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Increased risk of open-angle glaucoma among patients with diabetes mellitus: a 10-year follow-up nationwide cohort study

 Tyler Hyungtaek Rim  ;  Sang Yeop Lee  ;  Hyoung Won Bae  ;  Gong Je Seong  ;  Sung Soo Kim  ;  Chan Yun Kim 
 ACTA OPHTHALMOLOGICA, Vol.96(8) : e1025-e1030, 2018 
Journal Title
Issue Date
Adult ; Aged ; Comorbidity/trends ; Diabetes Mellitus/epidemiology* ; Disease Progression ; Female ; Follow-Up Studies ; Forecasting* ; Glaucoma, Open-Angle/diagnosis ; Glaucoma, Open-Angle/epidemiology* ; Glaucoma, Open-Angle/physiopathology ; Humans ; Incidence ; Male ; Middle Aged ; Population Surveillance* ; Propensity Score* ; Reproducibility of Results ; Republic of Korea/epidemiology ; Retrospective Studies ; Risk Assessment* ; Risk Factors
NHIS-NSC 2002-2013 ; antidiabetic medication ; diabetes mellitus ; glaucoma ; open-angle glaucoma
PURPOSE: To evaluate the risk of open-angle glaucoma among patients with diabetes. METHODS: This retrospective propensity score-matched cohort study included patients with diabetes and a matched comparison group from the Korean National Health Insurance Service National Health Screening Cohort, which includes approximately 500 000 adults aged ≥40 years. Nondiabetes group was matched to diabetes group in a 1:1 ratio using a propensity score based on age, sex, comorbidities, antihypertensive medication use and medical care visits. Each group was followed from January 1, 2004 to either the date of developing open-angle glaucoma or the date of last follow-up in 2013. RESULTS: Incidence of open-angle glaucoma was 20.0/10 000 person-years in diabetes group (n = 58 358) and 17.0/10 000 person-years in nondiabetes group (n = 58 358). Age- and sex- adjusted hazard ratio (HR) was 1.19 (95% confidence interval [CI], 1.09-1.30). In the subgroup analyses, diabetes was associated with an increased risk of open-angle glaucoma in both younger and older age groups (HR = 1.20 for those aged 40-59 years and HR = 1.18 for those aged 60-79 years) and in both sexes (men, HR = 1.13; women, HR = 1.27). CONCLUSION: Patients diagnosed with diabetes were more likely to develop open-angle glaucoma compared with patients without diabetes.
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1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sung Soo(김성수) ORCID logo https://orcid.org/0000-0002-0574-7993
Kim, Chan Yun(김찬윤) ORCID logo https://orcid.org/0000-0002-8373-9999
Bae, Hyoung Won(배형원) ORCID logo https://orcid.org/0000-0002-8421-5636
Seong, Gong Je(성공제) ORCID logo https://orcid.org/0000-0002-5456-4296
Lee, Sang Yeop(이상엽) ORCID logo https://orcid.org/0000-0002-3834-7953
Rim, Tyler Hyungtaek(임형택)
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