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EPIDEMIOLOGY Prediction of Proliferative Diabetic Retinopathy With Hemoglobin Level Baqiyyah N. Conway, PhD; Rachel G. Miller, MS; Ronald Klein, MD; Trevor J. Orchard, MD Objective: To investigate the role of hemoglobin (HGB) women), in men, HGB exhibited a positive linear rela- level in predicting proliferative diabetic retinopathy (PDR). tionship with 18-year incidence of PDR (hazard ra- tio, 1.33; 95% confidence interval, 1.10-1.60; P = .003), Methods: We assessed 426 individuals without PDR at while in women, HGB level exhibited a quadratic rela- baseline (213 men; 213 women) from the Pittsburgh Epi- tionship with PDR (P .001). After multivariable adjust- demiology of Diabetes Complications Study, an 18-year ment for univariately significant covariates, HGB level re- prospective cohort study of childhood-onset type 1 dia- mained significantly predictive of PDR in both men betes. Presence of PDR was determined by stereo fun- (P = .004) and women (P = .04). dus photography. Cox proportional hazards modeling with stepwise regression was used to determine the in- Conclusion: Higher HGB level predicts the incidence of dependent association of HGB level with PDR. Analyses PDR in type 1 diabetes mellitus, though the association were sex specific. varies by sex, being linear and positive in men
JAMA Ophthalmology – American Medical Association
Published: Nov 1, 2009
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