Evidence map›Paper›PMID 41089535›Full record

ArticleHealth science reports2025

Knowledge, Clinical Staging, and Barriers to Early Presentation of Diabetic Retinopathy in a Tertiary Eye Care Centre in Ghana: A Cross-Sectional Study.

Emmanuel Appiagyei, Yaw Akye Essuman, Akwasi Ahmed

Abstract read
In one paragraph

Article in Health science reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

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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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

3 authors.

Emmanuel AppiagyeiEye Department Komfo Anokye Teaching Hospital Kumasi Ghana.ORCID https://orcid.org/0000-0002-7207-6202
Yaw Akye EssumanLions International Eye Centre Korle Bu Teaching Hospital Accra Ghana.ORCID https://orcid.org/0009-0001-0179-4119
Akwasi AhmedEye Department Komfo Anokye Teaching Hospital Kumasi Ghana.ORCID https://orcid.org/0000-0001-9076-209X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Diabetic retinopathy is the most common microvascular complication of diabetes mellitus and a leading cause of new-onset blindness in populations of working age. Late presentation of patients to eye care facilities has been associated with the development of vision-threatening complications. The study sought to determine the clinical profile, knowledge and factors influencing late presentation of diabetic retinopathy among diabetics at the Eye Centre of the Komfo Anokye Teaching Hospital in Ghana. Methods: This descriptive cross-sectional study involved 78 diabetic patients referred to the retina clinic between February 2022 and April 2022. Participants underwent a comprehensive ocular examination, with the more severely affected eye used to determine the stage of DR based on the ETDRS classification. Data on socioeconomic status, knowledge of DR, and reasons for delayed presentation were collected using a structured, interviewer-administered questionnaire. Descriptive and inferential statistics were performed using SPSS version 23. Chi-square tests were used to assess associations, with statistical significance set at Results: Of the 78 participants, 36 (46.2%) were males and 42 (53.8%) females, with a mean age of 49.9 ± 11.4 years. The mean knowledge score on DR was 5.3 ± 3.2 (out of 12). Most participants (65%) were aware that uncontrolled diabetes affects the eyes. Clinical grading showed that 7.7% had mild NPDR, 16.7% moderate NPDR, 10.3% severe NPDR, 19.2% very severe NPDR, 9.0% high-risk PDR, and 37.2% had advanced PDR. The most cited reason for delayed presentation was lack of knowledge about DR (69.2%). Conclusion: The majority of diabetic patients presented with advanced stages of DR, primarily due to limited awareness about the condition. Strengthening public education and routine screening may help reduce late presentations and prevent vision loss.

Indexed as

diabetes mellitusdiabetic retinopathyGhanaknowledgevisual impairment

Identifiers

PMID41089535
PMCPMC12516349

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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.