PMID: 8606658Mar 18, 1996Paper

Diabetic retinopathy: examination practices and referral patterns of general practitioners

The Medical Journal of Australia
P R DicksonH R Taylor

Abstract

To investigate general practitioners' (GPs') examination and referral practices for diabetic retinopathy. A questionnaire survey of a random stratified sample of 500 Victorian GPs. The response rate was 88%. 53% of GPs examined none or less than half of their patients with diabetes for diabetic retinopathy. Those who did examine for retinopathy rarely performed funduscopy through a dilated pupil and 65% reported that they never did. Only 37% had dilating drops in their surgery. Only 45% often or always tested visual acuity. 88% often or always referred patients at the recommended frequency to an ophthalmologist. Although most GPs do not perform dilated fundus examinations, they report referring their patients with diabetes for assessment by an ophthalmologist at an early stage to prevent vision loss. Referral chain breakdown may explain the discrepancy between GPs' reported referral rates and the lower rates of ophthalmic examination reported in the Melbourne Visual Impairment Project.

References

Apr 15, 1992·Annals of Internal Medicine·D E SingerA P Schachat
Apr 1, 1989·Diabetic Medicine : a Journal of the British Diabetic Association·R B JonesT Barrie
Nov 1, 1989·Australian and New Zealand Journal of Ophthalmology·R T Lienert
Feb 1, 1989·The British Journal of Ophthalmology·R H GreyA Hughes
Jul 1, 1974·American Journal of Ophthalmology·H A Kahn, R Hiller
Mar 1, 1968·Diabetes·F I CairdG J Draper
Oct 1, 1967·Diabetes·T DeckertJ E Poulsen
Apr 1, 1983·The British Journal of Ophthalmology·I M GhafourW S Foulds
Oct 1, 1994·The British Journal of Ophthalmology·J B ClarkC J Burns-Cox
May 1, 1993·Diabetic Medicine : a Journal of the British Diabetic Association·M McGillJ R Turtle

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Citations

Dec 17, 2002·Clinical & Experimental Optometry : Journal of the Australian Optometrical Association·Barry L Cole
May 18, 1999·The Medical Journal of Australia·D J McCartyP Z Zimmet
Mar 29, 2001·Clinical & Experimental Ophthalmology·C A McCartyJ E Keeffe
Jun 18, 1998·Australian and New Zealand Journal of Ophthalmology·C A HarperH R Taylor
Sep 2, 1996·The Medical Journal of Australia·M Kamien
Sep 2, 1996·The Medical Journal of Australia·P G Harris, D R Dunt

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