論文

査読有り 国際誌
2021年12月29日

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

Journal of Clinical Medicine
  • Masahiko Sugimoto
  • Kohei Sampa
  • Hideyuki Tsukitome
  • Kumiko Kato
  • Hisashi Matsubara
  • Shin Asami
  • Kaori Sekimoto
  • Shigehiko Kitano
  • Shigeo Yoshida
  • Yoshihiro Takamura
  • Takao Hirano
  • Toshinori Murata
  • Miho Shimizu
  • Takamasa Kinoshita
  • Sentaro Kusuhara
  • Osamu Sawada
  • Masahito Ohji
  • Rina Yoshikawa
  • Kazuhiro Kimura
  • Hiroto Ishikawa
  • Fumi Gomi
  • Hiroto Terasaki
  • Mineo Kondo
  • Tomoaki Ikeda
  • 全て表示

11
1
開始ページ
165
終了ページ
165
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.3390/jcm11010165
出版者・発行元
MDPI AG

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.

リンク情報
DOI
https://doi.org/10.3390/jcm11010165
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/35011906
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8745209
URL
https://www.mdpi.com/2077-0383/11/1/165/pdf
ID情報
  • DOI : 10.3390/jcm11010165
  • eISSN : 2077-0383
  • PubMed ID : 35011906
  • PubMed Central 記事ID : PMC8745209

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