期刊
JOURNAL OF INTERNATIONAL MEDICAL RESEARCH
卷 37, 期 5, 页码 1493-1500出版社
SAGE PUBLICATIONS LTD
DOI: 10.1177/147323000903700526
关键词
CHRONIC KIDNEY DISEASE; DIABETIC KIDNEY DISEASE; NON-DIABETIC RENAL DISEASE; DIABETIC RETINOPATHY
资金
- Dr Renming Hu from the Shanghai Science and Technology Commission [04dz19504]
- Key Project of National Natural Science Foundation of China [30230380]
- Shanghai Health Bureau [2006Y6]
- Fudan University [08FQ37]
The concomitant presence of retinopathy may be helpful in discriminating kidney pathology in type 2 diabetes. This cross-sectional study evaluated the ability to predict the likelihood of patients having diabetic kidney disease (DKD) by comparing the percentage incidence of diabetic retinopathy in different subgroups of Chinese patients with type 2 diabetes (n = 668). The prevalence of chronic kidney disease in the patients was 63.3% (6.6% with DKD, 41.0% with possible DKD and 15.7% with non-diabetic renal disease [NDRD]). The percentage of patients with diabetic retinopathy in the DKD group (63.6%) was significantly higher than in the possible DKD group (24.9%) and the NDRD group (19.0%). DKD was independently associated with diabetic retinopathy based on logistic regression analysis. The likelihood of DKD occurrence as defined by the National Kidney Foundation-Kidney Disease Outcomes Quality Initiative (TM) of the USA is applicable to Chinese patients with diabetes. Diabetic retinopathy was more prevalent in patients with DKD compared with patients with possible DKD or NDRD.
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