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/ http://irep.iium.edu.my/64616/ 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

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spelling	iium-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
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
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/ http://irep.iium.edu.my/64616/ 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
first_indexed	2023-09-18T21:31:42Z
last_indexed	2023-09-18T21:31:42Z
_version_	1777412553868050432

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

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