Factors Contributing to Diabetes Patients Not Receiving Annual Dilated Eye Examinations

Paksin-Hall, Arraya; Dent, Michelle; Dong, Frank; Ablah, Elizabeth

doi:10.3109/09286586.2013.789531

Cited by 42 publications

(45 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Most research to date assessing DFE adherence has used survey methods. 24 Self-reported data are limited not only due to response bias but also in the clinical variables that can be collected. In addition, most research has only assessed whether patients with diabetes receive an annual eye examination and does not take into account the severity of DR.…”

Section: Significance Of This Studymentioning

confidence: 99%

“…Our results agree with a recent study from Paskin-Hall et al, who also found gender was not significantly associated with annual DFE adherence. 24 Distance from a healthcare facility or provider can be a barrier to care. Increased driving distance has been associated with poor glycemic control 38 39 and lower use of insulin.…”

Section: Non-statistically Significant Variables After Adjustmentmentioning

confidence: 99%

“…However, limited research has documented the factors associated with adherence to established recommendations for DFE follow-up. Most research to date assessing DFE adherence has used survey methods 24. Self-reported data are limited not only due to response bias but also in the clinical variables that can be collected.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Non-adherence to eye care in people with diabetes

Murchison

Hark

Pizzi

et al. 2017

BMJ Open Diab Res Care

View full text Add to dashboard Cite

ObjectiveEvaluate individual factors that impact adherence to eye care follow-up in patients with diabetes.Design and methodsA 4-year retrospective chart review was conducted for 1968 patients with diabetes over age 40 from an urban academic center. Data collected included demographics, insurance, visual acuity, smoking status, medications, dates of dilated fundus examinations (DFE), and reported hemoglobin A1C and blood glucose levels. The primary outcome was timely DFE follow-up adherence following the initial eye exam visit.ResultsOverall, 41.6% of patients adhered to initial follow-up eye care recommendations. Multivariable analysis demonstrated that patients with severe diabetic retinopathy (DR) were more adherent than patients with mild DR (OR 1.86). Other variables associated with increased adherence were visual impairment and reported A1C or blood glucose. Smoking was associated with decreased adherence. Ethnicity and insurance were also significantly associated with adherence. Longitudinal follow-up rates were influenced by additional factors, including ethnicity and neighborhood deprivation index.ConclusionsPatients with moderate to severe DR and/or visual impairment were more likely to adhere to timely DFE follow-up. This could relate to the presence of visual symptoms and/or other systemic manifestations of diabetes. Smokers were less likely to adhere to timely DFE follow-up. One hypothesis is patients who smoke have other symptomatic health problems which patients prioritize over asymptomatic ocular disorders. In order to reduce vision loss from DR, practitioners should be aware that patients with mild and moderate DR, patients with normal vision, and smokers are at greater risk for poor follow-up eye care adherence.

show abstract

Section: Significance Of This Studymentioning

confidence: 99%

Section: Non-statistically Significant Variables After Adjustmentmentioning

confidence: 99%

See 1 more Smart Citation

Non-adherence to eye care in people with diabetes

Murchison

Hark

Pizzi

et al. 2017

BMJ Open Diab Res Care

View full text Add to dashboard Cite

show abstract

“…14 15 However, quantitative studies have their limitations. Qualitative research is complementary to quantitative research methods and is used in small groups of patients to explore complex issues in greater depth, allowing findings and themes to emerge from the data rather than testing predetermined hypotheses 16…”

Section: Introductionmentioning

confidence: 99%

Influencing factors on compliance of timely visits among patients with proliferative diabetic retinopathy in southern China: a qualitative study

et al. 2017

View full text Add to dashboard Cite

ObjectiveTo identify the reasons for low adherence among patients with diabetic retinopathy (DR) in southern China using a qualitative method.MethodsExploratory indepth interviews were conducted in 27 diabetic patients with proliferative diabetic retinopathy who required vitrectomy surgery at Zhongshan Ophthalmic Centre, Sun Yat-sen University, from March to August 2015. Qualitative data analysis and research software (ATLAS.ti7) was used for data processing and analysis.ResultsFactors influencing the occurrence of timely visits included lack of DR related knowledge, fear and worries about insulin, interactions between patients and society combined with the complexity of emotions and social culture, and the economic burden of treatment.ConclusionsAlthough the reasons for low adherence involved social, emotional, cultural and economic factors, the key issue was the lack of awareness and knowledge of DR. Our findings have several practical implications for health policymakers and programme planners in China.

show abstract

“…In “Factors contributing to diabetes patients not receiving annual dilated eye examinations” by Paksin-Hall and colleagues, 6 individuals with diabetes were asked a variety of questions to get at reasons why patients with diabetes do not receive an annual dilated eye examination. 5 The study findings serve as a reminder that the social determinants of health play a critical role in the accessibility, acceptability and use of health services.…”

mentioning

confidence: 87%