Unterschiede der Prävalenz bei Diabetes und diabetischen Augenkomplikationen zwischen Stadt und Land in Ungarn

Translated title of the contribution: Rural–urban disparities in the prevalence of diabetes and diabetic eye complications in Hungary

Gábor Tóth, Dorottya Szabó, Gábor L. Sándor, Zsuzsanna Szepessy, Árpád Barsi, Zoltán Zsolt Nagy, Hans Limburg, J. Németh

Research output: Contribution to journalArticle

Abstract

Background: To examine the rural–urban differences in the prevalence of diabetes mellitus (DM) and diabetic retinopathy (DR) in the population aged 50 years and older in Hungary. Methods: 105 clusters of 35 people aged 50 years or older were randomly selected. Standardized rapid assessment of avoidable blindness (RAAB) with the diabetic retinopathy module was performed. Participants were classified as diabetic if they had a previous diagnosis of DM or a random blood glucose level ≥200 mg/dl. Each individual with DM who agreed underwent dilated fundus examination and DR grading. Results: The prevalence of DM was higher in rural (21.8%) than in urban (18.6%) areas (p = 0.016). The prevalence of DR did not differ significantly between rural and urban areas in DM cases. Blindness (0.9% vs. 0.1%; p = 0.048) and blindness due to DM (0.3% vs. 0.0%; p = 0.021) in diabetic participants was significantly more common in rural than in urban areas. Diabetic eye screening coverage was significantly lower in rural than in urban areas (p ≤ 0,007). Conclusion: Based on our results and the high rate of blindness and blindness due to DR in rural areas, primary eye care should be improved and a telemedical eye screening program should be undertaken, especially concentrating on rural areas.

Original languageGerman
JournalSpektrum der Augenheilkunde
DOIs
Publication statusPublished - Jan 1 2019

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Hungary
Diabetes Complications
Diabetic Retinopathy
Blindness
Diabetes Mellitus
Blood Glucose
Primary Health Care
Population

Keywords

  • Blindness
  • Diabetes mellitus
  • Diabetic retinopathy
  • Epidemiology
  • Prevention

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Unterschiede der Prävalenz bei Diabetes und diabetischen Augenkomplikationen zwischen Stadt und Land in Ungarn. / Tóth, Gábor; Szabó, Dorottya; Sándor, Gábor L.; Szepessy, Zsuzsanna; Barsi, Árpád; Nagy, Zoltán Zsolt; Limburg, Hans; Németh, J.

In: Spektrum der Augenheilkunde, 01.01.2019.

Research output: Contribution to journalArticle

Tóth, Gábor ; Szabó, Dorottya ; Sándor, Gábor L. ; Szepessy, Zsuzsanna ; Barsi, Árpád ; Nagy, Zoltán Zsolt ; Limburg, Hans ; Németh, J. / Unterschiede der Prävalenz bei Diabetes und diabetischen Augenkomplikationen zwischen Stadt und Land in Ungarn. In: Spektrum der Augenheilkunde. 2019.
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AB - Background: To examine the rural–urban differences in the prevalence of diabetes mellitus (DM) and diabetic retinopathy (DR) in the population aged 50 years and older in Hungary. Methods: 105 clusters of 35 people aged 50 years or older were randomly selected. Standardized rapid assessment of avoidable blindness (RAAB) with the diabetic retinopathy module was performed. Participants were classified as diabetic if they had a previous diagnosis of DM or a random blood glucose level ≥200 mg/dl. Each individual with DM who agreed underwent dilated fundus examination and DR grading. Results: The prevalence of DM was higher in rural (21.8%) than in urban (18.6%) areas (p = 0.016). The prevalence of DR did not differ significantly between rural and urban areas in DM cases. Blindness (0.9% vs. 0.1%; p = 0.048) and blindness due to DM (0.3% vs. 0.0%; p = 0.021) in diabetic participants was significantly more common in rural than in urban areas. Diabetic eye screening coverage was significantly lower in rural than in urban areas (p ≤ 0,007). Conclusion: Based on our results and the high rate of blindness and blindness due to DR in rural areas, primary eye care should be improved and a telemedical eye screening program should be undertaken, especially concentrating on rural areas.

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