Optimization and Evaluation of the Diagnosis and Treatment System for Diabetic Retinopathy in Type 2 Diabetes Mellitus
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Fundus Examination, Metabolomics analysis.
- Кому может быть актуально
- Состояния в реестре: Diabetes, Diabetic Retinopathy, Type 2 Diabetes Mellitus (T2DM). Базовые параметры: 20 лет — 79 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Китай
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Обзор
This study aims to integrate clinical indicators and features of fundus images, combined with metabolomics, to construct an early warning model for diabetic retinopathy (DR) in type 2 diabetes. By combining clinical indicators with metabolomics, the investigators aim to establish a precise DR typing model based on the age of diabetes onset (early-onset diabetes, late-onset diabetes) and based on the coexistence with two types of diabetic macrovascular complications. A multidisciplinary collaboration will be conducted for comprehensive management of DR to control the progression of moderate-stage DR. Cloud-based patient rooms combined with continuous glucose monitoring (CGM) will further explore the role of integrated diabetes retinopathy ward management models in the management of patients undergoing diabetes retinopathy surgery, pioneering a new model for the management of advanced DR.
Вмешательства
- Диагностический тест Fundus Examination
Performing fundus photography on patients to assess the progression of diabetic retinopathy (DR). - Диагностический тест Metabolomics analysis
Conduct metabolomics testing at enrollment.
Первичные конечные точки
- Fundus examination [Срок оценки: Conduct examinations at enrollment and twelve months after enrollment.]
Вторичные конечные точки (5)
- Metabolomics analysis [Срок оценки: at enrollment]
- Triglycerides [Срок оценки: Conduct examinations at enrollment, six months after enrollment, and twelve months after enrollment.]
- Glycated Hemoglobin [Срок оценки: Conduct examinations at enrollment, six months after enrollment, and twelve months after enrollment.]
- Insulin levels [Срок оценки: Conduct examinations at enrollment, six months after enrollment, and twelve months after enrollment.]
- Total Cholesterol [Срок оценки: Conduct examinations at enrollment, six months after enrollment, and twelve months after enrollment.]
Критерии участия
Критерии включения
- Meets the diagnostic criteria for type 2 diabetes in the "China Type 2 Diabetes Prevention and Treatment Guidelines (2020 Edition)";
- Aged between 20 and 79 years old, without other severe underlying diseases; ③ Possesses full cognitive and literacy abilities; ④ Volunteers to participate in this study and are willing to sign an informed consent form.
Критерии исключения
- Those who have been diagnosed with type 1 or other types of diabetes;
- Those with severe cardiac, pulmonary, hepatic, or renal insufficiency;
- Those with mental confusion, speech disorders, or dementia, etc.;
- Those who are unable to take care of themselves, bedridden, or have mobility impairments; ⑤ Women who are breastfeeding or pregnant;
- Those with a recent history of surgery, trauma, acute major vascular complications, or infectious diseases.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Дизайн исследования
- Модель наблюдения
- Когортное
Центры проведения
Китай · 3 центра
- The first hosptial of lanzhou university — Lanzhou
- Shanghai general hosptial — Шанхай
- The forth people's hosptial of shenyang — Шэньян
Идентификаторы
NCT: NCT06821399 · 2023ZD0508104