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An Innovative Australian Outreach Model of Diabetic Retinopathy Screening in Remote Communities
Joint Authors
Glasson, Nicola M.
Crossland, Lisa J.
Larkins, Sarah L.
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-12-20
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Background.
Up to 98% of visual loss secondary to diabetic retinopathy (DR) can be prevented with early detection and treatment.
Despite this, less than 50% of Australian and American diabetics receive appropriate screening.
Diabetic patients living in rural and remote communities are further disadvantaged by limited access to ophthalmology services.
Research Design and Methods.
DR screening using a nonmydriatic fundal camera was performed as part of a multidisciplinary diabetes service already visiting remote communities.
Images were onforwarded to a distant general practitioner who identified and graded retinopathy, with screen-positive patients referred to ophthalmology.
This retrospective, descriptive study aims to compare the proportion of remote diabetic patients receiving appropriate DR screening prior to and following implementation of the service.
Results.
Of the 141 patients in 11 communities who underwent DR screening, 16.3% had received appropriate DR screening prior to the implementation of the service.
In addition, 36.2% of patients had never been screened.
Following the introduction of the service, 66.3% of patients underwent appropriate DR screening (p=0.00025).
Conclusion.
This innovative model has greatly improved accessibility to DR screening in remote communities, thereby reducing preventable blindness.
It provides a holistic, locally appropriate diabetes service and utilises existing infrastructure and health workforce more efficiently.
American Psychological Association (APA)
Glasson, Nicola M.& Crossland, Lisa J.& Larkins, Sarah L.. 2015. An Innovative Australian Outreach Model of Diabetic Retinopathy Screening in Remote Communities. Journal of Diabetes Research،Vol. 2016, no. 2016, pp.1-10.
https://search.emarefa.net/detail/BIM-1107951
Modern Language Association (MLA)
Glasson, Nicola M.…[et al.]. An Innovative Australian Outreach Model of Diabetic Retinopathy Screening in Remote Communities. Journal of Diabetes Research No. 2016 (2016), pp.1-10.
https://search.emarefa.net/detail/BIM-1107951
American Medical Association (AMA)
Glasson, Nicola M.& Crossland, Lisa J.& Larkins, Sarah L.. An Innovative Australian Outreach Model of Diabetic Retinopathy Screening in Remote Communities. Journal of Diabetes Research. 2015. Vol. 2016, no. 2016, pp.1-10.
https://search.emarefa.net/detail/BIM-1107951
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1107951