Risk Factors and Consequences of Lapses in Proliferative Diabetic Retinopathy Care in a National Cohort.

IF 16.6

Diabetes care Pub Date : 2025-09-16 DOI:10.2337/dc25-1202

Serina S Applebaum, Yanhong Deng, Julia J Fu, Michael Kane, Kristen H Nwanyanwu

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引用次数: 0

Abstract

Objective: To identify prevalence, risk factors, and visual outcomes associated with occurrence and duration of lapses in proliferative diabetic retinopathy (PDR) care.

Research design and methods: This was a retrospective national cohort study (2008-2023) of adults with PDR and ≥6 months of follow-up who were participating in the Sight Outcomes Research Collaborative. We used multivariable regressions to assess factors associated with lapse occurrence and duration, and compared post-lapse visual acuity by lapse duration.

Results: Among 15,211 individuals, 71.8% experienced a lapse in care; 14.2% of the lapses lasted >24 months. Lapses were more common among non-Hispanic Black, younger, and individuals with disability, and less common in those with poor vision or prior PDR treatment. Older age and PDR treatment predicted shorter lapses, and residence in distressed areas predicted longer lapses. Visual acuity worsened after lapses, with greater declines after longer lapses.

Conclusions: Prolonged lapses in PDR care are common, disproportionately affect vulnerable groups, and are associated with persistent vision loss.

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国家队列中增殖性糖尿病视网膜病变护理失误的危险因素和后果。

目的：确定增殖性糖尿病视网膜病变（PDR）护理中与发生和持续时间相关的患病率、危险因素和视力结果。研究设计和方法：这是一项回顾性的国家队列研究（2008-2023），受试者为参加视力结局研究合作项目的PDR成人，随访≥6个月。我们使用多变量回归来评估与失效发生和持续时间相关的因素，并通过失效持续时间比较失效后的视力。结果：在15211名患者中，71.8%的人经历过护理失误；14.2%的患者持续10 ~ 24个月。失禁在非西班牙裔黑人、年轻人和残疾人中更为常见，而在视力差或先前接受过PDR治疗的人群中较不常见。年龄较大和PDR治疗预测时间较短，而居住在贫困地区预测时间较长。失忆后视力恶化，失忆时间越长，视力下降越严重。结论：PDR护理的长期疏失是常见的，对弱势群体的影响不成比例，并与持续性视力丧失有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetes care

CiteScore

29.50

自引率

0.00%

发文量