scholarly journals Understanding the uptake of a national retinopathy screening programme: An audit of people with diabetes in two large primary care centres

2019 ◽  
Vol 2 ◽  
pp. 17 ◽  
Author(s):  
Marsha Tracey ◽  
Emmy Racine ◽  
Fiona Riordan ◽  
Sheena M. McHugh ◽  
Patricia M. Kearney
Keyword(s):  
Primary Care ◽  
Diabetic Retinopathy ◽  
Screening Programme ◽  
Primary Care Population ◽  
Diabetic Retinopathy Screening ◽  
A Priority ◽  
Rate Ratios ◽  
Measure Of Association ◽  
Retinopathy Screening

Background: Diabetic retinopathy (DR) affects 8.2% of the Irish population with type 2 diabetes over 50 years and is one of the leading causes of blindness among working-age adults. Regular diabetic retinopathy screening (DRS) can reduce the risk of sight loss. In 2013, the new national screening programme (RetinaScreen) was introduced in Ireland. Maximising DRS uptake (consent to participate in the programme and attendance once invited) is a priority, therefore it is important to identify characteristics which determine DRS uptake among those with diabetes in Ireland. We report uptake in an Irish primary care population during the initial phase of implementation of RetinaScreen and investigate factors which predict consenting to participate in the programme. Methods: In two primary care practices, data were extracted from records of people with diabetes (type 1 and type 2) aged ≥18 years who were eligible to participate in RetinaScreen between November 2013 and August 2015. Records were checked for a RetinaScreen letter. RetinaScreen were contacted to establish the status of those without a letter on file. Multivariable Poisson regression was used to examine associations between socio-demographic variables and consenting. Adjusted incident rate ratios (IRR) with 95% CI were generated as a measure of association. Results: Of 722 people with diabetes, one fifth (n=141) were not registered with RetinaScreen. Of 582 who were registered, 63% (n=365) had participated in screening. Most people who consented subsequently attended (n=365/382, 96%). People who had attended another retinopathy screening service were less likely to consent (IRR 0.65 [95%CI 0.5-0.8]; p<0.001). Other predictors were not significantly associated with consent. Conclusions: Over one third of eligible participants in RetinaScreen had not consented. Research is needed to understand barriers and enablers of DRS uptake in the Irish context. Implementing strategies to improve DRS uptake, barriers to consent in particular, should be a priority.

scholarly journals Understanding the uptake of a national retinopathy screening programme: An audit of patients with diabetes in two large primary care centres

2019 ◽  
Vol 2 ◽  
pp. 17 ◽  
Author(s):  
Marsha Tracey ◽  
Emmy Racine ◽  
Fiona Riordan ◽  
Sheena M. McHugh ◽  
Patricia M. Kearney
Keyword(s):  
Primary Care ◽  
Diabetic Retinopathy ◽  
Screening Programme ◽  
Primary Care Population ◽  
Diabetic Retinopathy Screening ◽  
A Priority ◽  
Rate Ratios ◽  
Measure Of Association ◽  
Retinopathy Screening

Background: Diabetic retinopathy (DR) affects 8.2% of the Irish population with type 2 diabetes over 50 years and is one of the leading causes of blindness among working-age adults. Regular diabetic retinopathy screening (DRS) can reduce the risk of sight loss. In 2013, the new national screening programme (RetinaScreen) was introduced in Ireland. Maximising DRS uptake (consent to participate in the programme and attendance once invited) is a priority, therefore it is important to identify characteristics which determine DRS uptake among those with diabetes in Ireland. We report uptake in an Irish primary care population during the initial phase of implementation of RetinaScreen and investigate factors which predict consenting to participate in the programme. Methods:  In two primary care practices, data were extracted from records of people with diabetes (type 1 and type 2) aged ≥18 years who were eligible to participate in RetinaScreen between November 2013 and August 2015. Records were checked for a RetinaScreen letter. RetinaScreen were contacted to establish the status of those without a letter on file. Multivariable Poisson regression was used to examine associations between socio-demographic variables and consenting. Adjusted incident rate ratios (IRR) with 95% CI were generated as a measure of association. Results: Of 722 people with diabetes, one fifth (n=141) were not registered with RetinaScreen. Of 582 who were registered, 63% (n=365) had participated in screening. Most people who consented subsequently attended (n=365/382, 96%). People who had attended another retinopathy screening service were less likely to consent (IRR 0.65 [95%CI 0.5-0.8]; p<0.001). Other predictors were not significantly associated with consent. Conclusions: Over one third of people eligible to participate in RetinaScreen had not consented. Research is needed to understand barriers and enablers of DRS uptake in the Irish context. Implementing strategies to improve DRS uptake (consent and attendance) should be a priority.

scholarly journals Understanding the uptake of a national retinopathy screening programme: An audit of people with diabetes in two large primary care centres

2019 ◽  
Vol 2 ◽  
pp. 17 ◽  
Author(s):  
Marsha Tracey ◽  
Emmy Racine ◽  
Fiona Riordan ◽  
Sheena M. McHugh ◽  
Patricia M. Kearney
Keyword(s):  
Primary Care ◽  
Diabetic Retinopathy ◽  
Screening Programme ◽  
Primary Care Population ◽  
Diabetic Retinopathy Screening ◽  
A Priority ◽  
Rate Ratios ◽  
Measure Of Association ◽  
Primary Care Practices ◽  
Retinopathy Screening

