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Article: Changing prevalence of retinopathy in newly diagnosed non-insulin dependent diabetes mellitus patients in Hong Kong

TitleChanging prevalence of retinopathy in newly diagnosed non-insulin dependent diabetes mellitus patients in Hong Kong
Authors
KeywordsNephropathy
Neuropathy
Non-insulin dependent diabetes mellitus
Prevalence
Retinopathy
Issue Date1998
PublisherElsevier Ireland Ltd. The Journal's web site is located at http://www.elsevier.com/locate/diabres
Citation
Diabetes Research And Clinical Practice, 1998, v. 39 n. 3, p. 185-191 How to Cite?
AbstractIn this retrospective study, the prevalence of chronic microangiopathic complications was determined in 474 Chinese patients with non-insulin dependent diabetes mellitus (NIDDM) who presented within l year of diagnosis to the diabetes clinic from January 1990 to December 1996. Mean age (± S.E.) was 53.6 (± 0.6) years. The overall prevalence of retinopathy was 21.9%. A significant increase was observed from 1990 to 1994 (P < 0.005), with the prevalence being 14.8, 13.0, 24.5, 32.3 and 35.4%, respectively, in consecutive years. A decreasing prevalence was seen from 1994 to 1996 (P < 0.001), being 8.2 and 7.4% in 1995 and 1996, respectively. A total of 95% of patients had nonproliferative retinopathy - proliferative retinopathy was found in 5% only. The overall prevalence of clinical nephropathy (proteinuria > 0.5 g/day) was 3.7%. Clinical neuropathy (increased vibration perception threshold) was found in 12.8% of patients. Patients with retinopathy and neuropathy were older (P < 0.0001 and P < 0.005, respectively) than those without the complications and systolic hypertension was more prevalent in patients with retinopathy (P < 0.05). In conclusion, a high prevalence of diabetic microangiopathic complications, especially of retinopathy, is present in newly diagnosed NIDDM patients in our population. It remains to be determined whether the changing prevalence of retinopathy at diagnosis bears any relationship to the increasing public awareness of diabetes and its complications in Hong Kong in recent years. Examination for chronic microangiopathic complications should be carried out in all newly diagnosed NIDDM patients.
Persistent Identifierhttp://hdl.handle.net/10722/162223
ISSN
2021 Impact Factor: 8.180
2020 SCImago Journal Rankings: 1.605
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorWang, WQen_US
dc.contributor.authorIp, TPen_US
dc.contributor.authorLam, KSLen_US
dc.date.accessioned2012-09-05T05:18:13Z-
dc.date.available2012-09-05T05:18:13Z-
dc.date.issued1998en_US
dc.identifier.citationDiabetes Research And Clinical Practice, 1998, v. 39 n. 3, p. 185-191en_US
dc.identifier.issn0168-8227en_US
dc.identifier.urihttp://hdl.handle.net/10722/162223-
dc.description.abstractIn this retrospective study, the prevalence of chronic microangiopathic complications was determined in 474 Chinese patients with non-insulin dependent diabetes mellitus (NIDDM) who presented within l year of diagnosis to the diabetes clinic from January 1990 to December 1996. Mean age (± S.E.) was 53.6 (± 0.6) years. The overall prevalence of retinopathy was 21.9%. A significant increase was observed from 1990 to 1994 (P < 0.005), with the prevalence being 14.8, 13.0, 24.5, 32.3 and 35.4%, respectively, in consecutive years. A decreasing prevalence was seen from 1994 to 1996 (P < 0.001), being 8.2 and 7.4% in 1995 and 1996, respectively. A total of 95% of patients had nonproliferative retinopathy - proliferative retinopathy was found in 5% only. The overall prevalence of clinical nephropathy (proteinuria > 0.5 g/day) was 3.7%. Clinical neuropathy (increased vibration perception threshold) was found in 12.8% of patients. Patients with retinopathy and neuropathy were older (P < 0.0001 and P < 0.005, respectively) than those without the complications and systolic hypertension was more prevalent in patients with retinopathy (P < 0.05). In conclusion, a high prevalence of diabetic microangiopathic complications, especially of retinopathy, is present in newly diagnosed NIDDM patients in our population. It remains to be determined whether the changing prevalence of retinopathy at diagnosis bears any relationship to the increasing public awareness of diabetes and its complications in Hong Kong in recent years. Examination for chronic microangiopathic complications should be carried out in all newly diagnosed NIDDM patients.en_US
dc.languageengen_US
dc.publisherElsevier Ireland Ltd. The Journal's web site is located at http://www.elsevier.com/locate/diabresen_US
dc.relation.ispartofDiabetes Research and Clinical Practiceen_US
dc.rightsDiabetes Research and Clinical Practice. Copyright © Elsevier Ireland Ltd.-
dc.subjectNephropathy-
dc.subjectNeuropathy-
dc.subjectNon-insulin dependent diabetes mellitus-
dc.subjectPrevalence-
dc.subjectRetinopathy-
dc.subject.meshAsian Continental Ancestry Groupen_US
dc.subject.meshChronic Diseaseen_US
dc.subject.meshDiabetes Mellitus, Type 2 - Epidemiologyen_US
dc.subject.meshDiabetic Angiopathies - Epidemiologyen_US
dc.subject.meshDiabetic Nephropathies - Epidemiologyen_US
dc.subject.meshDiabetic Neuropathies - Epidemiologyen_US
dc.subject.meshDiabetic Retinopathy - Epidemiologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHong Kong - Epidemiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPrevalenceen_US
dc.subject.meshRetrospective Studiesen_US
dc.titleChanging prevalence of retinopathy in newly diagnosed non-insulin dependent diabetes mellitus patients in Hong Kongen_US
dc.typeArticleen_US
dc.identifier.emailLam, KSL:ksllam@hku.hken_US
dc.identifier.authorityLam, KSL=rp00343en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/S0168-8227(98)00002-3en_US
dc.identifier.pmid9649950-
dc.identifier.scopuseid_2-s2.0-0031752303en_US
dc.identifier.hkuros41474-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0031752303&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume39en_US
dc.identifier.issue3en_US
dc.identifier.spage185en_US
dc.identifier.epage191en_US
dc.identifier.isiWOS:000074108000003-
dc.publisher.placeIrelanden_US
dc.identifier.scopusauthoridWang, WQ=24336947000en_US
dc.identifier.scopusauthoridIp, TP=7003866522en_US
dc.identifier.scopusauthoridLam, KSL=8082870600en_US
dc.identifier.issnl0168-8227-

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