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. 2023 Feb 22;2023(2):CD013775. doi: 10.1002/14651858.CD013775.pub2

3. Age at diagnosis of diabetes ‐ Studies undertaking multivariable regression analyses to determine the effect of age at diagnosis of diabetes on progression to PDR.

Study Study type Time years  N at baseline Adjustment factors Effect estimate P value
          Type Value 95% CI  
Type 1 diabetes
Porta 2001 Prospective cohort 7 2013 HbA1c, DM duration, severity at baseline, DBP > 83 mmg DR, waist‐to‐hip ratio Standardised regression estimate 1.62 1.06 to 2.48 0.038a
Type 2 diabetes
Gange 2021 Prospective cohort (electronic database) 5 718 Maximum HbA1c, gender, smoking, comorbidities, obesity, insulin use, education, hypertension, dyslipidaemia, diabetic ketoacidosis OR 0.46b
1.25c
1.62d
1.30e
0.29 to 0.74
1.05 to 1.48 1.28 to 2.03
1.00 to 1.68
0.001
 
 
0.012
 
 
< 0.001
 
0.048

BMI: body mass index; CI: confidence interval; DBP: diastolic blood pressure; DM: diabetes mellitus; DR: diabetic retinopathy; HbA1c: glycated haemoglobin/haemoglobin A1c; HR: hazard ratio; NPDR: non‐proliferative diabetic retinopathy; OR: odds ratio; PDR: proliferative diabetic retinopathy; RR: risk ratio; vs: versus

aEffect did not remain significant when albumin excretion rate included as a covariate
b18 to 34 years vs 45 to 54 years
c55 to 64 years vs 45 to 54 years 
d65 to 74 years vs 45 to 54 years
e≥75 years vs 45 to 54 years