Author:
Chagas Thiago Alves,dos Reis Mateus Augusto,Leivas Gabriel,Santos Lucas Porto,Gossenheimer Agnes Nogueira,Melo Gustavo Barreto,Malerbi Fernando Korn,Schaan Beatriz D.
Abstract
Abstract
Aims
To evaluate the prevalence of diabetic retinopathy (DR) in Brazilian adults with diabetes mellitus via a systematic review with meta-analysis.
Methods
A systematic review using PubMed, EMBASE, and Lilacs was conducted, searching for studies published up to February 2022. Random effect meta-analysis was performed to estimate the DR prevalence.
Results
We included 72 studies (n = 29,527 individuals). Among individuals with diabetes in Brazil, DR prevalence was 36.28% (95% CI 32.66–39.97, I2 98%). Diabetic retinopathy prevalence was highest in patients with longer duration of diabetes and in patients from Southern Brazil.
Conclusion
This review shows a similar prevalence of DR as compared to other low- and middle-income countries. However, the high heterogeneity observed—expected in systematic reviews of prevalence—raises concerns about the interpretation of these results, suggesting the need for multicenter studies with representative samples and standardized methodology.
Publisher
Springer Science and Business Media LLC
Subject
Endocrinology, Diabetes and Metabolism,Internal Medicine
Reference111 articles.
1. American Diabetes Association Professional Practice Committee, Draznin B, Aroda VR, Bakris G, Benson G, Brown FM, Freeman R, Green J, Huang E, Isaacs D, Kahan S, Leon J, Lyons SK, Peters AL, Prahalad P, Reusch JEB, Young-Hyman D. 12. Retinopathy, neuropathy, and foot care: standards of medical care in diabetes-2022, Diabetes Care. 2022. 45:S185–S194. https://doi.org/10.2337/dc22-S012.
2. Teo ZL, Tham Y-C, Yu M, Chee ML, Rim TH, Cheung N, Bikbov MM, Wang YX, Tang Y, Lu Y, Wong IY, Ting DSW, Tan GSW, Jonas JB, Sabanayagam C, Wong TY, Cheng C-Y. Global prevalence of diabetic retinopathy and projection of burden through 2045: systematic review and meta-analysis. Ophthalmology. 2021;128:1580–91. https://doi.org/10.1016/j.ophtha.2021.04.027.
3. Ben ÂJ, de Souza CF, Locatelli F, Rosses APO, Szortika A, de Araujo AL, de Carvalho G, Lavinsky D, Neyeloff JL, Neumann CR. Health-related quality of life associated with diabetic retinopathy in patients at a public primary care service in southern Brazil. Arch Endocrinol Metab. 2020. https://doi.org/10.20945/2359-3997000000223.
4. Melo LGN, Morales PH, Drummond KRG, Santos DC, Pizarro MH, Barros BSV, Mattos TCL, Pinheiro AA, Mallmann F, Leal FSL, Muniz LH, Malerbi FK, Gomes MB. Diabetic retinopathy may indicate an increased risk of cardiovascular disease in patients with type 1 diabetes—a nested case-control study in Brazil. Front Endocrinol. 2019;10:689. https://doi.org/10.3389/fendo.2019.00689.
5. Magliano DJ, Boyko EJ. IDF Diabetes Atlas 10th edition scientific committee, IDF DIABETES ATLAS, International Diabetes Federation, Brussels, 2022. https://www.ncbi.nlm.nih.gov/pubmed/35914061.
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