Diabetic retinopathy screening and monitoring of early stage disease in general practice: design and methods

Contemporary Clinical Trials
Deborah A AskewClaire L Jackson

Abstract

Diabetic retinopathy is the leading cause of preventable blindness in Australians younger than 60 years, mainly from the development of diabetic macular oedema and the sequelae of advanced proliferative diabetic retinopathy. However, early detection and subsequent treatment of diabetic retinopathy, as recommended in Australian national guidelines, can prevent nearly all cases of severe vision loss and blindness, but few people achieve this goal. This paper describes the design and methods of an open controlled trial that aims to assess the feasibility, acceptability, and relative costs and benefits of identification and management of early stages of diabetic retinopathy in primary care, with tele-ophthalmic support and education. A mix of urban, regional and rural general practices across Queensland, Australia are participating in this study, with control practices matched to intervention practices by geographic location, size, patient profile, and shared hospital referral pathways. Outcome measures include the quality of the retinal photographs, the general practitioners' diagnostic accuracy, the acceptability of this intervention to patients, general practice staff and ophthalmologists, screening rates, appropriate monitoring...Continue Reading

References

Oct 1, 1992·Ophthalmology·B E KleinM J Menage
Jun 26, 1998·The British Journal of Ophthalmology·C A McCartyH R Taylor
Jul 25, 2000·The British Journal of Ophthalmology·R McKayH R Taylor
Aug 8, 2001·The Australian Journal of Rural Health·S J LeeJ E Keeffe
Dec 4, 2004·Clinical & Experimental Ophthalmology·Guy W BylsmaCatherine A McCarty
Jun 27, 2007·American Journal of Epidemiology·Flavio E HiraiRonald Klein
Dec 17, 2008·Human Fertility : Journal of the British Fertility Society·UNKNOWN Association of Biomedical AndrologistsUNKNOWN Royal College of Obstetricians and Gynaecologists
Jul 21, 2010·Australian and New Zealand Journal of Public Health·Geoffrey K P SpurlingClaire L Jackson
Dec 31, 2010·Clinical Ophthalmology·Pedro Romero-ArocaAngel Bautista-Perez
Sep 16, 2011·American Journal of Ophthalmology·Ribhi HazinMohammed K Barazi

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Citations

Sep 17, 2013·BMC Medical Informatics and Decision Making·Ein OhEun-Cheol Park
Jan 23, 2016·Journal of Diabetes Research·Nicola M GlassonSarah L Larkins
Dec 23, 2014·International Journal of Rheumatic Diseases·Katherine A PoulsenLynden J Roberts
Apr 9, 2015·The Australian Journal of Rural Health·Karim A JohnsonAngus W Turner
Jan 1, 2016·Journal of Diabetes Science and Technology·Francisco J PasquelK M Venkat Narayan
May 16, 2020·Current Medical Imaging·Muhammad Nadeem AshrafZulfiqar Habib

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