Prevalence and incidence of diabetic retinopathy in patients with diabetes of Latin America and the Caribbean: A systematic review and meta-analysis

Objectives This systematic review aimed to assess the prevalence and incidence of diabetic retinopathy in patients with diabetes of Latin America and the Caribbean. Methods We searched Web of Science (WoS)/Core Collection, WoS/MEDLINE, WoS/Scielo, Scopus, PubMed/Medline and Embase databases until Ja...

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Autores principales: Medina Ramirez, Sebastian Andre, Soriano Moreno, David, Tuco, Kimberly G., Castro Diaz, Sharong Dayan, Alvarado-Villacorta, Rosa, Pacheco‑Mendoza, Josmel, Yovera-Aldana, Marlon
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Publicado: Public Library of Science 2024
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author Medina Ramirez, Sebastian Andre
Soriano Moreno, David
Tuco, Kimberly G.
Castro Diaz, Sharong Dayan
Alvarado-Villacorta, Rosa
Pacheco‑Mendoza, Josmel
Yovera-Aldana, Marlon
author_browse Alvarado-Villacorta, Rosa
Castro Diaz, Sharong Dayan
Medina Ramirez, Sebastian Andre
Pacheco‑Mendoza, Josmel
Soriano Moreno, David
Tuco, Kimberly G.
Yovera-Aldana, Marlon
author_facet Medina Ramirez, Sebastian Andre
Soriano Moreno, David
Tuco, Kimberly G.
Castro Diaz, Sharong Dayan
Alvarado-Villacorta, Rosa
Pacheco‑Mendoza, Josmel
Yovera-Aldana, Marlon
author_sort Medina Ramirez, Sebastian Andre
collection Producción científica
description Objectives This systematic review aimed to assess the prevalence and incidence of diabetic retinopathy in patients with diabetes of Latin America and the Caribbean. Methods 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). Results 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. Conclusions 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.
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spelling oai:cris.upeu.edu.pe:20.500.15037/29322026-11-02T22:00:04ZPrevalence and incidence of diabetic retinopathy in patients with diabetes of Latin America and the Caribbean: A systematic review and meta-analysisMedina Ramirez, Sebastian AndreSoriano Moreno, DavidTuco, Kimberly G.Castro Diaz, Sharong DayanAlvarado-Villacorta, RosaPacheco‑Mendoza, JosmelYovera-Aldana, MarlonObjectives This systematic review aimed to assess the prevalence and incidence of diabetic retinopathy in patients with diabetes of Latin America and the Caribbean. Methods 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). Results 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. Conclusions 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.Article10.1371/journal.pone.02969982-s2.0-85189292676https://hdl.handle.net/20.500.15037/2932enPLoS ONEPLoS ONE1932-6203Public Library of Science2024-04-042026-06-27T02:34:49Z2026-06-27T02:34:49Z
spellingShingle Medina Ramirez, Sebastian Andre
Soriano Moreno, David
Tuco, Kimberly G.
Castro Diaz, Sharong Dayan
Alvarado-Villacorta, Rosa
Pacheco‑Mendoza, Josmel
Yovera-Aldana, Marlon
Prevalence and incidence of diabetic retinopathy in patients with diabetes of Latin America and the Caribbean: A systematic review and meta-analysis
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://hdl.handle.net/20.500.15037/2932
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