Tags

Type your tag names separated by a space and hit enter

Self-reported Receipt of Dilated Fundus Examinations Among Patients With Diabetes: Medicare Expenditure Panel Survey, 2002-2013.
Am J Ophthalmol. 2017 Jul; 179:18-24.AJ

Abstract

PURPOSE

To evaluate self-reported adherence to diabetic retinopathy screening examinations among diabetic subjects.

DESIGN

Retrospective, population-based cross-sectional study.

METHODS

Medical Expenditure Panel Survey (MEPS) consolidated full-year and prescribed drugs data from 2002-2013 were reviewed; multivariable logistic regression was used to identify patient characteristics as potential barriers to receiving examinations.

RESULTS

Of 13 299 persons in the MEPS sample, only 39.62% (95% confidence interval [CI] 38.56%-40.67%) reported receiving annual dilated eye examinations, and 90.31% (CI 89.70%-90.91%) reported ever having received an eye examination. Significant factors related to ever receiving an eye examination included completed high school (odds ratio [OR] = 1.53; CI, 1.33-1.75), bachelor's degree or higher (OR = 1.94; CI, 1.56-2.41), private health insurance (OR = 2.07; CI, 1.70-2.52), public insurance (OR = 1.90; CI, 1.56-2.31), household income >400% of the poverty threshold (OR = 1.75; CI, 1.36-2.25), prescribed diabetes medication (OR = 1.45; CI, 1.27-1.65), diabetic kidney disease (OR = 1.31; CI, 1.08-1.59), prior foot examination (OR = 1.49; CI, 1.28-1.74), prior hemoglobin A1c test (OR = 1.45; CI, 1.28-1.64), and having a usual care provider (OR = 1.50; CI, 1.25-1.80). Self-reported Asian ethnicity (OR = 0.51; CI, 0.39-0.65), needing assistance for at least 3 months (OR = 0.79; CI, 0.62-1.00), and proxy needed to fill out the survey (OR = 0.72; CI, 0.61-0.85) were associated with lower odds of reporting ever having received a dilated eye examination.

CONCLUSIONS

In this national-representative sample, 90.31% of patients with diabetes reported ever having a dilated eye examination; only 39.62% reported receiving one annually as recommended. These low rates appear associated with possibly modifiable factors, including having a regular care provider, increasing access to care, enrollment in health insurance, and higher education.

Authors+Show Affiliations

Stanford University School of Medicine, Palo Alto, California.Center for Health Policy/Primary Care Outcomes Research, Stanford University, Palo Alto, California; Department of Medicine, Stanford University School of Medicine, Palo Alto, California.Byers Eye Institute, Department of Ophthalmology, Stanford University School of Medicine, Palo Alto, California; Veterans Affairs Palo Alto Health Care System, Palo Alto, California. Electronic address: pershing@stanford.edu.

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

28455116

Citation

Tran, Elaine My Tien, et al. "Self-reported Receipt of Dilated Fundus Examinations Among Patients With Diabetes: Medicare Expenditure Panel Survey, 2002-2013." American Journal of Ophthalmology, vol. 179, 2017, pp. 18-24.
Tran EMT, Bhattacharya J, Pershing S. Self-reported Receipt of Dilated Fundus Examinations Among Patients With Diabetes: Medicare Expenditure Panel Survey, 2002-2013. Am J Ophthalmol. 2017;179:18-24.
Tran, E. M. T., Bhattacharya, J., & Pershing, S. (2017). Self-reported Receipt of Dilated Fundus Examinations Among Patients With Diabetes: Medicare Expenditure Panel Survey, 2002-2013. American Journal of Ophthalmology, 179, 18-24. https://doi.org/10.1016/j.ajo.2017.04.009
Tran EMT, Bhattacharya J, Pershing S. Self-reported Receipt of Dilated Fundus Examinations Among Patients With Diabetes: Medicare Expenditure Panel Survey, 2002-2013. Am J Ophthalmol. 2017;179:18-24. PubMed PMID: 28455116.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Self-reported Receipt of Dilated Fundus Examinations Among Patients With Diabetes: Medicare Expenditure Panel Survey, 2002-2013. AU - Tran,Elaine My Tien, AU - Bhattacharya,Jay, AU - Pershing,Suzann, Y1 - 2017/04/25/ PY - 2016/11/07/received PY - 2017/04/11/revised PY - 2017/04/12/accepted PY - 2017/4/30/pubmed PY - 2017/7/22/medline PY - 2017/4/30/entrez SP - 18 EP - 24 JF - American journal of ophthalmology JO - Am J Ophthalmol VL - 179 N2 - PURPOSE: To evaluate self-reported adherence to diabetic retinopathy screening examinations among diabetic subjects. DESIGN: Retrospective, population-based cross-sectional study. METHODS: Medical Expenditure Panel Survey (MEPS) consolidated full-year and prescribed drugs data from 2002-2013 were reviewed; multivariable logistic regression was used to identify patient characteristics as potential barriers to receiving examinations. RESULTS: Of 13 299 persons in the MEPS sample, only 39.62% (95% confidence interval [CI] 38.56%-40.67%) reported receiving annual dilated eye examinations, and 90.31% (CI 89.70%-90.91%) reported ever having received an eye examination. Significant factors related to ever receiving an eye examination included completed high school (odds ratio [OR] = 1.53; CI, 1.33-1.75), bachelor's degree or higher (OR = 1.94; CI, 1.56-2.41), private health insurance (OR = 2.07; CI, 1.70-2.52), public insurance (OR = 1.90; CI, 1.56-2.31), household income >400% of the poverty threshold (OR = 1.75; CI, 1.36-2.25), prescribed diabetes medication (OR = 1.45; CI, 1.27-1.65), diabetic kidney disease (OR = 1.31; CI, 1.08-1.59), prior foot examination (OR = 1.49; CI, 1.28-1.74), prior hemoglobin A1c test (OR = 1.45; CI, 1.28-1.64), and having a usual care provider (OR = 1.50; CI, 1.25-1.80). Self-reported Asian ethnicity (OR = 0.51; CI, 0.39-0.65), needing assistance for at least 3 months (OR = 0.79; CI, 0.62-1.00), and proxy needed to fill out the survey (OR = 0.72; CI, 0.61-0.85) were associated with lower odds of reporting ever having received a dilated eye examination. CONCLUSIONS: In this national-representative sample, 90.31% of patients with diabetes reported ever having a dilated eye examination; only 39.62% reported receiving one annually as recommended. These low rates appear associated with possibly modifiable factors, including having a regular care provider, increasing access to care, enrollment in health insurance, and higher education. SN - 1879-1891 UR - https://www.unboundmedicine.com/medline/citation/28455116/Self_reported_Receipt_of_Dilated_Fundus_Examinations_Among_Patients_With_Diabetes:_Medicare_Expenditure_Panel_Survey_2002_2013_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9394(17)30164-2 DB - PRIME DP - Unbound Medicine ER -