title: The Relationship between Estimated Glomerular Filtration Rate and Diabetic Retinopathy.
abstract: Diabetic retinopathy (DR) is the leading cause of visual impairment and blindness in working-aged people. Several studies have suggested that glomerular filtration rate (GFR) was correlated with DR. This is a hospital-based study and the aim of it was to examine the relationship between the GFR and DR in patients with type 2 diabetes mellitus (T2DM). We used CKD-EPI equation to estimate GFR and SPSS 19.0 and EmpowerStats software to assess their relationship. Among the 1613 participants (aged 54.75 ± 12.19 years), 550 (34.1%) patients suffered from DR. The multivariate analysis revealed that the risk factors for DR include age (P < 0.001, OR = 0.940), duration of diabetes (P < 0.001, OR = 1.163), hemoglobin A1c (P = 0.007, OR = 1.224), systolic blood pressure (P < 0.001, OR = 1.032), diastolic blood pressure (P = 0.007, OR = 0.953), high density lipoprotein cholesterol (P = 0.024, OR = 3.884), and eGFR (P = 0.010, OR = 0.973). Through stratified analysis and saturation effect analysis, our data suggests that eGFR of 99.4 mL/min or lower might imply the early stage of DR in diabetic patients. Thus, the evaluation of eGFR has clinical significance for the early diagnosis of DR.
authors: Department of Ophthalmology, The First Hospital of China Medical University, Shenyang 110001, China.
authors: Jingyang
authors: J
authors: Wu
authors: Department of Ophthalmology, The First Hospital of China Medical University, Shenyang 110001, China.
authors: Jin
authors: J
authors: Geng
authors: Department of Ophthalmology, The First Hospital of China Medical University, Shenyang 110001, China.
authors: Limin
authors: L
authors: Liu
authors: Key Laboratory of Endocrine Diseases of Liaoning Province, The First Hospital of China Medical University, Shenyang 110001, China.
authors: Weiping
authors: W
authors: Teng
authors: Department of Ophthalmology, The First Hospital of China Medical University, Shenyang 110001, China ; Department of Epidemiology, School of Public Health, China Medical University, Shenyang 110001, China.
authors: Lei
authors: L
authors: Liu
authors: Department of Ophthalmology, The First Hospital of China Medical University, Shenyang 110001, China ; Key Laboratory of Endocrine Diseases of Liaoning Province, The First Hospital of China Medical University, Shenyang 110001, China.
authors: Lei
authors: L
authors: Chen