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Compliance to follow-up care after urban diabetic retinopathy tele-screening.
Can J Ophthalmol. 2020 02; 55(1 Suppl 1):2-7.CJ

Abstract

BACKGROUND

Although many diabetic retinopathy (DR) tele-screening projects have shown effectiveness for DR, timely follow-up care after screening is essential to achieve the expected visual benefits of screening.

OBJECTIVE

To better understand the possible factors of non-compliance to follow-up care in diabetics after tele-screening for DR.

METHOD

This cross-sectional retrospective descriptive study analyses the data of 148 diabetics referred to follow-up care following screening of 1185 diabetics through an urban community-based DR Teleophthalmology Project aimed at Type 2 diabetes. A telephone survey was conducted to assess the screening program appreciation and the sociodemographic characteristics of that population.

RESULTS

This study achieved a 91,9% (n=136) compliance rate to follow-up care. Female sex, type 2 diabetes, lower general and DR education, telephone unreachability, age less than 60 years, knowledge of a visually impaired acquaintance and more severe DR were more prevalent in non-compliant patients. Age, ethnicity, economic status, level of precariousness, distance from home to the screening/examination sites, and previous adherence to the DR screening guidelines were similar in both compliants and noncompliants. A high satisfaction score (4,8/5, n=96) to the tele-screening program was measured.

CONCLUSION

This study is applicable to other screening programs and suggests that an increase in the number of recall letters and a greater flexibility in the organization of follow-up care appointments as well as the addition of multilingual members to the recalling team may have further improved compliance to follow-up care. It measures a high level of satisfaction provided by this model of urban teleophthalmology screening.

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Authors+Show Affiliations

Boucher MC
Department of Ophthalmology, Université de Montréal, Montreal, Que.. Electronic address: mariecarole@gmail.com.
Ouazani Chahdi H
Department of Ophthalmology, Université de Montréal, Montreal, Que.
El Yamani MEM
Department of Ophthalmology, Université de Montréal, Montreal, Que.

MeSH

AftercareAgedContinuity of Patient CareCross-Sectional StudiesDiabetes Mellitus, Type 2Diabetic RetinopathyFemaleGuideline AdherenceGuidelines as TopicHumansMaleMass ScreeningMiddle AgedOphthalmologyProgram EvaluationRetinaRetrospective StudiesTelemedicineTomography, Optical Coherence

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31712019

Citation

Boucher, Marie Carole, et al. "Compliance to Follow-up Care After Urban Diabetic Retinopathy Tele-screening." Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie, vol. 55, no. 1 Suppl 1, 2020, pp. 2-7.
Boucher MC, Ouazani Chahdi H, El Yamani MEM. