Table 1 Baseline characteristics of diabetic patients with CKD stratified by DR severity groups. Patients with more severe DR (Group 3) were significantly younger, had higher blood pressure, higher prevalence of HF, and lower eGFR compared to those with less severe DR.

From: Dissecting the relationship between heart failure and diabetic retinopathy severity in patients with diabetes and chronic kidney disease: an observational cohort study

 

Group 1

(N = 1,031)

Group 2

(N = 174)

Group 3

(N = 298)

p-value

Baseline demographic

Age (year), mean ± SD

63.9 ± 10.8

60.1 ± 10.8

58.1 ± 11.0

< 0.001

Male Gender, n (%)

644 (62.5%)

102 (58.6%)

167 (56%)

0.112

Smoker, n (%)

162.0 (15.7%)

33.0 (19.0%)

54.0 (18.1%)

0.409

Body Mass Index (BMI) (kg/m2), mean ± SD

26.8 ± 4.5

26.6 ± 4.5

26.1 ± 4.2

0.236

Systolic Blood Pressure (mmHg), mean ± SD

140.1 ± 20.7

147.3 ± 23.2

150.2 ± 22.3

< 0.001

Diastolic Blood Pressure (mmHg), mean ± SD

77.6 ± 11.9

80.7 ± 14.3

81.0 ± 12.6

0.001

Comorbidities

Hypertension, n (%)

957 (92.8%)

167 (96.0%)

288 (96.6%)

0.025

Congestive heart failure, n (%)

96.0 (9.3%)

23.0 (13.2%)

42.0 (14.1%)

0.033

Coronary artery disease, n (%)

187.0 (18.1%)

32.0 (18.4%)

55.0 (18.5%)

0.990

Hyperlipidemia, n (%)

520.0 (50.4%)

67.0 (38.5%)

156.0 (52.3%)

0.008

Medications

Statin, n (%)

546 (53.0%)

83 (47.7%)

177 (59.4%)

0.036

Diuretics, n (%)

299.0 (29.0%)

62.0 (35.6%)

127.0 (42.6%)

< 0.001

Laboratory data

HbA1c (%)

7.2 (1.3)

7.9 (1.8)

7.6 (1.5)

< 0.001

High-density lipoprotein-cholesterol (mg/dl)

41.2 ± 11.1

40.4 ± 11.4

42.3 ± 11.9

0.219

Low-density lipoprotein-cholesterol (mg/dl)

93.7 ± 26.0

100.6 ± 38.8

98.9 ± 29.9

0.001

Estimated glomerular filtration rate*

(mL/min/1.73 m2), mean ± SD

39.5 ± 21.6

39.1 ± 26.3

32.7 ± 21.9

< 0.001

Chronic kidney disease stage

   

< 0.001

Stage 1 + 2

163 (15.9%)

35 (20.1%)

35 (11.9%)

 

Stage 3

485 (47.3%)

57 (32.8%)

101 (34.5%)

 

Stage 4

243 (23.7%)

43 (24.7%)

71 (24.2%)

 

Stage 5

135 (13.2%)

39 (22.4%)

86 (29.4%)

 
  1. *Estimated glomerular filtration rate (eGFR) is calculated by the CKD-EPI (Chronic Kidney Disease Epidemiology Collaboration) equation
  2. **Diabetic retinopathy severity:
  3. Group 1: No apparent, Mild NPDR and Moderate NPDR
  4. Group 2: Severe NPDR and Very severe NPDR
  5. Group 3: PDR and High-risk PDR
  6. Abbreviations: NPDR: non-proliferative diabetic retinopathy, PDR: proliferative diabetic retinopathy, CKD: chronic kidney disease.