Early diagnosis of diabetic retinopathy in primary care

https://doi.org/10.25100/cm.v46i1.1681

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Published: Mar 30, 2015
Updated: 2015-03-30
Issue: Vol. 46 No. 1 (2015)
Section Original Articles

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Authors

María Valeria Jiménez-Báez 1-Coordinación Auxiliar de Investigación en Salud, IMSS Quintana Roo. 2 Clinical and epidemiological research group of Instituto Mexicano del Seguro Social in Quintana Roo. Cancún, Mexico
Horacio Márquez-González 1 Servicio de Cardiopatías Congénitas, Hospital de Cardiología, Centro Médico Nacional Siglo XXI, IMSS, México, Distrito Federal. 2 Clinical and epidemiological research group of Instituto Mexicano del Seguro Social in Quintana Roo. Cancún, Mexico
Rodolfo Bárcenas-Contreras -Instituto Mexicano del Seguro Social, Hospital Gineco Pediatría No. 07. Cancún Quintana Roo, Mexico -Clinical and epidemiological research group of Instituto Mexicano del Seguro Social in Quintana Roo. Cancún, Mexico
Carlos Morales-Montoya -Servicio de Oftalmología, Hospital Regional No 17, Instituto Mexicano del Seguro Social. Quintana Roo. Cancún, Mexico -Clinical and epidemiological research group of Instituto Mexicano del Seguro Social in Quintana Roo. Cancún, Mexico
Laura Fátima García-Espinosa -Hospital General de Zona No. 3. Instituto Mexicano del Seguro Social Quintana Roo. Cancún, Mexico - Clinical and epidemiological research group of Instituto Mexicano del Seguro Social in Quintana Roo. Cancún, Mexico
Abstract

Objective: To evaluate the impact of a strategy for early detection of diabetic retinopathy in patients with type 2 diabetes mellitus (DMT2) in Quintana Roo, México.



Methods: Study transversal, observational, prospective, analytical, eight primary care units from Mexican Social Security Institute in the northern delegation of the State of Quintana Roo, Mexico were included. A program for early detection of diabetic retinopathy (DR) in adult 376,169 was designed. Were diagnosed 683 cases of type 2 diabetes, in 105 patients randomized was conducted to direct ophthalmoscopy were subjected to a secondary hospital were assigned. Will determine the degree of diabetic retinopathy and macular edema was performed.

Results: In population were 55.2% female, mean age 48+11.1 years, 23.8 % had some degree of DR, 28.0% with mild non- proliferative diabetic retinopathy 48.0 % moderate 16.0% and severe and 8.0% showed proliferative diabetic retinopathy. Those over age 30 are 2.8 times more risk of developing DR, OR= 2.8; 95%CI: 0.42-18.0, and OR= 1.7; 95%CI: 1.02-2.95 women.

Conclusions: The implementation of programs aimed at the early detection of debilitating conditions such as diabetic retinopathy health impacts beneficiaries, effective links between primary care systems, and provide second level positive health outcomes for patient diseases.
Keywords
  • Diabetic retinopathy
  • diabetes mellitus
  • type 2
  • macular edema
Author Biographies

María Valeria Jiménez-Báez, 1-Coordinación Auxiliar de Investigación en Salud, IMSS Quintana Roo. 2 Clinical and epidemiological research group of Instituto Mexicano del Seguro Social in Quintana Roo. Cancún, Mexico

Coordinación Auxiliar de Investigación en Salud.

Horacio Márquez-González, 1 Servicio de Cardiopatías Congénitas, Hospital de Cardiología, Centro Médico Nacional Siglo XXI, IMSS, México, Distrito Federal. 2 Clinical and epidemiological research group of Instituto Mexicano del Seguro Social in Quintana Roo. Cancún, Mexico

Cardiologìa Pediátrica

Rodolfo Bárcenas-Contreras, -Instituto Mexicano del Seguro Social, Hospital Gineco Pediatría No. 07. Cancún Quintana Roo, Mexico -Clinical and epidemiological research group of Instituto Mexicano del Seguro Social in Quintana Roo. Cancún, Mexico

Hospital de Gineco Pediatría 07

Carlos Morales-Montoya, -Servicio de Oftalmología, Hospital Regional No 17, Instituto Mexicano del Seguro Social. Quintana Roo. Cancún, Mexico -Clinical and epidemiological research group of Instituto Mexicano del Seguro Social in Quintana Roo. Cancún, Mexico

Servicio de Oftalmología, HGR No. 17. IMSS Quintana Roo

Laura Fátima García-Espinosa, -Hospital General de Zona No. 3. Instituto Mexicano del Seguro Social Quintana Roo. Cancún, Mexico - Clinical and epidemiological research group of Instituto Mexicano del Seguro Social in Quintana Roo. Cancún, Mexico

- Hospital General de Zona No. 3. Instituto Mexicano del Seguro Social Quintana Roo. Cancún, Mexico

- Clinical and epidemiological research group of Instituto Mexicano del Seguro Social in Quintana Roo. Cancún, Mexico

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How to Cite
Jiménez-Báez, M. V., Márquez-González, H., Bárcenas-Contreras, R., Morales-Montoya, C., & García-Espinosa, L. F. (2015). Early diagnosis of diabetic retinopathy in primary care. Colombia Medica, 46(1), 14–18. https://doi.org/10.25100/cm.v46i1.1681
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Received 2014-08-20
Accepted 2015-02-02
Published 2015-03-30
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