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Review of the prevalence of diabetic retinopathy in Indigenous Australians


Kaidonis, G and Mills, RA and Landers, J and Franzco, SRL and Burdon, KP and Craig, JE, Review of the prevalence of diabetic retinopathy in Indigenous Australians, Clinical and Experimental Ophthalmology, 42 pp. 875-882. ISSN 1442-6404 (2014) [Refereed Article]

Copyright Statement

Copyright 2014 Royal Australian and New Zealand College of Ophthalmologists

DOI: doi:10.1111/ceo.12338


The purpose of this review is to compare the prevalence of diabetic retinopathy (DR) between Indigenous and non-Indigenous Australians with Diabetes Mellitus (DM). Australian DR prevalence data from 6 Indigenous studies (n = 2865) and 5 non-Indigenous studies (n = 9801) conducted between 1985 and 2013 were included for analysis. Estimated prevalence of any DR among Indigenous Australians with DM was 23.4% compared with 28.9% for non-Indigenous Australians (χ2 = 26.9, P < 0.001). In studies performed after 1990, a significantly higher rate of diabetic macular edema was found in Indigenous compared with nonIndigenous Australians with DM (7.6% versus 4.9%, χ2 = 6.67, P = 0.01). Although there are limitations in comparing these studies, one explanation for the observed data could be a model in which Indigenous Australians are relatively resistant to early stage DR, but with a subset progressing to sight threatening DR due to individual genetic and environmental susceptibility factors coupled with poor glycemic control.

Item Details

Item Type:Refereed Article
Keywords:diabetes, retinopathy, aboriginal
Research Division:Biomedical and Clinical Sciences
Research Group:Ophthalmology and optometry
Research Field:Ophthalmology
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Burdon, KP (Professor Kathryn Burdon)
ID Code:99156
Year Published:2014
Web of Science® Times Cited:17
Deposited By:Menzies Institute for Medical Research
Deposited On:2015-03-16
Last Modified:2017-11-06

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