Factors associated with non-attendance in the Irish national diabetic retinopathy screening programme (INDEAR study report no. 2).
Acta Diabetol
; 58(5): 643-650, 2021 May.
Article
em En
| MEDLINE
| ID: mdl-33483856
ABSTRACT
AIMS:
We aimed to determine the patient and screening-level factors that are associated with non-attendance in the Irish National Diabetic Retinal screening programme (Diabetic RetinaScreen). To accomplish this, we modelled a selection of predictors derived from the historical screening records of patients with diabetes.METHODS:
In this cohort study, appointment data from the national diabetic retinopathy screening programme (RetinaScreen) were extracted and augmented using publicly available meteorological and geospatial data. A total of 653,969 appointments from 158,655 patients were included for analysis. Mixed-effects models (univariable and multivariable) were used to estimate the influence of several variables on non-attendance to screening appointments.RESULTS:
All variables considered for analysis were statistically significant. Variables of note, with meaningful effect, were age (OR 1.23 per decade away from 70; 95% CI [1.22-1.24]), type 2 diabetes (OR 1.10; 95% CI [1.06-1.14]) and socio-economic deprivation (OR 1.12; 95% CI [1.09-1.16]). A majority (52%) of missed appointments were from patients who had missed three or more appointments.CONCLUSIONS:
This study is the first to outline factors that are associated with non-attendance within the Irish national diabetic retinopathy screening service. In particular, when corrected for age and other factors, patients with type 2 diabetes had higher rates of non-attendance. Additionally, this is the first study of any diabetic screening programme to demonstrate that weather may influence attendance. This research provides unique insight to guide the implementation of an optimal and cost-effective intervention strategy to improve attendance.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Programas de Rastreamento
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Retinopatia Diabética
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Pacientes não Comparecentes
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
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Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
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Screening_studies
Limite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Acta Diabetol
Assunto da revista:
ENDOCRINOLOGIA
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Irlanda