Tags

Type your tag names separated by a space and hit enter

Care of vision and ocular health in diabetic members of a national diabetes organization: a cross-sectional study.
BMC Health Serv Res. 2008 Jul 28; 8:159.BH

Abstract

BACKGROUND

Regular examination and early treatment of diabetic retinopathy can prevent visual loss. The aim of the study was to describe the care of vision and ocular health in people with diabetes in Norway.

METHODS

A cross-sectional questionnaire survey of a random sample (n = 1,887) of the Norwegian Diabetic Associations' (NDA) members was carried out in 2005. Questions were asked about care of vision and ocular health, history of ocular disease and visual symptoms, general medical history and diabetes management. The study was approved by the Regional Committee for Medical Research Ethics.

RESULTS

The response rate was 74%. Forty-four questionnaires with incomplete data regarding gender, age or type of diabetes were excluded, leaving 1352 cases (52% females) for analysis. 451 (33%) had type 1 and 901 (67%) had type 2 diabetes, the mean duration of diabetes was respectively, 22 (sd +/- 14) and 10 (sd +/- 9) years. In all 1,052 (78%) had their eyes examined according to guidelines and 1,169 (87%) confirmed to have received information about regular eye examinations. One in two recalled to have received such information from their general practitioner. To have received information about the importance of eye examinations (PR 3.1, 95% CI 2.4 to 4.0), and diabetes duration > 10 years (PR 1.2, 95% CI 1.2 to 1.3), were independently associated with reporting regular eye examinations. A history of diabetic retinopathy was reported by 178 (13%) responders, of which 101 (57%) reported a history of laser treatment. Responders who had regular eye examinations reported more frequently a history of diabetic retinopathy (19% vs. 5%, p < 0.001). The frequency of retinopathy was significantly higher in responders with reported HbA1c values above treatment target (23% vs. 13%, p = 0.001). However, in responders who were not regularly examined, there was no difference in reported frequency of retinopathy with regard to HbA1c level.

CONCLUSION

Eight out of ten diabetic members of the NDA had their eyes examined according to current guidelines and the majority was well informed about the risk of vision loss due to diabetes. The results indicate that the reported history of diabetic retinopathy likely underestimates the prevalence of retinopathy.

Authors+Show Affiliations

Department of Optometry and Visual Science, Buskerud University College, Kongsberg, Norway. vibeke.sundling@hibu.noNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18655733

Citation

Sundling, Vibeke, et al. "Care of Vision and Ocular Health in Diabetic Members of a National Diabetes Organization: a Cross-sectional Study." BMC Health Services Research, vol. 8, 2008, p. 159.
Sundling V, Gulbrandsen P, Jervell J, et al. Care of vision and ocular health in diabetic members of a national diabetes organization: a cross-sectional study. BMC Health Serv Res. 2008;8:159.
Sundling, V., Gulbrandsen, P., Jervell, J., & Straand, J. (2008). Care of vision and ocular health in diabetic members of a national diabetes organization: a cross-sectional study. BMC Health Services Research, 8, 159. https://doi.org/10.1186/1472-6963-8-159
Sundling V, et al. Care of Vision and Ocular Health in Diabetic Members of a National Diabetes Organization: a Cross-sectional Study. BMC Health Serv Res. 2008 Jul 28;8:159. PubMed PMID: 18655733.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Care of vision and ocular health in diabetic members of a national diabetes organization: a cross-sectional study. AU - Sundling,Vibeke, AU - Gulbrandsen,Pål, AU - Jervell,Jak, AU - Straand,Jørund, Y1 - 2008/07/28/ PY - 2008/02/25/received PY - 2008/07/28/accepted PY - 2008/7/29/pubmed PY - 2008/9/6/medline PY - 2008/7/29/entrez SP - 159 EP - 159 JF - BMC health services research JO - BMC Health Serv Res VL - 8 N2 - BACKGROUND: Regular examination and early treatment of diabetic retinopathy can prevent visual loss. The aim of the study was to describe the care of vision and ocular health in people with diabetes in Norway. METHODS: A cross-sectional questionnaire survey of a random sample (n = 1,887) of the Norwegian Diabetic Associations' (NDA) members was carried out in 2005. Questions were asked about care of vision and ocular health, history of ocular disease and visual symptoms, general medical history and diabetes management. The study was approved by the Regional Committee for Medical Research Ethics. RESULTS: The response rate was 74%. Forty-four questionnaires with incomplete data regarding gender, age or type of diabetes were excluded, leaving 1352 cases (52% females) for analysis. 451 (33%) had type 1 and 901 (67%) had type 2 diabetes, the mean duration of diabetes was respectively, 22 (sd +/- 14) and 10 (sd +/- 9) years. In all 1,052 (78%) had their eyes examined according to guidelines and 1,169 (87%) confirmed to have received information about regular eye examinations. One in two recalled to have received such information from their general practitioner. To have received information about the importance of eye examinations (PR 3.1, 95% CI 2.4 to 4.0), and diabetes duration > 10 years (PR 1.2, 95% CI 1.2 to 1.3), were independently associated with reporting regular eye examinations. A history of diabetic retinopathy was reported by 178 (13%) responders, of which 101 (57%) reported a history of laser treatment. Responders who had regular eye examinations reported more frequently a history of diabetic retinopathy (19% vs. 5%, p < 0.001). The frequency of retinopathy was significantly higher in responders with reported HbA1c values above treatment target (23% vs. 13%, p = 0.001). However, in responders who were not regularly examined, there was no difference in reported frequency of retinopathy with regard to HbA1c level. CONCLUSION: Eight out of ten diabetic members of the NDA had their eyes examined according to current guidelines and the majority was well informed about the risk of vision loss due to diabetes. The results indicate that the reported history of diabetic retinopathy likely underestimates the prevalence of retinopathy. SN - 1472-6963 UR - https://www.unboundmedicine.com/medline/citation/18655733/Care_of_vision_and_ocular_health_in_diabetic_members_of_a_national_diabetes_organization:_a_cross_sectional_study_ L2 - https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-8-159 DB - PRIME DP - Unbound Medicine ER -