Table 3.
Retinal Change† | NO. of Patients‡ |
Progression of Retinopathy |
Adjusted Odds Reduction (95% CI)§ |
P Value¶ |
---|---|---|---|---|
percent | ||||
Severe nonproliferative retinopathy or worse | 76 (52-88) | <0.001 | ||
Conventional therapy | 556 | 10 | ||
Intensive therapy | 589 | 2 | ||
Proliferative retinopathy | 74 (46-87) | <0.001 | ||
Conventional therapy | 564 | 9 | ||
Intensive therapy | 590 | 2 | ||
Clinically significant macular edema | 77 (52-89) | <0.001 | ||
Conventional therapy | 564 | 8 | ||
Intensive therapy | 582 | 2 | ||
Laser therapy (focal or scatter) | 77 (45-91) | 0.002 | ||
Conventional therapy | 544 | 6 | ||
Intensive therapy | 575 | 1 |
DCCT denotes Diabetes Control and Complications Trial, EDIC Epidemiology of Diabetes Intervention and Complications, and CI confidence interval.
Patients who underwent scatter photocoagulation after the DCCT were counted as having a progression of retinopathy; those who underwent focal photocoagulation were counted as having clinically significant macular edema.
The numbers of patients free of each specific type of worsening at the end of the DCCT are given.
The odds reduction is for former intensive therapy as compared with former conventional therapy on the basis of a logistic-regression analysis with adjustment for the level of severity of retinopathy at the end of the DCCT according to the Early Treatment Diabetic Retinopathy Study categories shown in Table 2, plus any previous laser therapy (focal or scatter).
P values were calculated by the likelihood-ratio test.