Background: Diabetic retinopathy (DR) is estimated to affect 25–26% of the Irish population with diabetes and is one of the leading causes of blindness among working-age adults. Regular diabetic retinopathy screening (DRS) can reduce the risk of sight loss. In 2013, the new national screening programme (RetinaScreen) was introduced in Ireland. Maximising DRS uptake (consent to participate in the programme and attendance once invited) is a priority, therefore it is important to identify characteristics which determine DRS uptake among those with diabetes in Ireland. We report uptake in an Irish primary care population during the initial phase of implementation of RetinaScreen and investigate factors which predict consenting to participate in the programme. Methods: In two primary care practices, data were extracted from records of people with diabetes (type 1 and type 2) aged ≥18 years who were eligible to participate in RetinaScreen between November 2013 and August 2015. Records were checked for a RetinaScreen letter. RetinaScreen were contacted to establish the status of those without a letter on file. Multivariable Poisson regression was used to examine associations between socio-demographic variables and consenting. Adjusted incident rate ratios (IRR) with 95% CI were generated as a measure of association. Results: Of 722 people with diabetes, one fifth (n=141) were not registered with RetinaScreen. Of 582 who were registered, 63% (n=365) had participated in screening. Most people who consented subsequently attended (n=365/382, 96%). People who had attended another retinopathy screening service were less likely to consent (IRR 0.65 [95%CI 0.5-0.8]; p<0.001). Other predictors were not significantly associated with consent. Conclusions: Over one third of eligible participants in RetinaScreen had not consented. Research is needed to understand barriers and enablers of DRS uptake in the Irish context. Implementing strategies to improve DRS uptake, barriers to consent in particular, should be a priority.

scholarly journals Factors associated with non-attendance in the Irish national diabetic retinopathy screening programme (INDEAR study report no. 2)

2021 ◽  
Author(s):  
Stephen R. Kelly ◽  
Allison R. Loiselle ◽  
Rajiv Pandey ◽  
Andrew Combes ◽  
Colette Murphy ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Diabetic Retinopathy ◽  
Screening Programme ◽  
Intervention Strategy ◽  
Cost Effective ◽  
Missed Appointments ◽  
Diabetic Retinopathy Screening ◽  
Patients With Diabetes ◽  
Retinopathy Screening

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.

Mailed letter versus phone call to increase diabetic retinopathy screening engagement by patients in a team-based primary care practice: a prospective, single-masked, randomized trial.

2021 ◽  
Author(s):  
Vess Stamenova ◽  
Megan Nguyen ◽  
Nike Onabajo ◽  
Rebecca Merritt ◽  
Olivera Sutakovic ◽  
...  
Keyword(s):  
Primary Care ◽  
Diabetic Retinopathy ◽  
Usual Care ◽  
Patient Engagement ◽  
Primary Care Practice ◽  
Phone Call ◽  
Care Practice ◽  
Diabetic Retinopathy Screening ◽  
Engagement Strategies ◽  
Retinopathy Screening

Abstract Background: Diabetic retinopathy is the leading cause of blindness among adults, but vision loss is preventable through regular screening. Urban areas in Canada have large numbers of unscreened individuals and teleophthalmology programs have been used to improve access and uptake of screening. The purpose of this study was to test different patient engagement approaches to expand teleophthalmology program to team-based primary care clinic in the city of Toronto, Canada.Methods: A teleophthalmology program was set up in a large urban academic team-based primary care practice. Patients over 18 years of age, with type 1 or type 2 diabetes were randomized to one of four engagement strategies: a phone call, a letter, a letter plus phone call, or usual care. Outreach was conducted by administrative staff within the clinic. The primary outcome was booking an appointment for diabetic retinopathy screening through a teleophthalmology program at the time of the call or within one week for the mail intervention. Results: A total of 23 patients in the phone, 28 in the mail, 32 in the mail and phone, and 27 in the control (usual care) were included in the analysis. After the intervention, 88% of patients in the phone intervention, 11% of patients in the mail group, and 100% in the mail and phone group booked an appointment with the teleophthalmology program compared to 0% in the control group. Phoning patients positively predicted patients booking a teleophthalmology appointment (p< .0001), while sending a letter had no effect. Conclusions: Patient engagement to book diabetic retinopathy screening via teleophthalmology in an urban academic team-based primary care practice using telephone calls was much more effective than letters or usual care. Practices that have access to a local DR screening programs and have the required resources to undertake such engagement strategies should consider using them as a means in improving their DR screening rates.

scholarly journals Correction to: Diabetic retinopathy screening in urban primary care setting with a handheld smartphone-based retinal camera

2020 ◽  
Author(s):  
Márcia Silva Queiroz ◽  
Jacira Xavier de Carvalho ◽  
Silvia Ferreira Bortoto ◽  
Mozania Reis de Matos ◽  
Cristiane das Graças Dias Cavalcante ◽  
...  
Keyword(s):  
Primary Care ◽  
Diabetic Retinopathy ◽  
Care Setting ◽  
Primary Care Setting ◽  
Diabetic Retinopathy Screening ◽  
Retinopathy Screening
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