April 2014
Volume 55, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2014
Analysis of compliance with recommended follow-up for diabetic retinopathy in a county hospital population.
Author Affiliations & Notes
  • Allison Pernic
    Ophthalmology, Indiana University School of Medicine, Indianapolis, IN
  • Mark M Kaehr
    Ophthalmology, Indiana University School of Medicine, Indianapolis, IN
  • Eric D Doerr
    Ophthalmology, Indiana University School of Medicine, Indianapolis, IN
  • Jacob J Koczman
    Ophthalmology, Indiana University School of Medicine, Indianapolis, IN
  • Chi-Wah Rudy Yung
    Ophthalmology, Indiana University School of Medicine, Indianapolis, IN
  • Anh-Danh T Phan
    Ophthalmology, Indiana University School of Medicine, Indianapolis, IN
  • Footnotes
    Commercial Relationships Allison Pernic, None; Mark Kaehr, None; Eric Doerr, None; Jacob Koczman, None; Chi-Wah Yung, None; Anh-Danh Phan, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science April 2014, Vol.55, 2290. doi:https://doi.org/
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      Allison Pernic, Mark M Kaehr, Eric D Doerr, Jacob J Koczman, Chi-Wah Rudy Yung, Anh-Danh T Phan; Analysis of compliance with recommended follow-up for diabetic retinopathy in a county hospital population.. Invest. Ophthalmol. Vis. Sci. 2014;55(13):2290. doi: https://doi.org/.

      Download citation file:


      © ARVO (1962-2015); The Authors (2016-present)

      ×
  • Supplements
Abstract

Purpose: To assess the association between insufficient follow-up and clinical and social parameters among diabetic patients at a metropolitan county hospital.

Methods: IRB-approved, case series study of the Wishard-Eskenazi Telemedicine Diabetic Retinopathy Screening Program (WETDRS) conducted in the primary care setting from June 2009 through February 2013. Patients having diabetic retinopathy (DR) were referred for eye clinic examination based on the American Academy of Ophthalmology’s Preferred Practice Pattern Guidelines. Adherence to recommended eye clinic follow-up interval classified patients as either compliant or non-compliant, determined through medical records review. Multivariate logistic regression analysis was performed to obtain adjusted odds ratios for compliance.

Results: Of 258 patients referred, 93 were compliant and 165 were non-compliant. After adjusting for the impact of potential confounding variables, patients having lesser retinopathy (mild or moderate non-proliferative DR), age, and insulin usage (0 or 1 type) were significantly associated with non-compliance (p = 0.004, 0.007, and 0.013, respectively). Health insurance plan, hemoglobin A1c, number of comorbidities, and non-compliance with other medical appointments were not significant.

Conclusions: Patients with poor follow-up adherence were significantly more likely to have less severe DR or lower insulin requirement, suggesting correspondence of newly-diagnosed diabetes with lack of education on its effect or training in its medical care. Targeted education campaign at the primary care level in this vulnerable population to prevent future vision loss would be beneficial.

Keywords: 499 diabetic retinopathy • 464 clinical (human) or epidemiologic studies: risk factor assessment • 460 clinical (human) or epidemiologic studies: health care delivery/economics/manpower  
×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×