Adherence to the American Diabetes Association retinal screening guidelines for population with diabetes in the United States

Abstract

During nearly 5 years of follow-up, 28.9% of patients with diabetes were nonadherent to the retinal screening guidelines. Future research should focus on the development of interventions to address modifiable factors associated with nonadherence.

Trends in the Use of Eye Care Services in Adults Treated for Diabetes between 2008 and 2017 in France: A Nationwide Study

“…Our results are in the range of previous studies from industrialized countries, based on self-reported data. For instance, the 2009–2013 retrospective cohort study of Kaiser Permanent Southern California (KPSC) reported that 70% of subjects were non adherent to the annual examination guidelines [8]. In Europe, in the 1997–2012 repeated cross-sectional study from Germany, the prevalence of annual eye care service utilization was 69% between 1997 and 2001 and 56.0% between 2008 and 2012 [6].…”

“…Over the past 10 years, significant progress in DR screening was observed, particularly in the United Kingdom [5]. However, the proportions of patients with diabetes who have an annual eye examination vary worldwide from 30 to 70% [6-8], but no such data are available in France.…”

Diabetic eye disease and screening attendance by ethnicity in New Zealand: A systematic review

“…Ethnic disparities in attendance at DR services have been identified in other countries . In New Zealand, efforts to improve attendance rates in DR screening and management programmes are important for all population groups, but particularly for non‐Europeans and youth/young adults—both of which also have higher rates of DR compared to other groups.…”

“…Ethnic disparities in attendance at DR services have been identified in other countries. 32,33 In New Zealand, efforts to improve attendance rates in DR screening and management programmes are important for all population groups, but particularly for non-Europeans and youth/young adults-both of which also have higher rates of DR compared to other groups. The higher rates of DR identified in non-Europeans likely reflects lower engagement with diabetes management People referred to ophthalmologists who do not return to screening programme not included.…”

PREVENTION AND MANAGEMENT OF Diabetes-Related Eye Disease

“…Subsequent exams should occur every 1-2 years if no signs of DR are detected; more frequent examinations will be required if there is evidence of DR (121). Unfortunately, although 90% of diabetes-related visual loss can be avoided with appropriate treatment (122), less than two-thirds of patients in the United States are receiving appropriate screening (123). By educating our patients about the importance of eye screenings and addressing their fears, we have the ability to prevent visual loss from diabetes.…”