Evidence map›Paper›PMID 38672083›Full record

ArticleBiomedicines2024

The Association between Diabetic Retinopathy and Macular Degeneration: A Nationwide Population-Based Study.

Hsin-Ting Lin, Cai-Mei Zheng, Cheng-Hung Tsai, Ching-Long Chen, Yu-Ching Chou, Jing-Quan Zheng, Yuh-Feng Lin, Chia-Wei Lin, Yong-Chen Chen, Chien-An Sun and 1 more

Open access · goldAbstract read
In one paragraph

Article in Biomedicines, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 14% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 4 citations in OpenAlex.

  1. Association between diabetic retinopathy and age-related macular degeneration: a systematic review and meta-analysis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
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

11 authors at 4 institutions in 1 country.

Hsin-Ting LinDepartment of Ophthalmology, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan.ORCID 0000-0003-4249-2712
Cai-Mei ZhengDivision of Nephrology, Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan.ORCID 0000-0003-0370-3951
Cheng-Hung TsaiSchool of Public Health, National Defense Medical Center, Taipei 114, Taiwan.
Ching-Long ChenDepartment of Ophthalmology, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan.ORCID 0000-0002-4058-7753
Yu-Ching ChouSchool of Public Health, National Defense Medical Center, Taipei 114, Taiwan.ORCID 0000-0003-4823-6541
Jing-Quan ZhengGraduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan.
Yuh-Feng LinGraduate Institute of Medical Sciences, National Defense Medical Center, Taipei 114, Taiwan.ORCID 0000-0001-7861-5054
Chia-Wei LinDepartment of Urology, Shuang Ho Hospital, Taipei Medical University, New Taipei City 110, Taiwan.
Yong-Chen ChenDepartment of Medicine, College of Medicine, Fu Jen Catholic University, New Taipei City 242, Taiwan.ORCID 0000-0003-1007-3003
Chien-An SunDepartment of Public Health, College of Medicine, Fu Jen Catholic University, New Taipei City 242, Taiwan.ORCID 0000-0001-9041-0537
Jiann-Torng ChenDepartment of Ophthalmology, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan.
Tri-Service General Hospital · TWTaipei Medical University-Shuang Ho Hospital · TWFu Jen Catholic University · TWNational Defense Medical Center · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAge-related macular degeneration (AMD), particularly its exudative form, is a primary cause of vision impairment in older adults. As diabetes becomes increasingly prevalent in aging, it is crucial to explore the potential relationship between diabetic retinopathy (DR) and AMD. This study aimed to assess the risk of developing overall, non-exudative, and exudative AMD in individuals with DR compared to those without retinopathy (non-DR) based on a nationwide population study in Taiwan.

methodsA retrospective cohort study was conducted using the Taiwan National Health Insurance Database (NHIRD) (2000-2013). A total of 3413 patients were placed in the study group (DR) and 13,652 in the control group (non-DR) for analysis. Kaplan-Meier analysis and the Cox proportional hazards model were used to calculate the hazard ratios (HRs) and adjusted hazard ratios (aHRs) for the development of AMD, adjusting for confounding factors, such as age, sex, and comorbid conditions.

resultsKaplan-Meier survival analysis indicated a significantly higher cumulative incidence of AMD in the DR group compared to the non-DR group (log-rank test,

conclusionDR is a significant risk factor for both overall, senile, exudative, and non-exudative AMD, even after adjusting for demographic and comorbid conditions. DR patients tend to have a higher prevalence of vascular comorbidities; however, our findings indicate that the ocular pathologies inherent to DR might have a more significant impact on the progression to AMD. Early detection and appropriate treatment of AMD is critically important among DR patients.

Indexed as

age-related macular degeneration (AMD)diabetes mellitus (DM)diabetic retinopathy (DR)non-diabetic retinopathy (non-DR)Taiwan National Health Insurance Database (NHIRD)

Identifiers

PMID38672083
PMCPMC11047965
OpenAlexW4393140299

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.