Feasibility of screening for diabetic retinopathy at an Australian pathology collection service: a pilot study.
Med J Aust
; 198(2): 97-9, 2013 Feb 04.
Article
em En
| MEDLINE
| ID: mdl-23373500
ABSTRACT
OBJECTIVE:
To evaluate the feasibility of a novel diabetic retinopathy (DR) screening model using a pathology collection centre (PCC) as a screening site. DESIGN ANDSETTING:
Cross-sectional pilot study conducted in one urban PCC in Victoria between 1 September 2009 and 15 March 2010. Trained pathology staff screened participants for DR using undilated, non-stereoscopic colour fundus photography.PARTICIPANTS:
Participants were patients who spoke English, were aged at least 12 years, had type 1 or type 2 diabetes, and did not undertake biannual DR screening. MAIN OUTCOMEMEASURES:
Proportion of patients who do not participate in biannual DR screening; proportion of patients who accept DR screening while attending a PCC; proportion of gradable images; patient acceptance of the screening model; and effectiveness of the follow-up pathway.RESULTS:
Over 6 months, 289 English-speaking patients with diabetes attended the PCC, of whom 99 (34.3%) had not undertaken biannual DR screening. Of these, 93 (93.9%) accepted our screening service. Overall, retinal images were sufficient for interpretation in 88 patients (94.6%) and the median time for photography was 6 minutes (interquartile range, 10 minutes). Two, eight and six cases of minimal, mild and moderate non-proliferative DR (NPDR) in the worst eye were found, respectively. Dissemination of screening results to treating doctors and patients was found to be suboptimal and will need to be revised.CONCLUSION:
DR screening in one urban PCC appears to be a feasible alternative for diabetic patients who do not undertake biannual screening for DR.
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Base de dados:
MEDLINE
Assunto principal:
Angiofluoresceinografia
/
Retinopatia Diabética
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País como assunto:
Oceania
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article