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NR 7-9/2007
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Zapadalność na
inwalidztwo wzroku z powodu cukrzycy wykładnikiem jakości opieki
okulistycznej i diabetologicznej
Diabetes related visual
disability incidence as an indicator of the quality of
ophthalmic and diabetic care
Elżbieta Bandurska-Stankiewicz, Dorota
Wiatr
Z Oddziału Endokrynologii i Diabetologii Wojewódzkiego Szpitala
Specjalistycznego w Olsztynie
Kierownik: dr hab. n. med. Elżbieta Bandurska-Stankiewicz |
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| Summary: |
Purpose: This study
was to investigate the incidence of blindness due to
diabetes in the years 1989-2003, and to compare the
studied coefficients in view of the changes in diabetic
and ophthalmic care proceeding in the region.
Material and methods: Studies on the incidence of
diabetes related blindness were conducted in the Warmia
& Mazury Region in the years 1989-2003 among patients
with type 1 (DM1) and type 2 (DM2) diabetes. Blindness
recognized according to the WHO criteria. The incidence
rate (IR) was expressed as the number of new blindness
cases per 100 000 population per year.
Results: The register covered 274 patients
visually disabled due to diabetes, in this 69 with DM1,
in average of age 47.1, and 205 with DM2, in average of
age 65.6. At the beginning of the observation IR varied
with the highest in 1995 – 4.8/100000 (CI: 3.2-6.3).
This period was characterized by limited access of
patients to diabetologists and laserotherapy. From 1996
it decreased from 4.3/100000 (CI: 2.8-5.7) to 0.9/100
000 (CI:0.2-1.6) in 2003 – a new programme of diabetic
care with early detection and treatment of retinopathy
was introduced. A growth of funds for basic and
outpatient clinic specialist care was observed.
Conclusions: Analysis of diabetes related
blindness is a good indicator of the quality of diabetic
and ophthalmic care. |
| Słowa kluczowe: |
cukrzyca, ślepota,
zapadalność, opieka diabetologiczna i okulistyczna. |
| Key words: |
diabetes, blindness,
incidence, diabetic and ophthalmic care. |
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