Rates of referable eye disease in the Scottish National Diabetic Retinopathy Screening Programme.
Rates of referable eye disease in the Scottish National Diabetic Retinopathy Screening Programme.
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DOI：
10.1136/bjophthalmol-2013-303948
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发表时间：
2014-06
期刊：
影响因子：
--
通讯作者：
Scottish Diabetic Retinopathy Collaborative
中科院分区：
文献类型：
--
作者：
Looker HC;Nyangoma SO;Cromie DT;Olson JA;Leese GP;Black MW;Doig J;Lee N;Lindsay RS;McKnight JA;Morris AD;Pearson DW;Philip S;Wild SH;Colhoun HM;Scottish Diabetes Research Network Epidemiology Group;Scottish Diabetic Retinopathy Collaborative
糖尿病视网膜病变筛查旨在发现因增殖性糖尿病视网膜病变而有视力丧失风险的人群，但也涉及疑似黄斑水肿（黄斑病变）的病例。在引进筛查时，眼科担心转诊率会难以控制。我们报告可转诊疾病的产量由转诊原因前5年的方案。我们从全国糖尿病临床数据库中提取筛查结果，以计算眼科诊所的年度转诊率。我们使用逻辑回归来检验临床措施和转诊疾病之间的关联。在2006年至2010年间，183297人接受了一次以上成功的视网膜筛查。可参考眼病的发生率在筛查的前2年最高（7.0%和6.0%），然后稳定在约4.3%。大多数转诊是由于黄斑病变，2010年73%的转诊是基于黄斑病变的发现。最常见的转诊原因是疑似黄斑水肿（黄斑病变）。正如预测的那样，视网膜病变的转诊率稳定在相对较低的水平。然而，随着新的治疗选择（即每月眼内注射）意外地增加了对眼科的影响，眼科工作量继续增加。回顾黄斑病变的筛查转诊路径可能是及时的。
Diabetic retinopathy screening aims to detect people at risk of visual loss due to proliferative diabetic retinopathy, but also refers cases of suspected macular oedema (maculopathy). At the introduction of screening, ophthalmology was concerned that referral rates would be unmanageable. We report yield of referable disease by referral reason for the first 5 years of the programme. We extracted screening results from a nationwide clinical diabetes database to calculate annual referral rates to ophthalmic clinics. We used logistic regression to examine associations between clinical measures and referable disease. 182 397 people underwent ≥1successful retinal screening between 2006 and 2010. The yield of referable eye disease was highest in the first 2 years of screening (7.0% and 6.0%) before stabilising at ∼4.3%. The majority of referrals are due to maculopathy with 73% of referrals in 2010 based on a finding of maculopathy. The commonest cause for referral is for suspected macular oedema (maculopathy). Referral rates for retinopathy have stabilised, as predicted, at relatively low rates. However, ophthalmology workload continues to rise as new treatment options (ie, monthly intraocular injections) have unexpectedly increased the impact on ophthalmology. A review of the screening referral path for maculopathy may be timely.
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影响因子：
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作者：
Cheng YJ;Gregg EW;Geiss LS;Imperatore G;Williams DE;Zhang X;Albright AL;Cowie CC;Klein R;Saaddine JB
通讯作者：
Saaddine JB
影响因子：
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作者：
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Kempen, JH
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GHAFOUR, IM;ALLAN, D;FOULDS, WS
通讯作者：
FOULDS, WS
影响因子：
3.5
作者：
Leese, GP;Ellis, JD;Ellingford, A
通讯作者：
Ellingford, A
影响因子：
--
作者：
KLEIN, R;KLEIN, BEK;DEMETS, DL
通讯作者：
DEMETS, DL