Diabetes complications

Diabetic retinopathy in African–Americans with end-stage kidney disease: a cross-sectional study on prevalence and impact on quality of life

BMJ Open Diabetes Res CarePublished Cross-sectional study

Authors' conclusion

DR is present in 75% of AA patients with diabetes and ESKD on haemodialysis. ESKD has a significant burden on general health and QoL; however, DR has a minor additional impact on the overall physical health and QoL in people with ESKD.

Study context

Population
African-American adults with diabetes and end-stage kidney disease (ESKD) undergoing dialysis
Participants
93 adults
Exposure
Diabetic retinopathy (DR) vs no DR
Outcome
Prevalence of DR

Main finding

As reported in the abstract

Prevalence of DR

75%

Mild DR

33%

Moderate DR

9.6%

Severe DR

57.4%

Observational data: associations, not effects.

Further findings

Visual acuity

Normal visual acuity
43%
Moderate visual impairment
45%
Severe visual impairment
12%

Physical health and quality of life (QoL), DR vs no DR

Presence of DR had no significant impact on physical health and QoL vs participants without DR

Disease burden, SDoH and QoL in ESKD

High burden of disease, multiple SDoH challenges, and low QoL and general health among patients with ESKD

Original publication

Diabetic retinopathy in African–Americans with end-stage kidney disease: a cross-sectional study on prevalence and impact on quality of life. BMJ Open Diabetes Res Care. Published 4 July 2023. doi:10.1136/bmjdrc-2023-003373

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