Prevalence and incidence of diabetic retinopathy in patients with diabetes of Latin America and the Caribbean: A systematic review and meta-analysis.
<h4>Objectives</h4>This systematic review aimed to assess the prevalence and incidence of diabetic retinopathy in patients with diabetes of Latin America and the Caribbean.<h4>Methods</h4>We searched Web of Science (WoS)/Core Collection, WoS/MEDLINE, WoS/Scielo, Scopus, PubMe...
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2024-01-01
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| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0296998&type=printable |
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| author | Sebastian A Medina-Ramirez David R Soriano-Moreno Kimberly G Tuco Sharong D Castro-Diaz Rosa Alvarado-Villacorta Josmel Pacheco-Mendoza Marlon Yovera-Aldana |
| author_facet | Sebastian A Medina-Ramirez David R Soriano-Moreno Kimberly G Tuco Sharong D Castro-Diaz Rosa Alvarado-Villacorta Josmel Pacheco-Mendoza Marlon Yovera-Aldana |
| author_sort | Sebastian A Medina-Ramirez |
| collection | DOAJ |
| description | <h4>Objectives</h4>This systematic review aimed to assess the prevalence and incidence of diabetic retinopathy in patients with diabetes of Latin America and the Caribbean.<h4>Methods</h4>We searched Web of Science (WoS)/Core Collection, WoS/MEDLINE, WoS/Scielo, Scopus, PubMed/Medline and Embase databases until January 16, 2023. We meta-analyzed prevalences according to type 1 diabetes mellitus (T1DM) and type 2 diabetes mellitus (T2DM).<h4>Results</h4>Forty-three prevalence studies (47 585 participants) and one incidence study (436 participants) were included. The overall prevalence of retinopathy in patients with T1DM was 40.6% (95% CI: 34.7 to 46.6; I2: 92.1%) and in T2DM was 37.3% (95% CI: 31.0 to 43.8; I2: 97.7), but the evidence is very uncertain (very low certainty of evidence). In meta-regression, we found that age (T1DM) and time in diabetes (T2DM) were factors associated with the prevalence. On the other hand, one study found a cumulative incidence of diabetic retinopathy of 39.6% at 9 years of follow-up.<h4>Conclusions</h4>Two out of five patients with T1DM or T2DM may present diabetic retinopathy in Latin America and the Caribbean, but the evidence is very uncertain. This is a major public health problem, and policies and strategies for early detection and opportunely treatment should be proposed. |
| first_indexed | 2024-04-24T11:18:35Z |
| format | Article |
| id | doaj.art-d0b4a963138846c3b9fa248eb3e22d83 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-24T11:18:35Z |
| publishDate | 2024-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-d0b4a963138846c3b9fa248eb3e22d832024-04-11T05:32:02ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-01194e029699810.1371/journal.pone.0296998Prevalence and incidence of diabetic retinopathy in patients with diabetes of Latin America and the Caribbean: A systematic review and meta-analysis.Sebastian A Medina-RamirezDavid R Soriano-MorenoKimberly G TucoSharong D Castro-DiazRosa Alvarado-VillacortaJosmel Pacheco-MendozaMarlon Yovera-Aldana<h4>Objectives</h4>This systematic review aimed to assess the prevalence and incidence of diabetic retinopathy in patients with diabetes of Latin America and the Caribbean.<h4>Methods</h4>We searched Web of Science (WoS)/Core Collection, WoS/MEDLINE, WoS/Scielo, Scopus, PubMed/Medline and Embase databases until January 16, 2023. We meta-analyzed prevalences according to type 1 diabetes mellitus (T1DM) and type 2 diabetes mellitus (T2DM).<h4>Results</h4>Forty-three prevalence studies (47 585 participants) and one incidence study (436 participants) were included. The overall prevalence of retinopathy in patients with T1DM was 40.6% (95% CI: 34.7 to 46.6; I2: 92.1%) and in T2DM was 37.3% (95% CI: 31.0 to 43.8; I2: 97.7), but the evidence is very uncertain (very low certainty of evidence). In meta-regression, we found that age (T1DM) and time in diabetes (T2DM) were factors associated with the prevalence. On the other hand, one study found a cumulative incidence of diabetic retinopathy of 39.6% at 9 years of follow-up.<h4>Conclusions</h4>Two out of five patients with T1DM or T2DM may present diabetic retinopathy in Latin America and the Caribbean, but the evidence is very uncertain. This is a major public health problem, and policies and strategies for early detection and opportunely treatment should be proposed.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0296998&type=printable |
| spellingShingle | Sebastian A Medina-Ramirez David R Soriano-Moreno Kimberly G Tuco Sharong D Castro-Diaz Rosa Alvarado-Villacorta Josmel Pacheco-Mendoza Marlon Yovera-Aldana Prevalence and incidence of diabetic retinopathy in patients with diabetes of Latin America and the Caribbean: A systematic review and meta-analysis. PLoS ONE |
| title | Prevalence and incidence of diabetic retinopathy in patients with diabetes of Latin America and the Caribbean: A systematic review and meta-analysis. |
| title_full | Prevalence and incidence of diabetic retinopathy in patients with diabetes of Latin America and the Caribbean: A systematic review and meta-analysis. |
| title_fullStr | Prevalence and incidence of diabetic retinopathy in patients with diabetes of Latin America and the Caribbean: A systematic review and meta-analysis. |
| title_full_unstemmed | Prevalence and incidence of diabetic retinopathy in patients with diabetes of Latin America and the Caribbean: A systematic review and meta-analysis. |
| title_short | Prevalence and incidence of diabetic retinopathy in patients with diabetes of Latin America and the Caribbean: A systematic review and meta-analysis. |
| title_sort | prevalence and incidence of diabetic retinopathy in patients with diabetes of latin america and the caribbean a systematic review and meta analysis |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0296998&type=printable |
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