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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
biochemistry, genetics and molecular biology
Regular visits to a diabetes clinic were associated with lower magnitude of visual disability and diabetic retinopathy - A hospital-based historical cohort study in Yemen
Diabetes Technology and Therapeutics, Volume 11, No. 1, Year 2009
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Description
Background: We associated regularity in visits to a diabetes clinic with the presence of diabetic retinopathy (DR) and visual disabilities. Methods: This historical cohort study was conducted in 2004. The physician reported details of diabetes mellitus (DM), hypertension, and other illness. The ophthalmologist examined eyes and noted visual acuity, DR, and other ocular morbidities. We calculated the relative risk (RR) of different complications of diabetes. Results: Our cohort consisted of 228 patients (114 in each group, one that attended diabetes clinics regularly [group A] and one that had irregular attendance [group B]). DR was found in 47 (41.2%) and 68 (61.4%) patients, respectively. The risk of DR was significantly higher in group B (RR = 1.51, 95% confidence interval [CI] 1.23 to 2.18). The severity of DR was also positively associated with irregularity in clinic visits (x2 = 33.56, degrees of freedom = 5, P = 0.000003). The risk of bilateral blindness (RR = 4.0, 95% CI 1.38 to 11.6) and low vision disability (RR = 2.53, 95% CI 1.84 to 3.47) were higher in group B. The duration of diabetes and the regularity in clinic visits were the predictors of DR. Conclusions: The presence of DR and visual disabilities among patients with diabetes is associated with irregular attendance at diabetes clinics. The regularity of medical visits seems to be a proxy indicator of better primary prevention of eye complications of DM. © 2009 Mary Ann Liebert, Inc.
Authors & Co-Authors
Bamashmus, Mahfouth Abdalla
Yemen, Sana'a
Sana'a University
Yemen, Sana'a
University of Science and Technology
Gunaid, Abdallah Ahmed
Yemen, Sana'a
Sana'a University
Khandekar, Rajiv B.
Canada, Vancouver
The University of British Columbia
Oman, Muscat
Eye and Ear Health Care Muscat
Statistics
Citations: 49
Authors: 3
Affiliations: 4
Identifiers
Doi:
10.1089/dia.2007.0299
ISSN:
15209156
Research Areas
Disability
Health System And Policy
Noncommunicable Diseases
Study Design
Cohort Study
Study Approach
Quantitative