{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T17:01:31Z","timestamp":1790874091090,"version":"4.1.0"},"reference-count":63,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,1,25]],"date-time":"2018-01-25T00:00:00Z","timestamp":1516838400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To describe the prevalence of diabetic retinopathy (<jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content>), associated risk factors and health\u2010related quality of life (<jats:styled-content style=\"fixed-case\">HRQ<\/jats:styled-content>oL) in a population\u2010based cohort of patients with type 1 diabetes mellitus (<jats:styled-content style=\"fixed-case\">DM<\/jats:styled-content>1).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All patients underwent a general and ophthalmic examination including seven\u2010field stereo fundus photography for grading of <jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content> and diabetic macular oedema (<jats:styled-content style=\"fixed-case\">DMO<\/jats:styled-content>). Kaplan\u2010Meier survival analyses were performed to evaluate disease progression in relation to diabetes duration, age and year of diabetes onset. <jats:styled-content style=\"fixed-case\">HRQ<\/jats:styled-content>oL and its association with <jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content> were assessed by the Medical Outcomes Study Short Form 36 (<jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>\u201036) questionnaire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 237 <jats:styled-content style=\"fixed-case\">DM<\/jats:styled-content>1 patients were included. Mean age at inclusion was 34\u00a0years (range, 4\u201375\u00a0years), and mean diabetes duration was 19\u00a0years (range, 5\u00a0months\u201363\u00a0years). A total of 145 patients (61%) had <jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content>. Sixty\u2010two patients (26%) had mild, 39 (16%) moderate and 13 (5%) severe nonproliferative <jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content>, while 31 (13%) had proliferative <jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content>. The prevalence of <jats:styled-content style=\"fixed-case\">DMO<\/jats:styled-content> was 8%. The most important risk factors predicting severity of <jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content> were diabetes duration (p<jats:italic>\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.0001) and HbA1c level (p<jats:italic>\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.0001). Neuropathy (p<jats:italic>\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.006), nephropathy (p<jats:italic>\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.004) and male gender (p<jats:italic>\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.02) were also significant predictors of <jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content>. Compared to normative <jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>\u201036 data, there was a linear trend of decreasing <jats:styled-content style=\"fixed-case\">HRQ<\/jats:styled-content>oL with increasing severity of <jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content> that was statistically significant for the four physical dimension scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The prevalence of <jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content> in <jats:styled-content style=\"fixed-case\">DM<\/jats:styled-content>1 was largely within the range of previous reports. Diabetes duration, HbA1c level, neuropathy, nephropathy and male gender were all significant predictors of <jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content> severity. The patients with more severe <jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content> had lower <jats:styled-content style=\"fixed-case\">HRQ<\/jats:styled-content>oL.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.13654","type":"journal-article","created":{"date-parts":[[2018,1,25]],"date-time":"2018-01-25T14:58:44Z","timestamp":1516892324000},"page":"465-474","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Diabetic retinopathy in type 1 diabetes patients in Western Norway"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1227-7843","authenticated-orcid":false,"given":"Ragnhild W.","family":"Jansson","sequence":"first","affiliation":[{"name":"Department of Clinical Medicine Section\u00a0of Ophthalmology University of Bergen Bergen Norway"},{"name":"Department of Ophthalmology Haukeland University Hospital Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karl Ove","family":"Hufthammer","sequence":"additional","affiliation":[{"name":"Centre for Clinical Research Haukeland University Hospital Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4783-2974","authenticated-orcid":false,"given":"J\u00f8rgen","family":"Krohn","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine Section\u00a0of Ophthalmology University of Bergen Bergen Norway"},{"name":"Department of Ophthalmology Haukeland University Hospital Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,1,25]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfp709"},{"issue":"1","key":"e_1_2_5_3_1","doi-asserted-by":"crossref","first-page":"S39","DOI":"10.2337\/dc16-S008","article-title":"Glycemic targets Sec. 5. In Standards of Medical Care in Diabetes\u20132016","volume":"39","author":"American Diabetes Association","year":"2016","journal-title":"Diabetes Care"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1005073"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.8.1.73"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1755-3768.2012.02542.x"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-017030"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc12-0354"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2003.05.010"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-5491.2003.00981.x"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.12295"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcl140"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00417-008-0960-y"},{"issue":"5","key":"e_1_2_5_14_1","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1016\/S0161-6420(13)38012-9","article-title":"Grading