Screening intervals in patients with diabetic retinopathy revisited

2021 ◽  
Author(s):  
Mads Varis Nis Andersen ◽  
Daniella Bach‐Holm ◽  
Jens Andresen
Keyword(s):  
Diabetic Retinopathy ◽  
Screening Intervals

Diabetic retinopathy screening: perspectives of people with diabetes, screening intervals and costs of attending screening

2012 ◽  
Vol 29 (7) ◽  
pp. 878-885 ◽  
Author(s):  
S. T. Yeo ◽  
R. T. Edwards ◽  
S. D. Luzio ◽  
J. M. Charles ◽  
R. L. Thomas ◽  
...  
Keyword(s):  
Diabetic Retinopathy ◽  
Diabetes Screening ◽  
Diabetic Retinopathy Screening ◽  
Screening Intervals ◽  
Retinopathy Screening

scholarly journals One Size Does Not Fit All: What Are The Appropriate Screening Intervals For People At Risk Of Diabetic Retinopathy

2017 ◽  
Vol 20 (9) ◽  
pp. A501-A502
Author(s):  
TG Winfield ◽  
R Thomas ◽  
S Luzio ◽  
P Anderson ◽  
F Dunstan ◽  
...  
Keyword(s):  
At Risk ◽  
Diabetic Retinopathy ◽  
Screening Intervals

scholarly journals Personalising screening of sight-threatening diabetic retinopathy - qualitative evidence to inform effective implementation

2020 ◽  
Author(s):  
Paula Byrne ◽  
Clare Thetford ◽  
Mark Gabbay ◽  
Pam Clarke ◽  
Emily Doncaster ◽  
...  
Keyword(s):  
Health Care ◽  
Diabetic Retinopathy ◽  
Health Care Professionals ◽  
Controlled Trial ◽  
Comparative Method ◽  
Variable Interval ◽  
Incidence Rates ◽  
Successful Implementation ◽  
Eye Screening ◽  
Screening Intervals

Abstract Background Internationally, systematic screening for sight-threatening diabetic retinopathy (STDR) usually includes annual recall. Researchers and policy-makers support extending screening intervals, citing evidence from observational studies with low incidence rates. However, there is little research around the acceptability to people with diabetes (PWD) and health care professionals (HCP) about changing eye screening intervals. Methods We conducted a qualitative study to explore issues surrounding acceptability and the barriers and enablers for changing from annual screening, using in-depth, semi-structured interviews analysed using the constant comparative method. PWD were recruited from general practices and HCPs from eye screening networks and related specialties in North West England using purposive sampling. Interviews were conducted prior to the commencement of and during a randomised controlled trial (RCT) comparing fixed annual with variable (6, 12 or 24 month) interval risk-based screening. Results Thirty PWD and 21 HCP participants were interviewed prior to and 30 PWD during the parallel RCT. The data suggests that a move to variable screening intervals was generally acceptable in principle, though highlighted significant concerns and challenges to successful implementation. The current annual interval was recognised as unsustainable against a backdrop of increasing diabetes prevalence. There were important caveats attached to acceptability and a need for clear safeguards around: the safety and reliability of calculating screening intervals, capturing all PWDs, referral into screening of PWDs with diabetic changes regardless of planned interval. For PWDs the 6-month interval was perceived positively as medical reassurance, and the 12-month seen as usual treatment. Concerns were expressed by many HCPs and PWDs that a 2-year interval was too lengthy and was risky for detecting STDR. There were also concerns about a negative effect upon PWD care and increasing non-attendance rates. Amongst PWDs, there was considerable conflation and misunderstanding about different eye-related appointments within the health care system. Conclusions Implementing variable-interval screening into clinical practice is generally acceptable to PWD and HCP with important caveats, and misconceptions must be addressed. Clear safeguards against increasing non-attendance, loss of diabetes control and alternative referral pathways are required. For risk calculation systems to be safe, reliable monitoring and clear communication is required.

scholarly journals Screening intervals for diabetic retinopathy and incidence of visual loss: a systematic review

2013 ◽  
Vol 30 (11) ◽  
pp. 1272-1292 ◽  
Author(s):  
J. B. Echouffo-Tcheugui ◽  
M. K. Ali ◽  
G. Roglic ◽  
R. A. Hayward ◽  
K. M. Narayan
Keyword(s):  
Systematic Review ◽  
Diabetic Retinopathy ◽  
Visual Loss ◽  
Screening Intervals
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