What do Cochrane systematic reviews say about diabetic retinopathy?
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
dARK ID: | ark:/48912/001300000c1zg |
DOI: | 10.1590/1516-3180.2016.0356040117 |
Texto Completo: | http://dx.doi.org/10.1590/1516-3180.2016.0356040117 https://repositorio.unifesp.br/handle/11600/56341 |
Resumo: | CONTEXT AND OBJECTIVE: Diabetic retinopathy is a disease caused by increased permeability of retinal vessels. Its incidence and prevalence have been increasing due to urbanization, greater life expectancy and the habits of modern life. Its onset is insidious and it may lead to blindness in 75% of individuals who have been diabetic for more than 20 years. The aim here was to evaluate the evidence from Cochrane systematic reviews on interventions relating to diabetic retinopathy. DESIGN AND SETTING: Review of systematic reviews, conducted at Cochrane Brazil. METHODS: We included Cochrane systematic reviews on interventions relating to diabetic retinopathy. Two researchers evaluated the inclusion criteria, summarized the reviews and presented the results narratively. RESULTS: Ten reviews met the inclusion criteria. They showed some evidence of benefits from: (a) photocoagulation for diabetic retinopathy |
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What do Cochrane systematic reviews say about diabetic retinopathy?Review [publication type]Diabetic retinopathyTherapeuticsEvidence-based medicineEvidence-based practiceCONTEXT AND OBJECTIVE: Diabetic retinopathy is a disease caused by increased permeability of retinal vessels. Its incidence and prevalence have been increasing due to urbanization, greater life expectancy and the habits of modern life. Its onset is insidious and it may lead to blindness in 75% of individuals who have been diabetic for more than 20 years. The aim here was to evaluate the evidence from Cochrane systematic reviews on interventions relating to diabetic retinopathy. DESIGN AND SETTING: Review of systematic reviews, conducted at Cochrane Brazil. METHODS: We included Cochrane systematic reviews on interventions relating to diabetic retinopathy. Two researchers evaluated the inclusion criteria, summarized the reviews and presented the results narratively. RESULTS: Ten reviews met the inclusion criteria. They showed some evidence of benefits from: (a) photocoagulation for diabetic retinopathy(b) strict glucose and pressure control for postponing the onset of retinopathy(c) antiangiogenic drugs for macular edema (high-quality evidence)(d) anti-vascular endothelial growth factor agents for proliferative diabetic retinopathy (very low to low-quality evidence)and (e) intravitreal injection or surgical implantation for treating persistent or refractory macular edema. However, blood pressure control seems to have no benefit after the onset of retinopathy. CONCLUSION: Only a few options are likely to be effective for treating diabetic retinopathy. These include photocoagulation and anti-vascular endothelial growth factor agents. Strict glucose and pressure control seem to postpone the onset of retinopathy. For macular edema, antiangiogenic drugs, intravitreal injection and surgical implantation seem to have some benefit.Univ Fed Sao Paulo Unifesp, Discipline Evidence Based Med, EPM, Sao Paulo, BrazilHosp Dante Pazzanese Cardiol, Dyslipidemia Serv, Sao Paulo, SP, BrazilUniv Fed Sao Paulo Unifesp, Evidence Based Hlth Program, Sao Paulo, SP, BrazilUniv Fed Sao Paulo Unifesp, Med, EPM, Sao Paulo, SP, BrazilCochrane Brazil, Sao Paulo, SP, BrazilEscola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), BrazilDiscipline of Evidence-Based Medicine, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp)Evidence-Based Health Program, Universidade Federal de São Paulo (Unifesp), São Paulo (SP), BrazilCochrane Brazil, São Paulo (SP), BrazilWeb of ScienceAssociacao Paulista Medicina2020-07-31T12:46:45Z2020-07-31T12:46:45Z2017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion79-87application/pdfhttp://dx.doi.org/10.1590/1516-3180.2016.0356040117Sao Paulo Medical Journal. Sao Paulo, v. 135, n. 1, p. 79-87, 2017.10.1590/1516-3180.2016.0356040117S1516-31802017000100079.pdf1516-3180S1516-31802017000100079https://repositorio.unifesp.br/handle/11600/56341WOS:000398127000013ark:/48912/001300000c1zgengSao Paulo Medical JournalSao Pauloinfo:eu-repo/semantics/openAccessMozetic, Vania [UNIFESP]Daou, Julia Pozzetti [UNIFESP]Martimbianco, Ana Luiza Cabrera [UNIFESP]Riera, Rachel [UNIFESP]reponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-11T10:53:31Zoai:repositorio.unifesp.br/:11600/56341Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-12-11T20:10:15.561737Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
