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The value of screening for retinopathy and microalbuminuria in patients with type 2 diabetes in primary health care.

Eggertsen, Robert, 1948 (author)
Gothenburg University,Göteborgs universitet,Institutionen för samhällsmedicin, Avdelningen för allmänmedicin,Institute of Community Medicine, Dept of Primary Health Care
Kalm, Helle (author)
Blohmé, Göran, 1938 (author)
Gothenburg University,Göteborgs universitet,Institutionen för invärtesmedicin,Institute of Internal Medicine
 (creator_code:org_t)
2009-07-12
1993
English.
In: Scandinavian journal of primary health care. - : Informa UK Limited. - 0281-3432 .- 1502-7724. ; 11:2, s. 135-40
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Patients with type 2 diabetes (NIDDM) attending the Primary Care Centre in Mölnlycke, Sweden, were evaluated regarding their metabolic status, microalbuminuria (UAER), and hypertension. An ophthalmological examination was performed, and two diagnostic methods, slit-lamp biomicroscopy and fundus photography, were compared. Nearly half the patients (42%) had diabetic retinopathy, mainly of the background type. Retinopathy was associated only with the duration of the disease, but the prevalence was as high as 20% within 0-4 years of the diagnosis. Fundus photography was easy to apply, except in the age groups above 80 years, in otherwise healthy and mentally cooperative patients. Fundus photography could not be applied in only 7% of the patients for ophthalmological reasons. The prevalence of microalbuminuria (20-200 micrograms/min) was high--34%--with another 8% above that range. Male sex, mode of antidiabetic treatment, and hypertension were associated with an increased UAER. Screening for retinopathy and microalbuminuria is valuable in primary health care in order to detect treatable diabetic retinopathy and to trace patients with microalbuminuria, a risk factor for clinically overt nephropathy as well as for cardiovascular diseases.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Allmänmedicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- General Practice (hsv//eng)

Keyword

Adult
Aged
Aged
80 and over
Albuminuria
blood
epidemiology
prevention & control
Blood Glucose
metabolism
Cross-Sectional Studies
Diabetes Mellitus
Type 2
blood
complications
epidemiology
Diabetic Nephropathies
blood
epidemiology
prevention & control
Diabetic Retinopathy
blood
epidemiology
prevention & control
Female
Glycated Hemoglobin A
metabolism
Humans
Incidence
Lipids
blood
Male
Mass Screening
Middle Aged
Sweden
epidemiology

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art (subject category)

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Eggertsen, Rober ...
Kalm, Helle
Blohmé, Göran, 1 ...
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MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Clinical Medicin ...
and General Practice
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By the university
University of Gothenburg

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