Owens, David R., Gurudas, Sarega, Sivaprasad, Sobha, Zaidi, Farhan, Tapp, Robyn, Kazantzis, Dimitrios, Evans, Lizzy and Thomas, Rebecca L.
2025.
IDF diabetes atlas: a worldwide review of studies utilizing retinal photography to screen for diabetic retinopathy from 2017 to 2024 inclusive.
Diabetes Research and Clinical Practice
226
, 112346.
10.1016/j.diabres.2025.112346
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Abstract
This study aimed to report the global prevalence of diabetic retinopathy (DR) based on retinal imaging, using English-language articles published from 2017 to June 2024. Three databases-Cochrane Library, Embase via OVID, and Medline via OVID-were searched using subject headings and keywords. An independent librarian conducted the initial search and developed the strategy. A total of 569 publications were uploaded to Rayyan for blinded screening, yielding 42 studies. Meta-analysis was performed to determine prevalence rates for any DR, proliferative DR (PDR), diabetic macular oedema (DMO), and sight-threatening DR (STDR). Global prevalence rates across the 7 IDF regions were: any DR 23 % (95 % CI: 20-26), PDR 6 % (95 % CI: 3-9), DMO 5 % (95 % CI: 4-6), and STDR 11 % (95 % CI: 9-14). Compared to 2015-2019 data, the rate of any DR decreased from 27 % to 23 %, while PDR increased from 1.4 % to 6 %. DMO rates remained stable (∼5%). Global DR prevalence remains between 20 and 30%. However, variations in study design and regional practices limit trend interpretation. International screening guidelines, supported by advancing technology, are needed to produce robust epidemiological data for global Eye Health policy planning. [Abstract copyright: Copyright © 2025 The Author(s). Published by Elsevier B.V. All rights reserved.]
Item Type: | Article |
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Date Type: | Published Online |
Status: | Published |
Schools: | Schools > Medicine Schools > Biosciences |
Publisher: | Elsevier |
ISSN: | 0168-8227 |
Date of First Compliant Deposit: | 18 July 2025 |
Date of Acceptance: | 24 June 2025 |
Last Modified: | 18 Jul 2025 11:15 |
URI: | https://orca.cardiff.ac.uk/id/eprint/179912 |
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