microvascular complications in patients with diabetes type 1 and 2 E14.3
Conditions
Interventions
Group 1: Screening and diagnosing of diabetic retinopathy through a non-mydriatic, digital, fundus camera (Nidek/Oculus AFC 230/210)
Sponsors
Universitätsklinikum Heidelberg, Klinik für Endokrinologie, Stoffwechsel und Klinische Chemie
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: (1) Established diabetes mellitus type 1 or type 2 (2) Person who can understand this study plan enough, and the agreement by the person is possible.
Exclusion criteria
Exclusion criteria: (1) age of under 18 years (2) limited or missing ability to cooperate (3) monocular vision
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome measure was the evaluation of the proportion of diabetic patients meeting the inclusion criteria and referred to DR screening with a non-mydriatic, digital fundus camera (Nidek/Oculus AFC-230/210) from january to june 2013. Data concerning age, duration of diabetes, type of treatment, associated systemic risk factors and history of eye treatment or eye-examinations in the past were collected from each patient. To allow for stable quality, all images were taken and evaluated by the same trained technician throughout the study. The pictures were re-evaluated by an ophtalmologist once in a week. At least one non-dilated fundus photograph of each eye was taken. Prevalence and incidence of diabetic retinopathy was analyzed and progression rates were calculated. | — |
Secondary
| Measure | Time frame |
|---|---|
| Prevalence and incidence of diabetic nephro- and neuropathy were analyzed and the ratio of newly diagnosed to pre-existing complications for all entities was calculated in order to differentiate natural progress from underdiagnosed DRs. Diabetic nephropathy was defined as microalbuminuria of more than 20 mg/l in two of three samples of morning urine obtained within twelve consecutive months. Patients with urinary infections were excluded. Absence or presence of neuropathy was assessed using neuropathy symptom score (NSS), neuropathy disability score (NDS) and Wagner-Armstrong classification. | — |
Countries
Germany
Contacts
Public ContactPia Roser
Universitätsklinikum Heidelberg, Klinik für Endokrinologie, Stoffwechsel und Klinische Chemie
Outcome results
None listed