Ranjit Virk1,2, Alison M Binns3, Ryan Chambers1, John Anderson1. 1. Department of Diabetes, Homerton University Hospital Foundation Trust, Homerton Row, London, E9 6SR, UK. 2. City University of London, School of Health Sciences, Division of Optometry & Visual Sciences, Northampton Square, London, EC1V 0HB, UK. 3. City University of London, School of Health Sciences, Division of Optometry & Visual Sciences, Northampton Square, London, EC1V 0HB, UK. Alison.binns.1@city.ac.uk.
Abstract
BACKGROUND/AIMS: This study examines the anecdotal impression that in diabetes eye screening there is a relationship between number of consecutive missed screening appointments and the incidence of referable retinopathy at the next screening appointment that is attended. METHODS: A retrospective observational audit was conducted of data from 62,067 people who were due for annual diabetes eye screening in the North East London Diabetes Eye Screening Programme between January 2010 and January 2017, and who had missed at least one screening appointment within that time. RESULTS: Missing 5 consecutive screening appointments increased the incidence of referable retinopathy from a programme average of 4% up to 15%. The incidence of referable retinopathy in people missing 10 or more consecutive appointments was ~20%. There was an association between younger age, male gender, type I disease, and being of African ethnicity with increasing number of missed appointments. CONCLUSIONS: There was a strong association between the number of missed appointments and the proportion of patients showing referable retinopathy at the next visit. Approaches to reduce the number of missed appointments may help to reduce the incidence of referable retinopathy. These may be targeted at those showing the greatest non-attendance behaviour in the current study.
BACKGROUND/AIMS: This study examines the anecdotal impression that in diabetes eye screening there is a relationship between number of consecutive missed screening appointments and the incidence of referable retinopathy at the next screening appointment that is attended. METHODS: A retrospective observational audit was conducted of data from 62,067 people who were due for annual diabetes eye screening in the North East London Diabetes Eye Screening Programme between January 2010 and January 2017, and who had missed at least one screening appointment within that time. RESULTS: Missing 5 consecutive screening appointments increased the incidence of referable retinopathy from a programme average of 4% up to 15%. The incidence of referable retinopathy in people missing 10 or more consecutive appointments was ~20%. There was an association between younger age, male gender, type I disease, and being of African ethnicity with increasing number of missed appointments. CONCLUSIONS: There was a strong association between the number of missed appointments and the proportion of patients showing referable retinopathy at the next visit. Approaches to reduce the number of missed appointments may help to reduce the incidence of referable retinopathy. These may be targeted at those showing the greatest non-attendance behaviour in the current study.
Authors: Louise Prothero; Fabianna Lorencatto; Martin Cartwright; Jennifer M Burr; Philip Gardner; John Anderson; Justin Presseau; Noah Ivers; Jeremy M Grimshaw; John G Lawrenson Journal: BMJ Open Diabetes Res Care Date: 2021-11
Authors: Anne Suhr Thykjær; N Andersen; T Bek; S Heegaard; J Hajari; C S Laugesen; S Möller; F N Pedersen; L Rosengaard; K C Schielke; R Kawasaki; K Højlund; K H Rubin; L Stokholm; J Grauslund Journal: Acta Diabetol Date: 2022-08-12 Impact factor: 4.087