+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Prevalence of diabetic retinopathy. Check-up program of a public health insurance company in Germany 2002-2004



Prevalence of diabetic retinopathy. Check-up program of a public health insurance company in Germany 2002-2004



Der Ophthalmologe 104(6): 499-500, 502-4



Population based studies have reported a prevalence of diabetic retinopathy (DR) at the time of diagnosis in up to 30% of the patients. In the context of a general diabetes check-up program (so called "Diabetes-TUV"), the prevalence of diabetic retinopathy in Germany was examined in all diabetes patients insured in a public health insurance company. Patients were screened in the offices of 181 ophthalmologists according to a standardized protocol formulated by Prof. Kroll, Marburg. A total of 6,500 sheets were analysed out of which 14.5% were multiply documented. The latest protocols of 5,596 patients were evaluated; the mean age was 64.7 years with an average duration of diabetes of 10.2 years. Some 86.3% of the eyes examined had no DR, in 3.1% no evaluation was possible. Of the patients checked, 10.6% had DR. Mild/moderate DR was reported in 8.3%, severe non-proliferative DR in 1.7% and proliferative DR in 0.5%. Macular edema was reported in 0.85% of cases, vitreous hemorrhage in 0.2%. There was 0.1% iris neovascularisation and 0.1% retinal detachment. Visual impairment due to cataract or secondary cataract was found in 25.2% of patients with an 8.3% pseudophakia rate. Documentation of the eye examination in the diabetes check-up program was good. The 10.6% prevalence of DR in Germany, even after long standing diabetes, seems to be lower than in earlier population based studies in the US or UK. The data reported here could be an indication of better diabetes care in Germany. However, not all patients were examined with dilated pupils, and in the case of severe changes, the ophthalmologist might have decided not to fill in the report form and to have chosen another form of communication.

(PDF emailed within 0-6 h: $19.90)

Accession: 055157217

Download citation: RISBibTeXText

PMID: 17457588

DOI: 10.1007/s00347-007-1522-0


Related references

Worksite Prevalence of (un)Diagnosed Cardiovascular Risk Factors From a Health-Check-Program in An Austrian Company. Journal of Occupational and Environmental Medicine 57(12): 1353-1359, 2016

Healthcare costs associated with progressive diabetic retinopathy among National Health Insurance enrollees in Taiwan, 2000-2004. Bmc Health Services Research 10(): 136-136, 2010

Prevalence of diabetic retinopathy as cause for visual impairment: the Beijing Public Health Care Project. Clinical & Experimental Ophthalmology 41(6): 608-609, 2014

Travel medicine and vaccination as a task of infection prevention--data of the special consultation hours of the public health department Frankfurt on the Main, Germany, 2002-2004. Gesundheitswesen ()) 68(5): 316-322, 2006

The economic burden of diabetic retinopathy in Germany in 2002. Graefe's Archive for Clinical and Experimental Ophthalmology 246(1): 151-159, 2007

Diabetic retinopathy: global prevalence, major risk factors, screening practices and public health challenges: a review. Clinical & Experimental Ophthalmology 44(4): 260-277, 2015

Difference between consciousness of intervention for improving lifestyle by public health nurses and recipients of a company health check. Journal of Epidemiology 12(3): 287-294, 2002

Who transitions from private to public health insurance?: Lessons from expansions of the State Children's Health Insurance Program. Journal of Health Care for the Poor and Underserved 22(1): 359-370, 2011

How does the Brandenburg general public health insurance company use the opportunity of Integrated Health Care?. Clinical Research in Cardiology 95 Suppl 2: Ii26-Ii27, 2006

Work and Health. Representative work-related health monitoring with sickness absence data of the company health insurance in Germany. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz 51(10): 1155-1163, 2008

Adjusting for cross-cultural differences in computer-adaptive tests of quality of life. Quality of Life Research, 2017

The association between medical costs and participation in the vitality health promotion program among 948,974 members of a South African health insurance company. American Journal of Health Promotion 24(3): 199-204, 2010

A program for health care in the 1970's: the point of view of the insurance company. Bulletin of the New York Academy of Medicine 48(1): 137-145, 1972

Role of a dietitian in the health care program of a German insurance company. Proceedings of the Xth International Congress of Dietetics held under the auspices of the ICDA the International Committee of Dietetic Associations edited by MF Moyal: 373, 1988

Diabetes--prevalence and cost of illness in Germany: a study evaluating data from the statutory health insurance in Germany. Diabetic Medicine 23(3): 299-305, 2006