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The Association of Diabetic Retinopathy and Cardiovascular Disease: A 13-Year Nationwide Population-Based Cohort Study

Author

Listed:
  • Chin-Yuan Hsu

    (Department of Health Policy and Management, Chung Shan Medical University, Taichung 40201, Taiwan
    These authors contributed equally to this article.)

  • Chee-Ming Lee

    (Department of Ophthalmology, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
    School of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
    These authors contributed equally to this article.)

  • Kuan-Yu Chou

    (Department of Ophthalmology, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
    School of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
    These authors contributed equally to this article.)

  • Chia-Yi Lee

    (Department of Ophthalmology, Show Chwan Memorial Hospital, Changhua 50093, Taiwan)

  • Hung-Chi Chen

    (Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou 33305, Taiwan
    Department of Medicine, College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan
    Center for Tissue Engineering, Chang Gung Memorial Hospital, Linkou 33305, Taiwan)

  • Jeng-Yuan Chiou

    (Department of Health Policy and Management, Chung Shan Medical University, Taichung 40201, Taiwan)

  • Min-Yen Hsu

    (Department of Ophthalmology, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
    School of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
    Biotechnology Center, National Chung Hsing University, Taichung 40227, Taiwan)

Abstract

Objectives: Previous studies have demonstrated that patients with diabetic retinopathy (DR) have a higher prevalence of risk factors known to be associated with cardiovascular disease (CVD) . We hypothesized that patients with more severe DR could have a higher relative risk of CVD. Methods: To test this hypothesis, we used the National Health Insurance Research Database (NHIRD) to evaluate whether associations exist between DR and CVD. The data for this nationwide population-based retrospective cohort study were obtained from the NHIRD in Taiwan from 2001 to 2013. The assessed study outcome used was the incidence and other statistical analyses of CVD in patients with DR during a 13-year follow-up period. Results: Our findings obtained from 2001 to 2013 suggest that the incidence rates of CVD are 2.026 times that of diabetes mellitus (DM) without DR (95% C.I. = 1.876–2.187) and 2.75 times that of DM with DR (95% C.I. = 2.487–3.04) compared with the Non-DM group. Conclusion: The relative risk of CVD in DR was greater than that in the Non-DM group for both men and women. Targeted monitoring of DM, especially the co-existence of diabetic retinopathy, is of utmost importance in the clinical care of the DM population.

Suggested Citation

  • Chin-Yuan Hsu & Chee-Ming Lee & Kuan-Yu Chou & Chia-Yi Lee & Hung-Chi Chen & Jeng-Yuan Chiou & Min-Yen Hsu, 2021. "The Association of Diabetic Retinopathy and Cardiovascular Disease: A 13-Year Nationwide Population-Based Cohort Study," IJERPH, MDPI, vol. 18(15), pages 1-13, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:15:p:8106-:d:605561
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