Evidence mapPaperPMID 39468270Full record

ArticleEye (London, England)2025

Nationwide trends and incidence of blindness in patients with diabetic retinopathy identified using an age-period-cohort analysis.

Ju-Yeun Lee, Kunho Bae, Sangjun Lee, Sue K Park

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Article in Eye (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Ju-Yeun LeeDepartment of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea.
Kunho BaeDepartment of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea.ORCID 0000-0001-7387-1315
Sangjun LeeDepartment of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea.
Sue K ParkDepartment of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea. suepark@snu.ac.kr.ORCID 0000-0001-5002-9707

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo estimate the epidemiologic trends of blindness in patients with diabetic retinopathy (DR) and investigate the age-, period-, and cohort-specific effects on blindness.

methodsA total of 2.5 million patients with DR aged 20 years or older were included from the Korean National Health Claims database from 2005 to 2019. Non-proliferative DR/ proliferative DR (NPDR/PDR) cohorts were constructed separately. Participants were identified as having a blindness in at least one eye. The incidence of blindness were calculated using a log-linear Poisson age-period-cohort (APC) analysis model, each effect on blindness were estimated for each study group.

resultsThe incidence of blindness was 1326.62 per 100,000 in the NPDR group and 3397.57 in the PDR group. The blindness rate sharply decreased after 2011, with annual decreases of 5.6% and 4.4% in the NPDR and the PDR groups, respectively. People born between 1920 and 1930 had the highest overall risk of blindness, with the risk decreasing rapidly after that. For those born after 1980, the risk started to increase in both sexes. Among the APC models, the combination model of age, period, and cohort effects showed the highest explanatory power (0.96).

conclusionsIn this nationwide long-term study, blindness in DR was not due to a single epidemiologic cause but rather a combination of biological age, social determinants, and healthcare policies. The increased risk of blindness in individuals in their 20 s and 30 s may even increase in the future and should not be ignored. Therefore, vigilance of younger patients is recommended.

Indexed as

BlindnessDiabetic RetinopathyAdultAgedAged, 80 and overAge DistributionDatabases, FactualFemaleHumansIncidenceMaleMiddle AgedRepublic of KoreaRetrospective StudiesRisk FactorsSex Distribution

Identifiers

PMID39468270
PMCPMC11732977

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.