The English national screening programme for sight-threatening diabetic retinopathy
The English national screening programme for sight-threatening diabetic retinopathy
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DOI：
10.1258/jms.2008.008015
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发表时间：
2008-01-01
影响因子：
2.9
通讯作者：
Scanlon, P. H.
中科院分区：
文献类型：
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作者：
Scanlon, P. H.
国家筛查规划的主要目标是降低糖尿病患者因糖尿病视网膜病变（DR）而丧失视力的风险。方法对英国所有12岁以上糖尿病患者进行双视野数码摄影筛查。该规划尚处于起步阶段，收到大约96个筛查规划的第一年年度报告，每个筛查规划已发展到向至少12,000名糖尿病患者提供筛查，这将覆盖35万糖尿病患病率为3.4%的人口。国家方案已经启动了外部质量保证（QA）方案，以便达到和维持尽可能高的标准。潜在的好处英国有200万人口，12岁以上的糖尿病患者，据信有4200人失明，每年有1280名糖尿病患者失明。这个项目有可能将英国的失明患病率从4200人降低到1000人，保守估计，将DR失明的年发病率降低三分之一，每年将使427人免于失明。这些数字是基于英国的失明认证，但如果使用世界卫生组织（WHO）的定义，那么失明的患病率、发病率和潜在减少率要高得多。
Objectives The main objective of the national screening programme is to reduce the risk of sight loss among people with diabetes due to diabetic retinopathy (DR).Methods Offering two-field mydriatic digital photographic screening to all people with diabetes in England over the age of 12 years.Stage of development The programme is in its infancy, receiving the first year's annual reports from approximately 96 screening programmes, each of which have developed to offer screening to a minimum number of 12,000 people with diabetes, which would cover a population of 350,000 people with 3.4% diabetes prevalence. The national programme has commenced the External quality assurance (QA) programme in order to achieve and sustain the highest possible standards.Potential benefits England has a population of two million, people with diabetes over the age of 12 and it is believed that there is a prevalence of blindness of 4200 and an annual incidence of blindness of 1280 people with diabetes. This programme has the potential to reduce the prevalence of blindness in England from 4200 people to 1000 people and a conservative estimate of reducing the annual incidence of DR blindness by one-third would save 427 people per annum from blindness. These figures are based on the UK certification of blindness but if World Health Organization (WHO) definitions are used the prevalence, incidence and potential reductions in blindness are much greater.