Evidence map›Paper›PMID 30089461›Full record

ArticleBMC public health2018

Current epidemiology of diabetic retinopathy in patients with type 1 diabetes: a national multicenter study in Brazil.

Laura Gomes Nunes Melo, Paulo Henrique Morales, Karla Rezende Guerra Drummond, Deborah Conte Santos, Marcela Haas Pizarro, Bianca Senger Vasconcelos Barros, Tessa Cerqueria Lemos Mattos, André Araújo Pinheiro, Felipe Mallmann, Franz Schubert Lopes Leal and 2 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Pooled it
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  8. Attendance at pre-pregnancy care clinics for women with type 1 diabetes: A scoping review.Diabetic medicine : a journal of the British Diabetic Association · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 1 country.

Laura Gomes Nunes MeloDepartment of Ophthalmology, State University of Rio de Janeiro, Avenue Boulevard 28 de Setembro, 77, 4th floor, Rio de Janeiro, CEP 20.551-030, Brazil. lauragnmelo@gmail.com.
Paulo Henrique MoralesDepartment of Ophthalmology, Federal University of São Paulo, São Paulo, Brazil.
Karla Rezende Guerra DrummondDepartment of Ophthalmology, Hospital Federal dos Servidores do Estado, Rio de Janeiro, Brazil.
Deborah Conte SantosDepartment of Internal Medicine, Diabetes Unit, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
Marcela Haas PizarroDepartment of Internal Medicine, Diabetes Unit, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
Bianca Senger Vasconcelos BarrosDepartment of Internal Medicine, Diabetes Unit, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
Tessa Cerqueria Lemos MattosDepartment of Ophthalmology, Centro de Endocrinologia e Diabetes do Estado da Bahia, Salvador, Brazil.
André Araújo PinheiroDepartment of Ophthalmology, Hospital Regional de Taguatinga, Brasília, Brazil.
Felipe MallmannDepartment of Ophthalmology, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Franz Schubert Lopes LealDepartment of Ophthalmology, University of Campinas, Campinas, Brazil.
Fernando Korn MalerbiDepartment of Endocrinology and Ophthalmology, Federal University of São Paulo, São Paulo, Brazil.
Marilia Brito GomesDepartment of Internal Medicine, Diabetes Unit, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
Universidade do Estado do Rio de Janeiro · BRUniversidade Federal de São Paulo · BRHospital Federal dos Servidores do Estado · BRUniversidade Estadual de Campinas (UNICAMP) · BRUniversidade Federal do Rio Grande do Sul · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetic retinopathy is the leading cause of blindness in economically active populations. The aims of this study were to estimate the prevalence and to identify risk factors for diabetic retinopathy in patients with type 1 diabetes in Brazil.

methodsThis was a nationwide, cross-sectional study conducted between August 2010 and August 2014. The study included 1760 patients with type 1 diabetes. Patients underwent a standard questionnaire, clinical and laboratory analyses and were screened for diabetic retinopathy. To analyze the risk factors related to diabetic retinopathy, two models of logistic regression models were performed, one considering vision-threatening cases and the other with any diabetic retinopathy cases as dependent variables. The group with vision-threatening included patients with severe non-proliferative diabetic retinopathy, proliferative diabetic retinopathy and macular edema.

resultsIn total, 1644 patients (mean age, 30.1± 12.0 years; duration of diabetes, 15.3 ± 9.3 years; female, 55.8%) were studied. 35.7% presented diabetic retinopathy and 12% presented vision-threatening diabetic retinopathy. Three risk factors associated with diabetic retinopathy were in common to both groups: longer diabetes duration (OR 1.07; 95% CI, 1.05-1.09), higher levels of HbA1c (OR 1.24; CI, 1.17-1.32) and higher levels of serum uric acid (OR 1.22; CI, 1.13-1.31) (p < 0.001 for all comparisons).

conclusionThe higher rate of vision-threatening retinopathy found in our study highlights the need to improve access to eye care and screening programs for diabetic retinopathy in Brazil. In addition to traditional risk factors, we found an association between serum uric acid levels and diabetic retinopathy. Further studies are needed to address this association.

Indexed as

AdolescentAdultAgedAged, 80 and overBrazilCross-Sectional StudiesDiabetes Mellitus, Type 1Diabetic RetinopathyFemaleHumansLogistic ModelsMaleMiddle AgedPrevalenceRisk FactorsYoung AdultEpidemiologyMicrovascular diseaseRetinopathyRisk factorsType1 diabetesUric acidVision-threatening

Identifiers

PMID30089461
PMCPMC6083618
OpenAlexW2886356666

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.