Literature DB >> 23931464

Primary care physicians' knowledge of the ophthalmic effects of diabetes.

Michael N Wiggins1, Reid D Landes, Swetangi D Bhaleeya, Sami H Uwaydat.   

Abstract

OBJECTIVE: Previous studies suggest that many patients with diabetes do not receive an annual dilated eye examination because of a lack of referrals from primary care physicians (PCPs). This study aims to determine the depth of knowledge of PCPs regarding diabetic eye disease.
DESIGN: Cross-sectional assessment. PARTICIPANTS: Ninety-seven PCPs.
METHODS: An 8-question, multiple-choice assessment was administered over a 3-month period to 208 PCPs in attendance at continuing medical education conferences.
RESULTS: Ninety-seven PCPs completed the assessment. Participants had a mean total score of 5.9 of 8 possible (73.8%). Questions regarding screening, clinical findings, and prevention were answered correctly by ≥81% of the respondents. However, questions regarding risk factors and complications were answered correctly by less than 35% of the respondents. No difference in scores was found based on the type of residency training received or the number of years in practice.
CONCLUSIONS: Although PCPs may require greater education in the complications and risk factors of diabetic eye disease, study participants demonstrated a good overall depth of knowledge regarding diabetic eye disease. Thus, previous reports of only 35% to 55% of patients with diabetes receiving an annual dilated fundus examination are likely not due to a lack of physician education.
Copyright © 2013 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.

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Mesh:

Year:  2013        PMID: 23931464      PMCID: PMC3863606          DOI: 10.1016/j.jcjo.2013.03.011

Source DB:  PubMed          Journal:  Can J Ophthalmol        ISSN: 0008-4182            Impact factor:   1.882


  19 in total

1.  Patterns of adherence to diabetes vision care guidelines: baseline findings from the Diabetic Retinopathy Awareness Program.

Authors:  E R Schoenfeld; J M Greene; S Y Wu; M C Leske
Journal:  Ophthalmology       Date:  2001-03       Impact factor: 12.079

2.  The long-term effects of laser photocoagulation treatment in patients with diabetic retinopathy: the early treatment diabetic retinopathy follow-up study.

Authors:  Emily Y Chew; Frederick L Ferris; Karl G Csaky; Robert P Murphy; Elvira Agrón; Darby J S Thompson; George F Reed; Andrew P Schachat
Journal:  Ophthalmology       Date:  2003-09       Impact factor: 12.079

3.  Photocoagulation treatment of proliferative diabetic retinopathy. Clinical application of Diabetic Retinopathy Study (DRS) findings, DRS Report Number 8. The Diabetic Retinopathy Study Research Group.

Authors: 
Journal:  Ophthalmology       Date:  1981-07       Impact factor: 12.079

4.  Reported practice behaviors for medical care of patients with diabetes mellitus by primary-care physicians in Pennsylvania.

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Journal:  Diabetes Care       Date:  1991-08       Impact factor: 19.112

5.  Ophthalmic examination among adults with diagnosed diabetes mellitus.

Authors:  R J Brechner; C C Cowie; L J Howie; W H Herman; J C Will; M I Harris
Journal:  JAMA       Date:  1993-10-13       Impact factor: 56.272

6.  Patterns of referral and examination for retinopathy in pregnant women with diabetes by primary care physicians.

Authors:  D G Marrero; P S Moore; C D Langefeld; C M Clark
Journal:  Ophthalmic Epidemiol       Date:  1995-06       Impact factor: 1.648

7.  Variation in office-based quality. A claims-based profile of care provided to Medicare patients with diabetes.

Authors:  J P Weiner; S T Parente; D W Garnick; J Fowles; A G Lawthers; R H Palmer
Journal:  JAMA       Date:  1995-05-17       Impact factor: 56.272

8.  Factors associated with having eye examinations in persons with diabetes.

Authors:  S E Moss; R Klein; B E Klein
Journal:  Arch Fam Med       Date:  1995-06

Review 9.  Diabetic retinopathy: a growing concern in an aging population.

Authors:  Yannis M Paulus; Ray F Gariano
Journal:  Geriatrics       Date:  2009-02

Review 10.  The internist's role in managing diabetic retinopathy: screening for early detection.

Authors:  Stephen H Sinclair; Cherie Delvecchio
Journal:  Cleve Clin J Med       Date:  2004-02       Impact factor: 2.321

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  7 in total

1.  Ophthalmic Screening Patterns Among Youths With Diabetes Enrolled in a Large US Managed Care Network.

Authors:  Sophia Y Wang; Chris A Andrews; Thomas W Gardner; Michael Wood; Kanakadurga Singer; Joshua D Stein
Journal:  JAMA Ophthalmol       Date:  2017-05-01       Impact factor: 7.389

Review 2.  Diabetic Eye Screening: Knowledge and Perspectives from Providers and Patients.

Authors:  Yao Liu; Rebecca Swearingen
Journal:  Curr Diab Rep       Date:  2017-08-31       Impact factor: 4.810

3.  Utilization of Rural Primary Care Physicians' Visit Services for Diabetes Management of Public Health in Southwestern China: A Cross-Sectional Study from Patients' View.

Authors:  Yudong Miao; Ting Ye; Dongfu Qian; Jinlong Li; Liang Zhang
Journal:  Iran J Public Health       Date:  2014-06       Impact factor: 1.429

4.  Diabetic retinopathy: Knowledge, awareness and practices of physicians in primary-care centers in Riyadh, Saudi Arabia.

Authors:  Raghad Al Rasheed; Fadwa Al Adel
Journal:  Saudi J Ophthalmol       Date:  2017-01-17

Review 5.  A partnership model for capacity-building of primary care physicians in evidence-based management of diabetic retinopathy in India.

Authors:  Sandeep Bhalla; Tanu Soni; Manoj Joshi; Vasudha K Sharma; Rajesh Mishra; Viswanathan Mohan; Ranjit Unnikrishnan; Ramasamy Kim; G V S Murthy; Dorairaj Prabhakaran; Padmaja K Rani; Ramachandran Rajalakshmi
Journal:  Indian J Ophthalmol       Date:  2020-02       Impact factor: 1.848

6.  Knowledge and practices of fundoscopy among general practitioners in Qassim Province, Saudi Arabia, for the management of diabetic retinopathy and diabetic macular edema: A cross-sectional study.

Authors:  Sultan H Al-Rashidi; Faris S Al-Thunayyan; Khalid A Alsuhaibani; Abdulmajeed A Alharbi; Khalid A Alharbi
Journal:  SAGE Open Med       Date:  2020-01-15

7.  Factors influencing patient adherence with diabetic eye screening in rural communities: A qualitative study.

Authors:  Yao Liu; Nicholas J Zupan; Olayinka O Shiyanbola; Rebecca Swearingen; Julia N Carlson; Nora A Jacobson; Jane E Mahoney; Ronald Klein; Timothy D Bjelland; Maureen A Smith
Journal:  PLoS One       Date:  2018-11-02       Impact factor: 3.240

  7 in total

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