AIMS/HYPOTHESIS: This study evaluated whether repeated non-attendance for diabetic eye screening is associated with the risk of sight-threatening diabetic retinopathy (STDR). METHODS: This was a cohort study of 6,556 residents with diabetes who were invited for screening between 2008 and 2011 in a population-based eye screening programme in inner London and who attended for their first-ever screen in 2008. The proportion of participants with STDR was evaluated in relation to the number of years in which screening was missed. RESULTS: The proportion of participants who did not attend screening decreased between 2009 and 2011 (annual reduction 1.6% [95% CI 0.9%, 2.3%]). The adjusted relative odds of STDR for 210 participants who did not attend two consecutive years of screening were 3.76 (95% CI 2.14, 6.61; p < 0.001), compared with participants who were screened annually. In 605 participants with mild non-proliferative retinopathy at the first screen, the adjusted relative odds of developing proliferative or moderate to severe non-proliferative retinopathy were 5.72 (95% CI 7.43, 22.83; p = 0.013) for 53 participants who missed two screens. CONCLUSIONS/ INTERPRETATION: Patients who do not attend diabetic eye screening are at increased risk of developing STDR. Tracing of non-attenders with evidence of established retinopathy should be an important fail-safe procedure.
AIMS/HYPOTHESIS: This study evaluated whether repeated non-attendance for diabetic eye screening is associated with the risk of sight-threatening diabetic retinopathy (STDR). METHODS: This was a cohort study of 6,556 residents with diabetes who were invited for screening between 2008 and 2011 in a population-based eye screening programme in inner London and who attended for their first-ever screen in 2008. The proportion of participants with STDR was evaluated in relation to the number of years in which screening was missed. RESULTS: The proportion of participants who did not attend screening decreased between 2009 and 2011 (annual reduction 1.6% [95% CI 0.9%, 2.3%]). The adjusted relative odds of STDR for 210 participants who did not attend two consecutive years of screening were 3.76 (95% CI 2.14, 6.61; p < 0.001), compared with participants who were screened annually. In 605 participants with mild non-proliferative retinopathy at the first screen, the adjusted relative odds of developing proliferative or moderate to severe non-proliferative retinopathy were 5.72 (95% CI 7.43, 22.83; p = 0.013) for 53 participants who missed two screens. CONCLUSIONS/ INTERPRETATION:Patients who do not attend diabetic eye screening are at increased risk of developing STDR. Tracing of non-attenders with evidence of established retinopathy should be an important fail-safe procedure.
Authors: Serge Resnikoff; Donatella Pascolini; Daniel Etya'ale; Ivo Kocur; Ramachandra Pararajasegaram; Gopal P Pokharel; Silvio P Mariotti Journal: Bull World Health Organ Date: 2004-12-14 Impact factor: 9.408
Authors: A Misra; M O Bachmann; R H Greenwood; C Jenkins; A Shaw; O Barakat; M Flatman; C D Jones Journal: Diabet Med Date: 2009-10 Impact factor: 4.359
Authors: Xuanping Zhang; Susan L Norris; Jinan Saadine; Farah M Chowdhury; Tanya Horsley; Sanjat Kanjilal; Carol M Mangione; Ralf Buhrmann Journal: Am J Prev Med Date: 2007-10 Impact factor: 5.043
Authors: Christina Mehranbod; Pauline Genter; Lilian Serpas; Johana Macias; David Campa; David Bermon; Eli Ipp Journal: J Med Syst Date: 2019-12-09 Impact factor: 4.460
Authors: Katharina A Ponto; Jochem Koenig; Tunde Peto; Julia Lamparter; Philipp Raum; Philipp S Wild; Karl J Lackner; Norbert Pfeiffer; Alireza Mirshahi Journal: Diabetologia Date: 2016-06-17 Impact factor: 10.122
Authors: Pia Roser; Hannes Kalscheuer; Jan B Groener; Daniel Lehnhoff; Roman Klein; Gerd U Auffarth; Peter P Nawroth; Florian Schuett; Gottfried Rudofsky Journal: J Diabetes Res Date: 2016-01-21 Impact factor: 4.011
Authors: JinXiao Lian; Sarah M McGhee; Rita A Gangwani; Cindy L K Lam; Maurice K H Yap; David S H Wong Journal: BMJ Open Date: 2018-04-13 Impact factor: 2.692
Authors: Fiona Riordan; Emmy Racine; Susan M Smith; Aileen Murphy; John Browne; Patricia M Kearney; Colin Bradley; Mark James; Mark Murphy; Sheena M McHugh Journal: Pilot Feasibility Stud Date: 2020-05-12