The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.
Prevalence, risk factors and awareness of diabetic retinopathy among admitted diabetic patients at a tertiary level hospital in Kathmandu
Open accessAbstract
Introduction: Diabetic retinopathy (DR) is one of the commonest causes of visual impairment and blindness in Nepal. Objectives: The study aims to explore the prevalence, risk factors and awareness of DR among admitted diabetic patients. Materials and methods: A non-interventional case series study was conducted among the inpatient diabetic cases referred for ophthalmic consultation. The patients’ detailed demographics, awareness on DR, concurrent systemic problems, and glycemic control status were recorded. DR was graded using the Early Treatment Diabetic Retinopathy Study Criteria. Main outcome measures: The prevalence, risk factors and awareness of diabetic retinopathy among the study participants was analyzed. Results: A total of 277 diabetic patients were enrolled in the study. The mean age was 62.25 ± 13.26 years. Only one-third (34.6 %) of the cases were admitted for sugar control and newly diagnosed cases comprised of 19.49 %. Nearly half of the cases (46.6 %) were not aware of diabetic retinopathy and dilated fundus evaluation was done for the first time in 44.4 %. DR was found in 38.26 % of the cases and was diagnosed in 13 % of the new cases. Almost four-fifths (78 %) of the diabetics had had the disease for a duration of 16 to 20 years. Clinically significant macular edema was found in 5.78 % and proliferative DR in 2.52 %. DR was significantly associated with the duration of diabetes (P value = 0.001) and concurrent hypertension (P value = 0.004). Conclusion: The prevalence of DR was 38 % among the admitted diabetic cases and the DR was significantly associated with the duration of diabetes and systemic hypertension. Almost half of the cases had been unaware of DR before referral. This emphasizes the importance of the collaboration of the physician and the ophthalmologist for an early DR detection. DOI: http://dx.doi.org/10.3126/nepjoph.v6i1.10760 Nepal J Ophthalmol 2014; 6 (2): 24-30
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“To accommodate different DR screening settings, we simulated at WTP levels ranging from US$ 0 to 30,828, and different prevalences of referable DR (4%, 8%, and 12%) to reflect the global variations.”
From Economic evaluation for medical artificial intelligence: accuracy vs. cost-effectiveness in a diabetic retinopathy screening case (2024) · cites this paper as [57]
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“The 8% prevalence mirrors the real-world scenario within the Lifeline Express Program, while the lower prevalence of 4% was chosen based on data from high-income countries55,56, and the higher prevalence of 12% was based on data from other LMICs57–59.”
From Economic evaluation for medical artificial intelligence: accuracy vs. cost-effectiveness in a diabetic retinopathy screening case (2024) · cites this paper as [57]
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Wild, S., Roglic, G., Green, A., Sicree, R., & King, H. (2004) · Diabetes Care · doi:10.2337/diacare.27.5.1047 · Cited by 15,297
Diabetes in Asia: Epidemiology, Risk Factors, and Pathophysiology
Chan, J. C. N., Malik, V., Jia, W., Kadowaki, T., Yajnik, C. S., Yoon, K.-H., & Hu, F. B. (2009) · JAMA · doi:10.1001/jama.2009.726 · Cited by 1,997
Global Prevalence of Diabetes: Estimates for the Year 2000 and Projections for 2030
