Diabetic retinopathy: effects of national guidelines on the referral, examination and treatment practices of ophthalmologists and optometrists

Clinical & Experimental Ophthalmology
C A McCartyWorking Group on Evaluation of NHMRC Diabetic Retinopathy Guidelines

Abstract

To investigate the changes in referral, examination and treatment practices for diabetic retinopathy by ophthalmologists and optometrists following the release of national guidelines. A two-page self-administered questionnaire was mailed to all Australian ophthalmologists and a random sample of 500 Australian optometrists prior to and 1 year after release of the National Health and Medical Research Council of Australia (NHMRC) clinical practice guidelines for the management of diabetic retinopathy. The questionnaires elicited information about current practice related to the management of patients with diabetic retinopathy. Of the 464 contactable ophthalmologists who responded to the baseline survey, 374 (80.6% response) completed the follow-up survey The response rate for the contactable optometrists was 80.1% (310 of 384). There were almost no significant changes in management practices from baseline to follow up. For example, the percentage of ophthalmologists who reported that they were often or almost always confident in detecting moderate retinal thickening near the macula remained nearly identical from baseline to follow up (80.2% vs 79.1 %). The rate was also similar from baseline to follow up for optometrists (31.1% vs...Continue Reading

References

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Citations

Sep 8, 2001·Clinical & Experimental Ophthalmology·C A McCartyUNKNOWN Working Group on Evaluation of NHMRC Diabetic Retinopathy Guidelines
Dec 20, 2012·Wiener klinische Wochenschrift·Michael SturAndreas Wedrich
Apr 8, 2016·Wiener klinische Wochenschrift·Stephan RaddaKatharina Krepler
Nov 21, 2008·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Marie Carole BoucherFrank Stockl
Jul 12, 2001·Clinical & Experimental Ophthalmology·S E WrightUNKNOWN Working Group for the Evaluation of NHMRC Retinopathy Guideline Distribution
Sep 8, 2017·BMJ Open Diabetes Research & Care·Herbert F JelinekHabiba S Alsafar
Jul 24, 2002·Clinical & Experimental Optometry : Journal of the Australian Optometrical Association·Katrina L SchmidLeisa M Schmid
Apr 15, 2011·Clinical & Experimental Ophthalmology·Paul BeaumontRemy S Mathew
Oct 27, 2010·Clinical & Experimental Ophthalmology·Daniel S W TingDavid B Preen
Apr 14, 2019·Wiener klinische Wochenschrift·Stephan RaddaUNKNOWN die Netzhautkommission der Österreichischen Ophthalmologischen Gesellschaft

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