What do Cochrane systematic reviews say about diabetic retinopathy? |
title |
What do Cochrane systematic reviews say about diabetic retinopathy? |
spellingShingle |
What do Cochrane systematic reviews say about diabetic retinopathy? What do Cochrane systematic reviews say about diabetic retinopathy? Mozetic, Vania [UNIFESP] Review [publication type] Diabetic retinopathy Therapeutics Evidence-based medicine Evidence-based practice Mozetic, Vania [UNIFESP] Review [publication type] Diabetic retinopathy Therapeutics Evidence-based medicine Evidence-based practice |
title_short |
What do Cochrane systematic reviews say about diabetic retinopathy? |
title_full |
What do Cochrane systematic reviews say about diabetic retinopathy? |
title_fullStr |
What do Cochrane systematic reviews say about diabetic retinopathy? What do Cochrane systematic reviews say about diabetic retinopathy? |
title_full_unstemmed |
What do Cochrane systematic reviews say about diabetic retinopathy? What do Cochrane systematic reviews say about diabetic retinopathy? |
title_sort |
What do Cochrane systematic reviews say about diabetic retinopathy? |
author |
Mozetic, Vania [UNIFESP] |
author_facet |
Mozetic, Vania [UNIFESP] Mozetic, Vania [UNIFESP] Daou, Julia Pozzetti [UNIFESP] Martimbianco, Ana Luiza Cabrera [UNIFESP] Riera, Rachel [UNIFESP] Daou, Julia Pozzetti [UNIFESP] Martimbianco, Ana Luiza Cabrera [UNIFESP] Riera, Rachel [UNIFESP] |
author_role |
author |
author2 |
Daou, Julia Pozzetti [UNIFESP] Martimbianco, Ana Luiza Cabrera [UNIFESP] Riera, Rachel [UNIFESP] |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Mozetic, Vania [UNIFESP] Daou, Julia Pozzetti [UNIFESP] Martimbianco, Ana Luiza Cabrera [UNIFESP] Riera, Rachel [UNIFESP] |
dc.subject.por.fl_str_mv |
Review [publication type] Diabetic retinopathy Therapeutics Evidence-based medicine Evidence-based practice |
topic |
Review [publication type] Diabetic retinopathy Therapeutics Evidence-based medicine Evidence-based practice |
description |
CONTEXT AND OBJECTIVE: Diabetic retinopathy is a disease caused by increased permeability of retinal vessels. Its incidence and prevalence have been increasing due to urbanization, greater life expectancy and the habits of modern life. Its onset is insidious and it may lead to blindness in 75% of individuals who have been diabetic for more than 20 years. The aim here was to evaluate the evidence from Cochrane systematic reviews on interventions relating to diabetic retinopathy. DESIGN AND SETTING: Review of systematic reviews, conducted at Cochrane Brazil. METHODS: We included Cochrane systematic reviews on interventions relating to diabetic retinopathy. Two researchers evaluated the inclusion criteria, summarized the reviews and presented the results narratively. RESULTS: Ten reviews met the inclusion criteria. They showed some evidence of benefits from: (a) photocoagulation for diabetic retinopathy |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017 2020-07-31T12:46:45Z 2020-07-31T12:46:45Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/1516-3180.2016.0356040117 Sao Paulo Medical Journal. Sao Paulo, v. 135, n. 1, p. 79-87, 2017. 10.1590/1516-3180.2016.0356040117 S1516-31802017000100079.pdf 1516-3180 S1516-31802017000100079 https://repositorio.unifesp.br/handle/11600/56341 WOS:000398127000013 |
dc.identifier.dark.fl_str_mv |
ark:/48912/001300000c1zg |
url |
http://dx.doi.org/10.1590/1516-3180.2016.0356040117 https://repositorio.unifesp.br/handle/11600/56341 |
identifier_str_mv |
Sao Paulo Medical Journal. Sao Paulo, v. 135, n. 1, p. 79-87, 2017. 10.1590/1516-3180.2016.0356040117 S1516-31802017000100079.pdf 1516-3180 S1516-31802017000100079 WOS:000398127000013 ark:/48912/001300000c1zg |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Sao Paulo Medical Journal |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
79-87 application/pdf |
dc.coverage.none.fl_str_mv |
Sao Paulo |
dc.publisher.none.fl_str_mv |
Associacao Paulista Medicina |
publisher.none.fl_str_mv |
Associacao Paulista Medicina |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
_version_ |
1822249735578189824 |
dc.identifier.doi.none.fl_str_mv |
10.1590/1516-3180.2016.0356040117 |