Increased risk of open-angle glaucoma among patients with diabetes mellitus: a 10-year follow-up nationwide cohort study.
Rim Tyler Hyungtaek, Lee Sang Yeop, Bae Hyoung Won, Seong Gong Je, Kim Sung Soo, Kim Chan Yun
AI Summary
This 10-year study found diabetes significantly increases open-angle glaucoma risk, highlighting the need for increased glaucoma screening and awareness in diabetic patients.
Abstract
Purpose
To evaluate the risk of open-angle glaucoma among patients with diabetes.
Methods
This retrospective propensity score-matched cohort study included patients with diabetes and a matched comparison group from the Korean National Health Insurance Service National Health Screening Cohort, which includes approximately 500 000 adults aged ≥40 years. Nondiabetes group was matched to diabetes group in a 1:1 ratio using a propensity score based on age, sex, comorbidities, antihypertensive medication use and medical care visits. Each group was followed from January 1, 2004 to either the date of developing open-angle glaucoma or the date of last follow-up in 2013.
Results
Incidence of open-angle glaucoma was 20.0/10 000 person-years in diabetes group (n = 58 358) and 17.0/10 000 person-years in nondiabetes group (n = 58 358). Age- and sex- adjusted hazard ratio (HR) was 1.19 (95% confidence interval [CI], 1.09-1.30). In the subgroup analyses, diabetes was associated with an increased risk of open-angle glaucoma in both younger and older age groups (HR = 1.20 for those aged 40-59 years and HR = 1.18 for those aged 60-79 years) and in both sexes (men, HR = 1.13; women, HR = 1.27).
Conclusion
Patients diagnosed with diabetes were more likely to develop open-angle glaucoma compared with patients without diabetes.
MeSH Terms
Shields Classification
Key Concepts5
The incidence of open-angle glaucoma was 20.0/10,000 person-years in patients with diabetes (n = 58,358) and 17.0/10,000 person-years in a matched nondiabetes group (n = 58,358) from the Korean National Health Insurance Service National Health Screening Cohort.
Patients with diabetes had an age- and sex-adjusted hazard ratio (HR) of 1.19 (95% confidence interval [CI], 1.09-1.30) for developing open-angle glaucoma compared to patients without diabetes.
Diabetes was associated with an increased risk of open-angle glaucoma in younger patients aged 40-59 years (HR = 1.20) and older patients aged 60-79 years (HR = 1.18).
Diabetes was associated with an increased risk of open-angle glaucoma in men (HR = 1.13) and women (HR = 1.27).
A retrospective propensity score-matched cohort study included patients with diabetes and a matched comparison group from the Korean National Health Insurance Service National Health Screening Cohort, which includes approximately 500,000 adults aged ≥40 years.
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