Thyroid Eye Disease and its Vision-Threatening Manifestations in the Academy IRIS Registry : 2014-2018
Copyright © 2023 Elsevier Inc. All rights reserved..
PURPOSE: To evaluate prevalence of thyroid eye disease (TED) and associated factors in the American Academy of Ophthalmology IRISⓇ Registry (Intelligent Research in Sight).
DESIGN: Cross-sectional analysis of the IRIS Registry.
METHODS: IRIS Registry patients (18-90 years old) were classified as TED (ICD-9: 242.00, ICD-10: E05.00 on ≥2 visits) or non-TED cases, and prevalence was estimated. Odds ratios (OR) and 95% Confidence Intervals (CIs) were estimated using logistic regression.
RESULTS: 41,211 TED patients were identified. TED prevalence was 0.09%, showed a unimodal age distribution (highest prevalence in ages 50-59 years (y) (0.12%)), higher rates in females than males (0.12% vs. 0.04%) and in non-Hispanics than Hispanics (0.10% vs. 0.05%). Prevalence differed by race (from 0.08% in Asians to 0.12% in Black/African-Americans), with varying peak ages of prevalence. Factors associated with TED in multivariate analysis included age: ((18-<30y (reference), 30-39y: OR (95%CI) 2.2 (2.0, 2.4), 40-49y: 2.9 (2.7,3.1), 50-59y: 3.3 (3.1, 3. 5), 60-69y: 2.7 (2.54, 2.85), 70+: 1.5 (1.46, 1.64)); female sex vs male (reference), 3.5 (3.4,3.6), race: White (reference), Blacks: 1.1 (1.1,1.2), Asian: 0.9 (0.8,0.9), Hispanic ethnicity vs not Hispanic (reference), 0.68 (0.6,0.7), smoking status: (never (ref), former: 1.64 (1.6,1.7), current 2.16: (2.1,2.2)) and Type 1 diabetes (yes vs no (reference): 1.87 (1.8, 1.9).
CONCLUSIONS: This epidemiologic profile of TED includes new observations such as a unimodal age distribution and racial variation in prevalence. Associations with female sex, smoking, and Type 1 diabetes are consistent with prior reports. These findings raise novel questions about TED in different populations.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2023 |
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Erschienen: |
2023 |
Enthalten in: |
Zur Gesamtaufnahme - volume:253 |
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Enthalten in: |
American journal of ophthalmology - 253(2023) vom: 01. Sept., Seite 74-85 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Ramesh, Sathyadeepak [VerfasserIn] |
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Links: |
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Themen: |
Journal Article |
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Anmerkungen: |
Date Completed 18.08.2023 Date Revised 03.10.2023 published: Print-Electronic Citation Status MEDLINE |
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doi: |
10.1016/j.ajo.2023.04.013 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM357042352 |
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245 | 1 | 0 | |a Thyroid Eye Disease and its Vision-Threatening Manifestations in the Academy IRIS Registry |b 2014-2018 |
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500 | |a Date Revised 03.10.2023 | ||
500 | |a published: Print-Electronic | ||
500 | |a Citation Status MEDLINE | ||
520 | |a Copyright © 2023 Elsevier Inc. All rights reserved. | ||
520 | |a PURPOSE: To evaluate prevalence of thyroid eye disease (TED) and associated factors in the American Academy of Ophthalmology IRISⓇ Registry (Intelligent Research in Sight) | ||
520 | |a DESIGN: Cross-sectional analysis of the IRIS Registry | ||
520 | |a METHODS: IRIS Registry patients (18-90 years old) were classified as TED (ICD-9: 242.00, ICD-10: E05.00 on ≥2 visits) or non-TED cases, and prevalence was estimated. Odds ratios (OR) and 95% Confidence Intervals (CIs) were estimated using logistic regression | ||
520 | |a RESULTS: 41,211 TED patients were identified. TED prevalence was 0.09%, showed a unimodal age distribution (highest prevalence in ages 50-59 years (y) (0.12%)), higher rates in females than males (0.12% vs. 0.04%) and in non-Hispanics than Hispanics (0.10% vs. 0.05%). Prevalence differed by race (from 0.08% in Asians to 0.12% in Black/African-Americans), with varying peak ages of prevalence. Factors associated with TED in multivariate analysis included age: ((18-<30y (reference), 30-39y: OR (95%CI) 2.2 (2.0, 2.4), 40-49y: 2.9 (2.7,3.1), 50-59y: 3.3 (3.1, 3. 5), 60-69y: 2.7 (2.54, 2.85), 70+: 1.5 (1.46, 1.64)); female sex vs male (reference), 3.5 (3.4,3.6), race: White (reference), Blacks: 1.1 (1.1,1.2), Asian: 0.9 (0.8,0.9), Hispanic ethnicity vs not Hispanic (reference), 0.68 (0.6,0.7), smoking status: (never (ref), former: 1.64 (1.6,1.7), current 2.16: (2.1,2.2)) and Type 1 diabetes (yes vs no (reference): 1.87 (1.8, 1.9) | ||
520 | |a CONCLUSIONS: This epidemiologic profile of TED includes new observations such as a unimodal age distribution and racial variation in prevalence. Associations with female sex, smoking, and Type 1 diabetes are consistent with prior reports. These findings raise novel questions about TED in different populations | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Research Support, Non-U.S. Gov't | |
650 | 4 | |a Research Support, N.I.H., Extramural | |
700 | 1 | |a Zhang, Qiang Ed |e verfasserin |4 aut | |
700 | 1 | |a Sharpe, James |e verfasserin |4 aut | |
700 | 1 | |a Penne, Robert |e verfasserin |4 aut | |
700 | 1 | |a Haller, Julia |e verfasserin |4 aut | |
700 | 1 | |a Lum, Flora |e verfasserin |4 aut | |
700 | 1 | |a Lee, Aaron Y |e verfasserin |4 aut | |
700 | 1 | |a Lee, Cecilia S |e verfasserin |4 aut | |
700 | 1 | |a Pershing, Suzann |e verfasserin |4 aut | |
700 | 1 | |a Miller, Joan W |e verfasserin |4 aut | |
700 | 1 | |a Lorch, Alice |e verfasserin |4 aut | |
700 | 1 | |a Hyman, Leslie |e verfasserin |4 aut | |
700 | 0 | |a IRIS RESEARCH ANALYTIC CENTER CONSORTIUM |e verfasserin |4 aut | |
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