Diabetes complications

Risk of diabetic retinopathy and ophthalmic interventions in patients with diabetes mellitus taking different oral anticoagulants

Diabetes Obes MetabPublished Retrospective cohort study

Authors' conclusion

Taking NOACs was associated with lower risks of developing DM-related ocular complications than taking warfarin in patients with DM.

Study context

Population
Patients with diabetes mellitus (DM) initiated on NOACs or warfarin (TriNetX)Propensity score matching (PSM) cohorts
Participants
122,979 vs 122,979
Exposure
NOACs vs warfarin
  • NOACsn = 122,979
  • Warfarinn = 122,979reference
Outcome
DR
Follow-up
6 months, 1 year, 3 years and 5 years
Methodological detailspropensity score matched, TriNetX
  • Propensity score matched
  • TriNetX

Main finding

As reported in the abstract

NOACs vs WarfarinHazard ratio (95% CI)
6 months
0.66(0.60–0.72)
1 year
0.68(0.63–0.73)
3 years
0.70(0.67–0.74)
5 years
0.73(0.70–0.76)

Observational data: associations, not effects.

Secondary outcomes

Proliferative DR (PDR), DME and need for treatment of vision-threatening diabetic retinopathy (DR) · 6 months, 1 year, 3 years and 5 years

Lower risks with NOACs extended to all secondary endpoints across all follow-up intervals

Original publication

Risk of diabetic retinopathy and ophthalmic interventions in patients with diabetes mellitus taking different oral anticoagulants. Diabetes Obes Metab. Published 28 December 2025. doi:10.1111/dom.70392

Composed by AI from the published abstract and checked against it. How Briefs are made →

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