diabetic retinopathy from stereoscopic color fundus photographs \u2212 an extension of the modified Airlie House classification. ETDRS report number 10","volume":"98","author":"Early Treatment Diabetic Retinopathy Study Research Group","year":"1991","journal-title":"Ophthalmology"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.06.100"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.12312"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2009.04.043"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-009-1450-4"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.2165\/00019053-200624060-00004"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0168-8227(98)00085-0"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/aos.12122"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0420.1996.tb00607.x"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2005.02.021"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-010-1836-3"},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02221680"},{"key":"e_1_2_5_26_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.27.7.1618"},{"key":"e_1_2_5_27_1","doi-asserted-by":"publisher","DOI":"10.4045\/tidsskr.09.32473"},{"key":"e_1_2_5_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1755-3768.2011.02160.x"},{"key":"e_1_2_5_29_1","doi-asserted-by":"publisher","DOI":"10.2337\/db09-1904"},{"key":"e_1_2_5_30_1","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1984.01040030398010"},{"key":"e_1_2_5_31_1","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1989.01070010243030"},{"key":"e_1_2_5_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2009.06.051"},{"key":"e_1_2_5_33_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc10-2391"},{"key":"e_1_2_5_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/aos.13449"},{"key":"e_1_2_5_35_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1524-4733.2001.45029.x"},{"key":"e_1_2_5_36_1","doi-asserted-by":"publisher","DOI":"10.1177\/14034948980260040401"},{"key":"e_1_2_5_37_1","doi-asserted-by":"publisher","DOI":"10.2307\/2685594"},{"key":"e_1_2_5_38_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-015-1226-0"},{"key":"e_1_2_5_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9394(85)90027-3"},{"key":"e_1_2_5_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2010.08.003"},{"key":"e_1_2_5_41_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199303000-00006"},{"key":"e_1_2_5_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1755-3768.2009.01742.x"},{"key":"e_1_2_5_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(98)93019-6"},{"key":"e_1_2_5_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1056-8727(03)00073-4"},{"key":"e_1_2_5_45_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2369-13-78"},{"key":"e_1_2_5_46_1","doi-asserted-by":"publisher","DOI":"10.3109\/02713683.2014.958500"},{"key":"e_1_2_5_47_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaophthalmol.2016.1158"},{"key":"e_1_2_5_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1262-3636(07)70113-1"},{"key":"e_1_2_5_49_1","unstructured":"R Core Team(2017):R: A language and environment for statistical computing. R Foundation for Statistical Computing Vienna Austria. Available at:https:\/\/www.R-project.org. (Accessed on 21 April 2017)."},{"key":"e_1_2_5_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2007.02.001"},{"key":"e_1_2_5_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.survophthal.2012.01.004"},{"key":"e_1_2_5_52_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-006-0364-7"},{"key":"e_1_2_5_53_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2013.10.009"},{"key":"e_1_2_5_54_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(78)90854-1"},{"key":"e_1_2_5_55_1","unstructured":"Statistics Norway(2016) Available at:http:\/\/www.ssb.no(Accessed on 1 Dec 2016)."},{"key":"e_1_2_5_56_1","first-page":"1511","article-title":"Hvor mange har diabetes mellitus i Norge?","volume":"124","author":"Stene LC","year":"2004","journal-title":"Tidsskr Nor Laegeforen"},{"key":"e_1_2_5_57_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199309303291401"},{"key":"e_1_2_5_58_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2265.2012.04480.x"},{"key":"e_1_2_5_59_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2009.02.031"},{"key":"e_1_2_5_60_1","doi-asserted-by":"publisher","DOI":"10.1080\/02813430510015296"},{"key":"e_1_2_5_61_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(03)00475-5"},{"key":"e_1_2_5_62_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.eye.6701476"},{"key":"e_1_2_5_63_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.21.5.725"},{"key":"e_1_2_5_64_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e3180618b55"}],"container-title":["Acta Ophthalmologica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Faos.13654","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aos.13654","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,18]],"date-time":"2023-09-18T00:09:11Z","timestamp":1694995751000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/aos.13654"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,25]]},"references-count":63,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2018,8]]}},"alternative-id":["10.1111\/aos.13654"],"URL":"https:\/\/doi.org\/10.1111\/aos.13654","archive":["Portico"],"relation":{},"ISSN":["1755-375X","1755-3768"],"issn-type":[{"value":"1755-375X","type":"print"},{"value":"1755-3768","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1,25]]},"assertion":[{"value":"2017-06-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-11-06","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-01-25","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}