Evidence map›Paper›PMID 40302963›Full record

ArticlePediatric diabetes2024

Rates, Risk Factors, and Progression of Diabetic Retinopathy in Children with Type 1 Diabetes: A 15-Year Retrospective Study from a Regional Center in New Zealand.

Thomas Winter, José G B Derraik, Craig A Jefferies, Paul L Hofman, James A D Shand, Geoffrey D Braatvedt, Stuti L Misra

Abstract read
In one paragraph

Article in Pediatric diabetes, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Early Retinal Changes Detected Using Optical Coherence Tomography Angiography in Youth with Type 1 Diabetes Mellitus: A Case-Control Study.Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde · 2026
    Article
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

7 authors.

Thomas WinterDepartment of Ophthalmology New Zealand National Eye Centre Faculty of Medical and Health Sciences University of Auckland, Auckland, New Zealand.
José G B DerraikDepartment of Paediatrics Child and Youth Health Faculty of Medical and Health Sciences University of Auckland, Auckland, New Zealand.ORCID 0000-0003-1226-1956
Craig A JefferiesDepartment of Paediatrics Child and Youth Health Faculty of Medical and Health Sciences University of Auckland, Auckland, New Zealand.ORCID 0000-0002-0541-6094
Paul L HofmanStarship Child Health Health New Zealand, Te Whatu Ora Auckland, Auckland, New Zealand.ORCID 0000-0002-8995-8711
James A D ShandDepartment of Endocrinology Greenlane Clinical Centre Health New Zealand, Te Whatu Ora, Auckland, New Zealand.ORCID 0000-0002-8444-4201
Geoffrey D BraatvedtDepartment of Endocrinology Greenlane Clinical Centre Health New Zealand, Te Whatu Ora, Auckland, New Zealand.ORCID 0000-0002-7540-358X
Stuti L MisraDepartment of Ophthalmology New Zealand National Eye Centre Faculty of Medical and Health Sciences University of Auckland, Auckland, New Zealand.ORCID 0000-0003-3854-2991

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Diabetic retinopathy (DR) is the primary microvascular complication associated with diabetes. Evidence on DR prevalence among children in New Zealand is scarce. We examined DR rates and associated risk factors in youth with type 1 diabetes (T1D) aged <16 years receiving care from a regional diabetes service in January 2006-December 2020. Materials and Methods: DR diagnosis followed the International Society for Pediatric and Adolescent Diabetes guidelines. The study included 646 participants; mean age (±SD) at T1D diagnosis was 7.4 ± 3.6 years, 47% were female, and 69% identified as NZ Europeans. Results: The initial DR screening occurred at a mean age of 12.6 ± 2.4 years and 5.2 ± 2.2 years after T1D diagnosis. At the first DR screen, 23.5% of participants (152/646) were diagnosed with DR: 69.1% (105/152) with minimal, 30.3% (46/152) with mild, and one moderate case (0.7%). Older age at diagnosis ( Conclusions: In this regional cohort of children with T1D, there was a high rate of low-grade DR overall and at first retinal screen, with an increasing rate until transfer to adult services. Our findings underscore the importance of ongoing DR screening, reducing glycaemic levels, and supporting vulnerable high-risk groups.

Indexed as

Diabetes Mellitus, Type 1Diabetic RetinopathyAdolescentChildChild, PreschoolDisease ProgressionFemaleHumansMaleNew ZealandPrevalenceRetrospective StudiesRisk Factors

Identifiers

PMID40302963
PMCPMC12020911

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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.