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Table 1 Reported prevalence of diabetic retinopathy

From: Prevalence of vascular complications and factors predictive of their development in young adults with type 1 diabetes: systematic literature review

Author(s); country of origin

Number of centres

Age, mean (SD) yrs.; sample size

Any DR

Non-proliferative DR

Proliferative or treated DR

Predictors

Arfken et al. 1998; U.S.A.[31]

Not provided

19.0 (11.0) (White); n 215 (n 312 TS)

  

10.2%

Moderate/severe DR (proliferative DR)

OR 12.40 (* 5.31 - 28.98)

Moderate/severe DR in White participants (proliferative DR)

OR 16.55 (* 5.43 - 50.45)

HbA1c (2% change) (proliferative DR)

OR 1.92 (* 1.36 - 2.70)

HbA1c (2% change) in White participants (proliferative DR)

OR 2.17 (* 1.34 - 3.50)

Broe et al. 2014; Denmark[32]

Not provided

21.0 (3.3) (In 1995 study), 20.2 (3.2) (Not in 1995 study); n 185 (In 1995 study), n 139 (Not in 1995 study) (n 324 TS)

 

In 1995 study: 61.2%

In 1995 study: 0.5%

 

Not in 1995 study: 51.8%

Not in 1995 study: 0.7%

James et al. 2014; Australia[34]

Not provided

23.0 (3.7); n 95 (2010), n 85 (2011) (n 707 TS)

2010: 13.7% 2011: 9.4%

   

LeCaire et al. 2006; U.S.A.[36]

Not provided

9 yrs.: 18.8 (7.2) (DR -), 21.1 (6.4) (DR +); n 290 (n 474 TS)

9 yrs.: 47%

9 yrs.: 33% (Min); 11% (M); 2% (Mod - Sev)

9 yrs.: 0.3%

Age at examination (per year) (DR)

< 20 years Hazard ratio 1.2 (* 1.1 - 1.3)

≥ 20 years Hazard ratio 1.0 (* 1.0 - 1.0)

Diabetes duration at examination

versus 4 years (DR)

7 years Hazard ratio 1.6 (* 0.8 - 3.3)

9 years Hazard ratio 4.1 (* 2.2 - 7.6)

14 years Hazard ratio 7.9 (* 3.5 - 17.5)

Non -White-race (versus White race)

Hazard ratio 1.6 (* 0.8 - 3.0)

HbA1c (per 1%) by diabetes duration (DR)

4 years Hazard ratio 1.1 (* 1.0 - 1.3)

7 years Hazard ratio 1.4 (* 1.3 - 1.6)

9 years Hazard ratio 1.4 (* 1.2 - 1.6)

14 years Hazard ratio 1.2 (* 1.0 - 1.6)

Male sex (DR)

Hazard ratio 1.3 (* 1.0 - 1.7)

Olsen et al. 1999; Denmark[37]

19 and five^

Median 21.1 (range 12.0 - 26.9); n 205 > 20 yrs. (n 339 TS)

 

48.9% (Min) 20% (Mod plus)

  

Olsen et al. 2004; Denmark[38]

19 and six^

20.4 (3.2) (Prepubertal diabetes onset), 24.2 (1.3) (Pubertal/post-pubertal diabetes onset); n 304 (Prepubertal diabetes onset), n 49 (Pubertal/post-pubertal diabetes onset ) (n 353 TS)

57.6%

  

HbA1c (DR); p < 0.0001

Diabetes duration

before puberty (DR); p < 0.05

after the onset of puberty (DR); p < 0.001

Salardi et al. 2012; Italy[40]

n 11

Very young pre-pubertal onset 22.0 (4.5); n 53 (n 105 TS)

40% Diabetes duration - < 20 yrs.: 27% > 20 yrs.: 88%

30% (M); 10% (Mod - Sev)

  
  1. (DR) Diabetic retinopathy (M) Mild (Min) Minimal (Mod) Moderate (n) Number (OR) Odds ratio (Sev) Severe (SD) Standard deviation.
  2. (TS) Total sample (*) 95% Confidence interval (^) 19 paediatric departments and five/six departments of internal medicine.