Trends in the Prevalence and Progression of Diabetic Retinopathy Associated with Hyperglycemic Disorders during Pregnancy in Japan

被引：5

作者：

Sugimoto, Masahiko ^{[1
]}

Sampa, Kohei ^{[1
]}

Tsukitome, Hideyuki ^{[1
]}

Kato, Kumiko ^{[1
]}

Matsubara, Hisashi ^{[1
]}

Asami, Shin ^{[2
]}

Sekimoto, Kaori ^{[3
]}

Kitano, Shigehiko ^{[3
]}

Yoshida, Shigeo ^{[4
]}

Takamura, Yoshihiro ^{[5
]}

Hirano, Takao ^{[6
]}

Murata, Toshinori ^{[6
]}

Shimizu, Miho ^{[7
]}

Kinoshita, Takamasa ^{[7
]}

Kusuhara, Sentaro ^{[8
]}

Sawada, Osamu ^{[9
]}

Ohji, Masahito ^{[9
]}

Yoshikawa, Rina ^{[10
]}

Kimura, Kazuhiro ^{[10
]}

Ishikawa, Hiroto ^{[11
]}

Gomi, Fumi ^{[11
]}

Terasaki, Hiroto ^{[12
]}

Kondo, Mineo ^{[1
]}

Ikeda, Tomoaki ^{[13
]}

机构：

[1] Mie Univ, Grad Sch Med, Dept Ophthalmol, Tsu, Mie 5148507, Japan

[2] Mie Univ, Fac Med, Grad Sch Med, Tsu, Mie 5148507, Japan

[3] Tokyo Womens Med Univ, Diabet Ctr, Dept Ophthalmol, Tokyo 1628666, Japan

[4] Kurume Univ, Grad Sch Med, Dept Ophthalmol, Kurume, Fukuoka 8300011, Japan

[5] Univ Fukui, Sch Med Sci, Dept Ophthalmol, Yoshida 9101193, Japan

[6] Shinshu Univ, Sch Med, Dept Ophthalmol, Matsumoto, Nagano 3908621, Japan

[7] Sapporo City Gen Hosp, Dept Ophthalmol, Sapporo, Hokkaido 0608604, Japan

[8] Kobe Univ, Grad Sch Med, Dept Surg, Div Ophthalmol, Kobe, Hyogo 6500017, Japan

[9] Shiga Univ Med Sci, Dept Ophthalmol, Otsu, Shiga 5202192, Japan

[10] Yamaguchi Univ, Grad Sch Med, Dept Ophthalmol, Ube, Yamaguchi 7558505, Japan

[11] Hyogo Coll Med, Dept Ophthalmol, Nishinomiya, Hyogo 6638501, Japan

[12] Kagoshima Univ, Grad Sch Med & Dent Sci, Dept Ophthalmol, Kagoshima 8908520, Japan

[13] Mie Univ, Grad Sch Med, Dept Obstet & Gynecol, Tsu, Mie 5148507, Japan

来源：

JOURNAL OF CLINICAL MEDICINE | 2022年 / 11卷 / 01期

基金：

日本学术振兴会;

关键词：

gestational diabetes mellitus; hyperglycemic disorders during pregnancy; overt diabetes mellitus; pre-existing diabetes mellitus; WOMEN; MELLITUS; OUTCOMES; TYPE-1;

D O I：

10.3390/jcm11010165

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The aim of this study was to determine the prevalence and progression of diabetic retinopathy (DR) with hyperglycemic disorders during pregnancy (HDPs) in Japan between 2013 and 2018 using two cohorts. The patients with HDPs were classified as those with pre-existing DM (pexD), gestational DM (GDM), and overt DM (ODM). Cohort 1 was obtained from the health claims database whose diseases were classified by the International Classification of Diseases-10. Cohort 2 was derived from a retrospective, multicenter analysis of the medical records of 225 patients from 10 ophthalmological institutions. In Cohort 1, there were 5268 patients with an HDP prevalence of 8.4%. Among them, 73 of 1139 patients had pexD (6.4%) and 61 of 4129 patients with GDM (1.5%) had DR; the overall prevalence of DR was 2.5%. In Cohort 2, 36 of 225 patients (16.0%) had DR, and 149 patients were followed at the early and late stages of pregnancy. Moreover, 10 of the 102 patients with pexD (9.8%) and two of five patients with ODM (40.0%) had a progression of DR. In conclusion, the prevalence and progression of DR in patients with pexD is lower than previously reported. More attention should be given to pexD and ODM.

引用

页数：10

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