title: A study of the 3-year incidence of diabetic retinopathy in a French diabetic population seen at Lariboisière Hospital, Paris.
abstract: OBJECTIVE
  This study evaluated the incidence of diabetic retinopathy (DR) over a 3-year period in a French population that was followed by OPHDIAT®, and assessed the clinical and biological risk factors associated with incident retinopathy.
  
  
  METHODS
  The studied patients were screened for DR during hospitalization for their annual diabetes check-up in the endocrinology department by two examinations three years apart. DR screening used the OPHDIAT® telemedical network, and the examination included clinical and biological data.
  
  
  RESULTS
  A total of 254 patients were studied. At the 3-year follow-up, the incidence was 14.0%, (CI: 9.5-18.4%). Longer duration of diabetes and the presence of micro- or macroalbuminuria were significantly associated with incident retinopathy (P<0.05). Other potential risk factors were not statistically significantly related to DR progression, and only treatment with insulin showed a trend towards significance (P<0.20).
  
  
  CONCLUSIONS
  This study provides the first French data on the incidence of DR, which was estimated after a 3-year follow-up at 14.0%. Longer duration of time from the onset of diabetes and higher baseline albuminuria were the only statistically significant risk factors found for the incidence of DR after our 3-year study. Nevertheless, microalbuminuria should be more widely used in ophthalmological practice in the assessment of DR, as is already the case for both blood pressure and HbA(1c).
authors.affiliation: Department of Ophthalmology, University Paris 7, Lariboisière Hospital, AP-HP, 2, rue Ambroise Paré, 75475 Paris cedex, France. julien.perol@yahoo.fr
authors.forename: J
authors.initials: J
authors.lastname: Perol
authors.forename: B
authors.initials: B
authors.lastname: Balkau
authors.forename: P-J
authors.initials: PJ
authors.lastname: Guillausseau
authors.forename: P
authors.initials: P
authors.lastname: Massin
mesh_terms: D000419:Albuminuria / Q000453:epidemiology* / Q000378:metabolism / Q000503:physiopathology; D015331:Cohort Studies; D003930:Diabetic Retinopathy / Q000453:epidemiology* / Q000378:metabolism / Q000503:physiopathology; D018450:Disease Progression; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010297:Paris / Q000453:epidemiology; D012189:Retrospective Studies; D012307:Risk Factors; D017216:Telemedicine; D013997:Time Factors; D044465:White People / Q000706:statistics & numerical data