Wild, S. H., Roglic, G., Green, A., Sicree, R., & King, H. (2004) · Diabetes Care · doi:10.2337/diacare.27.10.2569-a · Cited by 1,477
The Wisconsin Epidemiologic Study of Diabetic Retinopathy
Klein, R., Klein, B. E. K., Moss, S. E., Davis, M. D., & DeMets, D. L. (1987) · Ophthalmology · doi:10.1016/s0161-6420(87)33525-0 · Cited by 1,249
The Prevalence of Diabetic Retinopathy Among Adults in the United States
(2004) · Archives of Ophthalmology · doi:10.1001/archopht.122.4.552 · Cited by 1,148
The Wisconsin Epidemiologic Study of Diabetic Retinopathy
Klein, R., Klein, B. E. K., Moss, S. E., Davis, M. D., & DeMets, D. L. (1984) · Ophthalmology · doi:10.1016/s0161-6420(84)34102-1 · Cited by 981
Klaver, C. C. W. (1998) · Archives of Ophthalmology · doi:10.1001/archopht.116.5.653 · Cited by 881
Ramachandran, A., Wan Ma, R. C., & Snehalatha, C. (2010) · The Lancet · doi:10.1016/s0140-6736(09)60937-5 · Cited by 782
Photocoagulation for Diabetic Macular Edema
Aiello, L. M., & Ferris, F. L. (1987) · Archives of Ophthalmology · doi:10.1001/archopht.1987.01060090021004 · Cited by 733
Rema, M., Premkumar, S., Anitha, B., Deepa, R., Pradeepa, R., & Mohan, V. (2005) · Investigative Opthalmology & Visual Science · doi:10.1167/iovs.05-0019 · Cited by 520
Research works printed but not linked: 2
- Thapa R et al Diabetic retinopathy at a tertiary level hospital Nepal J Ophthalmol 2014; 6(11):24-30
- Thapa R et al Diabetic retinopathy at a tertiary level hospital Nepal J Ophthalmol 2014; 6(11):24-30
Cited by
Epidemiology of diabetic retinopathy, diabetic macular edema and related vision loss
Lee, R., Wong, T. Y., & Sabanayagam, C. (2015) · Eye and Vision · doi:10.1186/s40662-015-0026-2 · Cited by 1,569
Cavan, D. A., Makaroff, L., Fernandes, J. D. R., Sylvanowicz, M., Ackland, P., Conlon, J., Chaney, D., Malhi, A., & Barratt, J. (2017) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2017.03.023 · Cited by 95
Diabetic Retinopathy in the Asia-Pacific
Chua, J., Lim, C. X. Y., Wong, T. Y., & Sabanayagam, C. (2017) · Asia-Pacific Journal of Ophthalmology · doi:10.22608/apo.2017511 · Cited by 90
Wang, Y., Liu, C., Hu, W., Luo, L., Shi, D., Zhang, J., Yin, Q., Zhang, L., Han, X., & He, M. (2024) · npj Digital Medicine · doi:10.1038/s41746-024-01032-9 · Cited by 76
Açan, D., Çalan, M., Er, D., Arkan, T., Koçak, N., Bayraktar, F., & Kaynak, S. (2018) · BMC Ophthalmology · doi:10.1186/s12886-018-0753-y · Cited by 77
Metadata
- Authors
- Thapa, R., Joshi, D. M., Rizyal, A., Maharjan, N., & Joshi, R. D.
- Affiliations
- Tilganga Institute of Ophthalmology (NP)
- Nepal Medical College Teaching Hospital (NP)
- Venue
- Nepalese Journal of Ophthalmology
- Publisher
- Nepal Journals Online (JOL)
- Published
- 2014-07-16
- Volume
- 6
- Issue
- 1
- Pages
- 24-30
- ISSN
- 2072-6805 (ISSN-L)
- 2091-0320
- OpenAlex
- W2058371572
- Cited by
- 48
- References
- 24
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 5 · 2023: 3 · 2022: 9 · 2021: 10 · 2020: 4 · 2019: 2 · 2018: 2 · 2017: 4 · 2016: 2 · 2015: 3
- FWCI
- 2.83
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- Nepalese Journal of Ophthalmology (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Ophthalmology › Retinal Diseases and Treatments
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Retinal Imaging and Analysis
- Health Sciences › Medicine › Ophthalmology › Retinal and Optic Conditions
- Keywords
- diabetic retinopathy, prevalence, risk factors, disease awareness, diabetes duration, hypertension, glycemic control, diabetic macular edema, proliferative diabetic retinopathy, early detection, Nepal
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