Screening for retinopathy in children with type 1 diabetes in Denmark
| العنوان: | Screening for retinopathy in children with type 1 diabetes in Denmark |
|---|---|
| المؤلفون: | Anders Johansen, ohannesen J, adsen M, Camilla Winther Herskin, Jannet Svensson, Kasper Ascanius Pilgaard, Niels H Birkebaek, Siri Fredheim, ristensen K, Per Kjaersgaard, Birthe S. Olsen |
| المصدر: | Herskin, C W, Olsen, B S, Madsen, M, Kjærsgaard-Andersen, P, Fredheim, S, Johansen, A, Kristensen, K, Birkebaek, N H, Svensson, J, Pilgaard, K A & Johannesen, J 2020, ' Screening for retinopathy in children with type 1 diabetes in Denmark ', Pediatric Diabetes, vol. 21, no. 1, pp. 106-111 . https://doi.org/10.1111/pedi.12936Test Herskin, C W, Olsen, B S, Madsen, M, Kjaersgaard, P, Fredheim, S, Johansen, A, Kristensen, K, Birkebaek, N H, Svensson, J, Pilgaard, K A & Johannesen, J 2020, ' Screening for retinopathy in children with type 1 diabetes in Denmark ', Pediatric Diabetes, vol. 21, no. 1, pp. 106-111 . https://doi.org/10.1111/pedi.12936Test |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, Pediatrics, medicine.medical_specialty, Adolescent, Endocrinology, Diabetes and Metabolism, Denmark, Visual impairment, 030209 endocrinology & metabolism, Danish, 03 medical and health sciences, 0302 clinical medicine, children, Diabetes mellitus, retinopathy, Internal Medicine, medicine, Prevalence, Humans, Mass Screening, Clinical significance, 030212 general & internal medicine, Registries, adolescents, Child, Glycemic, Type 1 diabetes, Diabetic Retinopathy, medicine.diagnostic_test, diabetes, business.industry, Fundus photography, Age Factors, Reproducibility of Results, medicine.disease, language.human_language, Diabetes Mellitus, Type 1, Pediatrics, Perinatology and Child Health, language, Female, medicine.symptom, business, Retinopathy |
| الوصف: | BACKGROUND/OBJECTIVE: Children with type 1 diabetes (T1D) are screened regularly for retinopathy with fundus photography to prevent visual impairment. According to Danish national guidelines, screening should take place at age 12, 15, and 18 years after minimum 3 years of diabetes. As glycemic control has improved, prevalence of retinopathy is expected to be decreased. The aim of this study is to investigate the prevalence, degree, and progression of retinopathy in children with T1D and to explore if screening at 12 years is currently indicated in Denmark.METHODS: Data on all Danish children with onset of T1D from 2003 to 2013 (n = 2943) were collected from the "DanDiabKids" registry. For children with registered screenings (n = 2382), prevalence of retinopathy at 12, 15, and 18 years was determined. In children with retinopathy, subsequent screenings were studied to reveal if retinopathy was persistent or temporary.RESULTS: Prevalence of retinopathy at 12, 15, and 18 years was 0.9%, 2.3%, and 3.1%, respectively. Minimal background retinopathy was seen in over 90% and 100% at 12 years. In available re-screenings, retinopathy resolved spontaneously in 87.5% of all cases and 100% of cases at 12 years.CONCLUSIONS: The prevalence of retinopathy in Danish children with T1D was low. At 12 years, prevalence was 0.9% and exclusively minimal background retinopathy with 100% remission in re-screenings. Thus, screening at this age does not seem to have significant clinical relevance. We propose more individualized screening selection before the age of 15. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fc0a07d4b0ea5c563c34f7f9d5e89c08Test https://vbn.aau.dk/da/publications/3cf174fd-76d7-473c-95e9-a276a9e19f84Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....fc0a07d4b0ea5c563c34f7f9d5e89c08 |
| قاعدة البيانات: | OpenAIRE |
| الوصف غير متاح. |