The effect of geodemographic factors on the attendance rates at a regional diabetic retinopathy treatment centre

Greenan, Emily; Salim, Marisa; Coakley, Daniel; James, Mark A.

doi:10.1007/s11845-019-02009-4

Cited by 9 publications

(5 citation statements)

References 21 publications

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“…We found that more males than females did not attend their appointments and this has been mirrored in DRS studies, 16 , 17 as well as general diabetic clinic attendances, 18 , 19 and referrals from DRS to DRT. 14 Our findings contrast with RetinaScreen DRS, who also used OptoMize, reporting that being female was associated with an increased DNA rate (6%), and also being aged further away from 70 years was associated with higher DNA rates. 5 Each decade change whether up or down from 70 years shifted the DNA rate up by 23%.…”

Section: Discussioncontrasting

confidence: 99%

“…A similar value of 19% was found by Greenan et al who looked at 1200 referrals from DRS to DRT with an equivocal geographic base. 14 Faes et al reported a DNA rate of 32% and 28% from DRS to HES, for face to face, and virtual consultations, respectively. 15 Keenum et al found that 24% of patients referred with STDR had no record of attendance at the ophthalmology service two years after initial referral.…”

Section: Discussionmentioning

confidence: 99%

“…However, in Greenan’s DRT study, there was an almost twice as high a DNA rate recorded in the under-40 cohort compared to the over 40-year olds. 14 …”

Section: Discussionmentioning

confidence: 99%

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The Effect on Patients’ Visual Acuity and Grade, Secondary to Non-Attendance at Treatment Centers, Post Referral from Diabetic RetinaScreen Ireland

Harmon¹,

Kelly²,

Acheson³

et al. 2023

OPTH

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Background Patient non-attendance following referral to hospital is a significant challenge, in particular, for persons with diabetes. Aim We sought to determine the impact on both visual acuity and the subsequent follow-up retinopathy grade of patients when they fail to attend Diabetic Retinopathy Treatment (DRT) Centers following referral from Diabetic RetinaScreen (DRS). Methods A retrospective analysis of patients discharged from DRT due to multiple consecutive missed appointments between January 2016 and June 2021. Patients discharged for non-attendance were compared with patients discharged from completed treatment. Results Of the 24,945 NEC patients referred to DRT, 5900 (24%) and 9345 (37%) were discharged back to DRS due to non-attendance and completed treatment, respectively. Those discharged for non-attendance were younger (60.7 v 63.4, p < 0.001) and had higher proportions of males (67% v 63%, p < 0.001) and people with type 1 diabetes (27% v 18%, p < 0.001). After attending rescreening after discharge, those discharged for non-attendance were significantly more likely to have a worsening of DR grade (26% v 8%, p < 0.001). Conclusion Despite being notified that further investigation (with possible treatment) was required post DRS, many diabetic patients failed to attend for further management of their eye care in DRT. These patients had worse visual outcomes compared to those that attended. Improved patient education and communication are required to mitigate against the consequences of non-attendance.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The Effect on Patients’ Visual Acuity and Grade, Secondary to Non-Attendance at Treatment Centers, Post Referral from Diabetic RetinaScreen Ireland

Harmon¹,

Kelly²,

Acheson³

et al. 2023

OPTH

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“…Another study in Ireland did demonstrate lower uptake of retinal screening in participants who had to travel over 60 kilometres to a screening centre. 29 A geographical information systems (GIS) study may be useful to identify whether geographical barriers affect access to screening.…”

Section: Discussionmentioning

confidence: 99%

Non-attendance at diabetic retinal screening in Te Tai Tokerau, Northland, Aotearoa New Zealand

Dalziel,

Wolpert,

Sadler

et al. 2023

NZMJ

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aims: To explore socio-demographic characteristics of non-attenders at diabetic retinal screening. methods: A retrospective, register-based cross-sectional analysis of 10,275 participants invited to diabetic retinal screening in Te Tai Tokerau (Northland) between May 2011 and June 2020 was performed. Multivariable logistic regression analysis was used to assess the association of age, sex, type of diabetes, ethnicity and socio-economic deprivation with non-attendance at diabetic retinal screening. results: Median age was 66 years and 54.3% of participants were male. The non-attendance rate was 26.4%, with 46.6% of individuals having at least one non-attendance. Younger age was associated with higher odds of non-attendance (OR 1.84 95% CI 1.41-2.40, p<0.001 for odds of non-attendance in those aged under 35 years compared with age over 75 years). Māori (OR 2.69, 95% CI 2.44-2.96, p<0.001) and Pacific peoples (OR 1.71, 95% CI 1.25-2.36, p=0.001) had higher odds of non-attendance compared with NZ Europeans. People living in areas of high socio-economic deprivation had higher odds of non-attendance (OR 1.56, 95% CI 1.33-1.82, p<0.001), as did type 1 diabetics (OR 1.31, p5% CI 1.08-1.59, p=0.006). conclusion: Younger age, socio-economic deprivation, type 1 diabetes and Māori and Pacific ethnicity are risk factors for nonattendance at diabetic retinal screening.

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“…For example, Moon et al (2019) connected geodemographics and other small-area estimates to explore drivers of limiting long-term illness. Greenan et al (2019) explored the impacts of geodemography and commuting distance on attendance rates at a regional diabetic retinopathy treatment center. Their results suggested that longer commutes contribute to higher non-attendance rates.…”

Section: Introductionmentioning

confidence: 99%

Geodemographies of Breastfeeding Support

Grubesic

Durbin

2020

J Hum Lact

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Background Mother-to-mother breastfeeding support organizations provide important information and guidance for helping mothers initiate and maintain breastfeeding, postpartum. However, the availability of this support is limited by a constellation of barriers, including race, culture, socioeconomic status, and geography. Research aims To identify the geodemographic composition of communities where breastfeeding support was available from the mother-to-mother support organizations Breastfeeding USA and La Leche League, identify underlying issues of equity, and highlight locations where more support resources may be needed. Methods The locations of mother-to-mother support meetings were collected by ZIP code ( N = 180) and were combined with a geodemographic database and exploratory spatial data analysis to explore the compositional characteristics of communities served ( N = 1,173). Results Significant gaps in the geographic distribution of breastfeeding support existed. While many metropolitan areas benefited from numerous mother-to-mother support groups and peer counselors, the geographic footprint of this support favored communities that were white, affluent, and suburban. Conclusion Spatial analytics combined with geodemographic analysis provide a unique perspective into the diverse landscape of mother-to-mother breastfeeding support groups at a local level. Our results highlighted inequities in the distribution of support provided and prescriptive guidance regarding where more resources may be needed.

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The effect of geodemographic factors on the attendance rates at a regional diabetic retinopathy treatment centre

Cited by 9 publications

References 21 publications

The Effect on Patients’ Visual Acuity and Grade, Secondary to Non-Attendance at Treatment Centers, Post Referral from Diabetic RetinaScreen Ireland

The Effect on Patients’ Visual Acuity and Grade, Secondary to Non-Attendance at Treatment Centers, Post Referral from Diabetic RetinaScreen Ireland

Non-attendance at diabetic retinal screening in Te Tai Tokerau, Northland, Aotearoa New Zealand

Geodemographies of Breastfeeding Support

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