A retrieval system for patients with avoidable blindness due to diabetic retinopathy who do not present for ophthalmic assessment in Oman
A retrieval system for patients with avoidable blindness due to diabetic retinopathy who do not present for ophthalmic assessment in Oman
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DOI：
10.4103/0974-9233.80694
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发表时间：
2011-04-01
影响因子：
0.6
通讯作者：
Barakat, Nabil
中科院分区：
文献类型：
--
作者：
Khandekar, Rajiv;Al Lawati, Jawad;Barakat, Nabil
背景：许多糖尿病患者没有进行眼科检查，因此建议进行糖尿病眼科护理。阿曼正在采取积极措施，以检索患有视力威胁性糖尿病视网膜病变（STDR）的违约者（未出现或“未出现”的患者）。我们提出了2009年在阿曼五个地区的违约检索系统的结果。材料和方法：在阿曼，眼科医生定期检查眼睛，家庭医生专注于糖尿病视网膜病变（DR）的一级预防和医学视网膜专家管理DR。任何一只眼睛患有DR（PDR）和/或糖尿病黄斑水肿（DME）增殖期的人都被认为是STDR，并在地区医院注册。眼科护理人员确定违约者，医院工作人员帮助他们找回违约者。重新任命的提醒通过电话短信发送。STDR病例的血糖控制也注意到在尼兹瓦Hospital.Results：我们登记了654例STDR病例，其中494例（75%）是违约者。缺乏认识，运输，缺乏决策者，以及对激光治疗的恐惧是违约的主要原因。我们成功地检索了328名（66.4%）违约者。男性和女性患者的检索率分别为51.2%和82%。检索因地区而异。在尼兹瓦医院，114 131例（85%）有不良的血糖控制。结论：违约检索系统可以帮助医疗服务提供者识别和激励STDR患者更好地遵守。STDR病例的一级预防措施较差，需要进一步关注。
Background : Many patients with diabetes do not present for eye examinations, foregoing the recommended management for diabetic eye care. Proactive steps are being taken in Oman to retrieve defaulters (patients who do not present or "no-show") with Sight Threatening Diabetic Retinopathy (STDR). We present the outcomes of the defaulter retrieval system in five regions of Oman in 2009.Materials and Methods : Ophthalmologists examine eyes periodically, family physicians focus on primary prevention of Diabetic Retinopathy (DR) and medical retina specialists manage DR in Oman. A person with proliferative stage of DR (PDR) and/or Diabetic Macular Edema (DME) in either eye is considered as STDR and is registered at regional hospitals. The eye care staff identify the defaulters and the hospital staff help them retrieve the defaulters. The reminder of reappointment is sent using the text messages on telephone. The glycemic control of STDR cases was also noted in Nizwa Hospital.Results : We registered 654 STDR cases, of which 494 (75%) were defaulters. Lack of awareness, transport, absence of a decision maker, and fear of laser treatment were the main causes for defaulting. We successfully retrieved 328 (66.4%) defaulters. The retrieval rates among male and female patients were 51.2% and 82%, respectively. The retrieval varied by region. In Nizwa hospital, 114 of 131 STDR cases (85%) had poor glycemic control.Conclusion : Defaulter retrieval system could help healthcare providers to identify and motivate patients with STDR towards better compliance. Primary prevention measures among STDR cases were poor and need further focus.