Diabetic retinopathy and socioeconomic deprivation in Gloucestershire

Scanlon, Peter H; Carter, S C; Foy, Chris; Husband, R F A; Abbas, Jihad; Bachmann, Max

doi:10.1258/jms.2008.008013

Cited by 60 publications

(68 citation statements)

References 14 publications

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“…parts of London) experience a 25% change in registrations every year. There are few patients in Gloucestershire from ethnic groups, 12 which previous studies 13 have shown can present complex issues with registration. Further, high awareness of the screening programme in Gloucestershire may lead patients with diabetes who have not been offered screening to prompt their GP to include them on the screening programme list.…”

Section: Discussionmentioning

confidence: 99%

Updating Diabetic Retinopathy Screening Lists using Automatic Extraction from GP Patient Records

Scanlon

Provins²,

Craske³

et al. 2013

J Med Screen

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Objectives: Diabetic Retinopathy screening services aim to reduce the risk of sight loss amongst patients with diabetes. The rising incidence of diabetes in England and the operational need to ensure the accuracy and timeliness of screening lists led to a pilot study of electronic extraction of data from primary care. This study aimed to evaluate the effectiveness of updating the single collated list of patients eligible for diabetic eye screening using extracts from electronic patient records in primary care. Setting and Methods: The Gloucestershire Diabetic Eye Screening Programme (GDESP) provides screening for 85 General Practices in the county. Of these, 54 using Egton Medical Information Systems (EMIS) practice management system software agreed to participate in this study. The screening list held in 2009 by the Gloucestershire DESP of 14,209 patients known to have diabetes was audited against a list created with automatic extraction from General Practice records of patients marked with the diabetes Read Code C10. Those subsequently screened and referred to the Hospital Eye service were followed up. Results: The Gloucestershire DESP manual list covering the 54 EMIS practices comprised 14,771 people with diabetes. The audit process identified an additional 709 (4.8%) patients coded C10, including 23 diagnosed more than 5 years ago, and 20 patients under the age of 20 who were diagnosed more than a year ago. Conclusion: Automatic extraction of data from General Practice identified 709 patients coded as having diabetes not previously known to the Gloucestershire DESP.

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Section: Discussionmentioning

confidence: 99%

Updating Diabetic Retinopathy Screening Lists using Automatic Extraction from GP Patient Records

Scanlon

Provins²,

Craske³

et al. 2013

J Med Screen

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show abstract

“…Así mismo, resulta importante la realización de estudios en Chile que validen los distintos modelos de tamizajes y la participación de TM en el proceso. Es conveniente aumentar potencialmente las coberturas, especialmente en los estratos socioeconómicos más bajos que muestran una mayor prevalencia de detección de RD y menores tasas de cobertura en los programas de tamizaje 31,32 . Agradecimientos: Se agradece la cooperación de la Dra.…”

Section: Discussionunclassified

Tamizaje en el diagnóstico y prevalencia de retinopatía diabética en atención primaria

Covarrubias¹,

Delgado

Rojas³

et al. 2017

Rev. méd. Chile

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“…Gray 33 has shown a link between the number of reminders required for attendance in the screening programme in Somerset, United Kingdom and the grade of retinopathy identified. In a study 34 in Gloucestershire, United Kingdom, sight-threatening diabetic retinopathy was found to be present most frequently in the most deprived socio-economic group, and this group was the least likely to attend screening.…”

Section: Methodsmentioning

confidence: 98%

Why do patients still require surgery for the late complications of Proliferative Diabetic Retinopathy?

Scanlon

2010

Eye

Self Cite

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Aim To briefly review and discuss the literature on why patients still require surgery for the late complications of proliferative diabetic retinopathy (PDR). Methods: Literature review. Results The reasons for incomplete coverage of screening and screening failures can be divided into non-modifiable and potentially modifiable risk factors. The non-modifiable group includes duration of diabetes, age, genetic predisposition, ethnic differences, and the various reasons for vitrectomy when optimum laser treatment has been applied at the appropriate stage of the disease process. The potentially modifiable group includes glycaemic control, blood pressure control, lipid control, and cessation of smoking in type 1 diabetes. Other potentially modifiable factors include adequacy of screening, including reaching the regular non-attender, and attempting to modify the psychological factors that lead to late presentations including depression and eating disorders. Other potentially modifiable risk factors are optimising laser treatments and the potential use of anti-VEGF therapy to prevent vitrectomy in iris neovascularisation and neovascular glaucoma. Conclusion Surgery for the late complications of PDR continues to be required even in some patients who have received optimal medical care and optimal laser treatment. There are certain modifiable risk factors that could be altered and further research is needed in specific fields, particularly with regard to the adequacy of laser treatments, the use of anti-VEGF agents in iris neovascularisation, and in the role of psychological support in reducing the type of late complications leading to surgery for PDR.

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Diabetic retinopathy and socioeconomic deprivation in Gloucestershire

Cited by 60 publications

References 14 publications

Updating Diabetic Retinopathy Screening Lists using Automatic Extraction from GP Patient Records

Updating Diabetic Retinopathy Screening Lists using Automatic Extraction from GP Patient Records

Tamizaje en el diagnóstico y prevalencia de retinopatía diabética en atención primaria

Why do patients still require surgery for the late complications of Proliferative Diabetic Retinopathy?

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