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https://ir.cnu.edu.tw/handle/310902800/30965
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| 標題: | Risk of Rhegmatogenous Retinal Detachment with Central Serous Chorioretinopathy |
| 作者: | Chang, Yuh-Shin
Chang, Chun
Weng, Shih-Feng
Wang, Jhi-Joung
Jan, Ren-Long |
| 貢獻者: | Chi Mei Med Ctr, Dept Ophthalmol
Chang Jung Christian Univ, Grad Inst Med Sci, Coll Hlth Sci
Univ Taipei, Dept Educ
Chi Mei Med Ctr, Med Res
Chia Nan Univ Pharm & Sci, Dept Hosp & Hlth Care Adm
Chi Mei Med Ctr, Anesthesiol
Chi Mei Med Ctr, Dept Pediat
Natl Cheng Kung Univ, Grad Inst Clin Med |
| 關鍵字: | central serous chorioretinopathy
National Health Insurance Research Database
population-based study
rhegmatogenous retinal detachment |
| 日期: | 2016-08 |
| 上傳時間: | 2018-01-18 11:38:51 (UTC+8) |
| 出版者: | Lippincott Williams & Wilkins |
| 摘要: | Purpose: To investigate the risk of rhegmatogenous retinal detachment (RRD) after central serous chorioretinopathy (CSCR). Methods: The study included 2,830 patients with CSCR and 16,980 control patients matched using a propensity score for age, sex, and comorbidities including status after cataract operation, blunt trauma, myopia, diabetes mellitus, hypertension, and hyperlipidemia from January 2001 through December 2010 from the Taiwan Longitudinal Health Insurance Database 2000. Information of each patient was collected until December 2011. Cox proportional hazard regression analysis was used to obtain the adjusted hazard ratio for RRD. The RRD-free survival rate was calculated using Kaplan-Meier analysis. Results: Thirty-five patients with CSCR (1.24%) and 27 controls (0.16%) had RRD (P < 0.0001) during follow-up, resulting in a significantly higher risk of RRD in the patients with CSCR (incidence rate ratio = 7.83, 95% confidence interval = 4.74-12.93). After adjustment for potential confounders, the adjusted hazard ratio for developing RRD was increased 7.85 times in the cohort of total sample (adjusted hazard ratio = 7.85, 95% confidence interval = 4.75-12.97). Conclusion: It was found that CSCR increased the risk of RRD even after adjustment for age, sex, and comorbidities including status after cataract operation, blunt trauma, myopia, diabetes mellitus, hypertension, and hyperlipidemia. |
| 關聯: | Retina-The Journal of Retinal and Vitreous Diseases, v.36 n.8, pp.1446-1453 |
| 顯示於類別: | [醫務管理系(所)] 期刊論文
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