 2017. The literature indicates that there is a greater demand than the offer of follow-up services for patients with diabetes, such as insufficient performance fundus examination (40%), with wide regional variation (North 25% -Southeast 52%), reflecting a high prevalence of retinopathy 1,17 . It is also noteworthy the low or no knowledge about this complication among SUS users 18 .…”

Section: Discussionmentioning

confidence: 99%

Characterization of primary health care for patients with diabetes based on the PMAQ-AB

Muzy

Campos

Emmerick

et al. 2022

Ciênc. saúde coletiva

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This article aims to present a proposal for making the instruments used in the three cycles of the PMAQ-AB compatible and to analyze the information on access, coverage, structure, organization and provision of services in PHC related to care for DM in Brazil, according to regions, from the perspective of family health professionals and users. We performed an analysis of the degree of compatibility of the PMAQ-AB questions (2012, 2014 and 2017). To analyze the temporal evolution of the components, we performed a proportion difference test. We calculated the percentage difference between the perspective of professionals and users, per year analyzed, for Brazil. In general, there was an improvement in the quality of care and examinations, except for the diabetic foot. Worse results were found for the North region in relation to the other regions. Despite the structural improvement and the quality of care reported by professionals, there are significant gaps in the quality of care for patients with DM in the SUS. In the scenario of scarce investment added to the growing prevalence of DM, obstacles become progressively more challenging. Therefore, monitoring and evaluating the quality of services provided are essential tasks of the Brazilian Health System.

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Prevalência e fatores de risco para retinopatia diabética em pacientes diabéticos atendidos por demanda espontânea: um estudo transversal

Abstract: Prevalência e fatores de risco para retinopatia diabética em pacientes diabéticos atendidos por demanda espontânea: um estudo transversal. Reb Bras Oftalmol. 2021;80(3):e0006.

Cited by 11 publications

References 14 publications

Prevalence and incidence of diabetic retinopathy in patients with diabetes of Latin America and the Caribbean: A systematic review and meta-analysis

Prevalence and incidence of diabetic retinopathy in patients with diabetes of Latin America and the Caribbean: A systematic review and meta-analysis

Caracterização da atenção ao paciente com diabetes na atenção primária a partir do PMAQ-AB

Characterization of primary health care for patients with diabetes based on the PMAQ-AB

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