Prevalence and predictors for being unscreened for diabetic retinopathy: a population-based study over a decade.
Can J Ophthalmol
; 58(4): 278-286, 2023 08.
Article
em En
| MEDLINE
| ID: mdl-35577027
ABSTRACT
OBJECTIVE:
To determine the population-level predictors for being unscreened for diabetic retinopathy (DR) among individuals with diabetes in a developed country.DESIGN:
A retrospective population-based repeated-cross-sectional study.PARTICIPANTS:
All individuals with diabetes (types 1 and 2) aged ≥20 years in the universal health care system in Ontario were identified in the 2011-2013 and 2017-2019 time periods.METHODS:
The Mantel-Haenszel test was used for the relative risk (RR) comparison of subcategories stratified by the 2 cross-sectional time periods.RESULTS:
A total of 1 145 645 and 1 346 578 individuals with diabetes were identified in 2011-2013 and 2017-2019, respectively. The proportion of patients unscreened for DR declined very slightly from 35% (nâ¯=â¯405 967) in 2011-2013 to 34% (nâ¯=â¯455 027) in 2017-2019 of the population with diabetes (RRâ¯=â¯0.967; 95% CI, 0.964-0.9693; p < 0.0001). Young adults aged 20-39 years of age had the highest proportion of unscreened patients (62% and 58% in 2011-2013 and 2017-2019, respectively). Additionally, those who had a lower income quintile (RRâ¯=â¯1.039; 95% CI, 1.036-1.044; p < 0.0001), were recent immigrants (RRâ¯=â¯1.286; 95% CI, 1.280-1.293; p < 0.0001), lived in urban areas (RRâ¯=â¯1.149; 95% CI, 1.145-1.154; p < 0.0001), had a mental health history (RRâ¯=â¯1.117; 95% CI, 1.112-1.122; p < 0.0001), or lacked a connection to a primary care provider (RRâ¯=â¯1.656; 95% CI, 1.644-1.668; p < 0.0001) had a higher risk of being unscreened.CONCLUSIONS:
This population-based study suggests that over 1 decade, 33% of individuals with diabetes are unscreened for DR, and young age, low income, immigration, residing in a large city, mental health illness, and no primary care access are the main predictors.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Diabetes Mellitus
/
Retinopatia Diabética
/
Transtornos Mentais
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Humans
Idioma:
En
Revista:
Can J Ophthalmol
Ano de publicação:
2023
Tipo de documento:
Article