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Evaluate the severity and complications of diabetic retinopathy among unhoused individuals compared to housed controls.

June 11, 2026Retina

Diabetic Retinopathy Outcomes Among Unhoused Individuals: A Big Data Analysis

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Evaluate the severity and complications of diabetic retinopathy among unhoused individuals compared to housed controls.
Utilized electronic health records from a multicenter network.
Stratified diabetes patients by homelessness status via ICD-10 coding.
Conducted multivariate Cox regression to assess diabetic retinopathy risk.
Unhoused patients had significantly higher rates of proliferative diabetic retinopathy (5.24% vs 1.46%, P<.01).
1-year risks of vitreous hemorrhage increased (HR, 1.35; 95% CI, 1.08-1.69).
Unhoused status independently increased proliferative diabetic retinopathy risk (HR, 1.55; 95% CI, 1.41-1.71, P<.0001).

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Randomized trial evaluates diabetic retinopathy outcomes in unhoused individuals, indicating critical care needs.

Alshaikhsalama et al. (2026) studied this question.

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