PMID- 31722595 OWN - NLM STAT- MEDLINE DCOM- 20201214 LR - 20201214 IS - 1744-5086 (Electronic) IS - 0928-6586 (Linking) VI - 27 IP - 1 DP - 2020 Feb TI - Rationale, Design, Methodology and Baseline Data of Fushun Diabetic Retinopathy Cohort Study (FS-DIRECT). PG - 73-82 LID - 10.1080/09286586.2019.1680702 [doi] AB - Purpose: To describe the rationale, design, methodology and baseline characteristics of Fushun Diabetic Retinopathy Cohort Study (FS-DIRECT), a community-based prospective cohort study in patients with type 2 diabetes mellitus (T2DM) living in northeast China.Methods: Patients with T2DM, aged 30 years and above from communities of Fushun city, Liaoning province, China, were recruited. The presence and severity of the diabetic retinopathy (DR) were determined by a modified Early Treatment Diabetic Retinopathy Study (ETDRS) retinopathy scale of 6 fields fundus photographs. Detailed ocular examinations and questionnaires were collated, in addition to blood and urine sample collection.Results: Of the 2224 subjects eligible for the FS-DIRECT, 2033 (91.4%) participated in the study. The majority of participants were female (58.9%), the average age was 62.1 +/- 9.1 years. The overall prevalence rates of DR, non-proliferative DR, proliferative DR, diabetic macular edema, and vision-threatening retinopathy were 44.3%, 40.0%, 4.3%, 15.2%, and 12.3%, respectively. Compared to the patients without DR, patients with DR had lower income, an earlier onset of diabetes, a longer duration of diabetes, higher proportion of insulin use, higher fasting plasma glucose, HbA1c, systolic blood pressure, total cholesterol and high density lipoprotein, as well as a higher level of urine protein (all P < .05).Conclusion: The baseline data of FS-DIRECT showed a high prevalence of DR in a community of northeast China. Further investigation will provide key information about the risk factors, impact, and trends of DR in this region. FAU - Wang, Yu AU - Wang Y AD - Fushun Eye Hospital, Fushun, Liaoning, China. FAU - Lin, Zhong AU - Lin Z AD - School of Ophthalmology & Optometry, Wenzhou Medical University, Eye Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Wen, Liang AU - Wen L AD - Fushun Eye Hospital, Fushun, Liaoning, China. FAU - Rong, Shi Song AU - Rong SS AD - Department of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA. FAU - Ding, Xiao Xia AU - Ding XX AD - Fushun Eye Hospital, Fushun, Liaoning, China. FAU - Li, Dong AU - Li D AD - Fushun Eye Hospital, Fushun, Liaoning, China. FAU - Feng, Ke Mi AU - Feng KM AD - School of Ophthalmology & Optometry, Wenzhou Medical University, Eye Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Wang, Feng Hua AU - Wang FH AD - Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Ophthalmology & Visual Science Key Lab, Beijing, China. FAU - Liang, Yuan Bo AU - Liang YB AD - School of Ophthalmology & Optometry, Wenzhou Medical University, Eye Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Zhai, Gang AU - Zhai G AD - Fushun Eye Hospital, Fushun, Liaoning, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20191113 PL - England TA - Ophthalmic Epidemiol JT - Ophthalmic epidemiology JID - 9435674 SB - IM MH - Aged MH - China/epidemiology MH - Cohort Studies MH - Diabetes Mellitus, Type 2/blood/*complications/urine MH - Diabetic Retinopathy/*diagnosis/*epidemiology/etiology MH - Female MH - Fundus Oculi MH - Humans MH - Macular Edema/diagnosis/epidemiology MH - Male MH - Middle Aged MH - Photography/methods MH - Prevalence MH - Prospective Studies MH - Risk Factors MH - Severity of Illness Index OTO - NOTNLM OT - cohort study OT - community-based study OT - diabetes mellitus OT - diabetic retinopathy OT - risk factors EDAT- 2019/11/15 06:00 MHDA- 2020/12/15 06:00 CRDT- 2019/11/15 06:00 PHST- 2019/11/15 06:00 [pubmed] PHST- 2020/12/15 06:00 [medline] PHST- 2019/11/15 06:00 [entrez] AID - 10.1080/09286586.2019.1680702 [doi] PST - ppublish SO - Ophthalmic Epidemiol. 2020 Feb;27(1):73-82. doi: 10.1080/09286586.2019.1680702. Epub 2019 Nov 13.