Evidence map›Paper›PMID 36314851›Full record

SynthesisThe Journal of international medical research2022

Prevalence of diabetic retinopathy in the Eastern Mediterranean Region: a systematic review and meta-analysis.

Alireza Heiran, Seyede Pegah Azarchehry, Saeid Dehghankhalili, Mehrdad Afarid, Sonia Shaabani, Alireza Mirahmadizadeh

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The Journal of international medical research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 7% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Alireza HeiranNon-communicable Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID 0000-0001-6567-5306
Seyede Pegah AzarchehryDepartment of Biochemistry, Faculty of Biological Sciences, Tarbiat Modares University, Tehran, Iran.ORCID 0000-0003-2348-9163
Saeid DehghankhaliliStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Mehrdad AfaridPoostchi Ophthalmology Research Center, Department of Ophthalmology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID 0000-0001-5894-6163
Sonia ShaabaniAlzahra Cardiovascular Charitable Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID 0000-0003-1882-8183
Alireza MirahmadizadehNon-communicable Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID 0000-0002-2259-4984
Shiraz University of Medical Sciences · IRTarbiat Modares University · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIndividual studies in the Eastern Mediterranean Region (EMR) have shown the high prevalence of diabetic retinopathy. We conducted a meta-analysis to yield an estimate of the prevalence of diabetic (type 1 and 2) retinopathy in the EMR. Additionally, we explored its potential modulators.

methodsTwo-step screening of relevant articles published from 1 January 2000 to 13 December 2019 was carried out. An estimation of summary proportions, subgroup analysis, meta-regression, and publication bias assessment were performed.

resultsOne hundred nine articles were included in the meta-analysis, involving 280,566 patients. The prevalence of diabetic retinopathy was 31% (95% confidence interval [CI] = 28, 33). The highest and lowest diabetic retinopathy prevalence rates were observed in low human development index (HDI) countries (63.6; 95% CI = 52.4, 74.0) and very high HDI countries 22.6 (95% CI = 20.5, 24.7), respectively.

conclusionsThe prevalence of diabetic retinopathy is high in the EMR. Our results provide important information for diverse healthcare surveillance systems in the EMR to implement the modifiable risk factors, diabetes screening to decrease undiagnosed diabetes, early detection of retinopathy, and proper diabetes care to decrease untreated diabetes.

Indexed as

Diabetes Mellitus, Type 2Diabetic RetinopathyHumansMass ScreeningMediterranean RegionPrevalenceRisk Factorsdiabetes complicationdiabetes mellitusdiabetic angiopathydiabetic retinopathyEastern Mediterranean Regionepidemiologymeta-analysisPrevalencesystematic reviewvascular disease

Identifiers

PMID36314851
PMCPMC9629581
OpenAlexW4307884125

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.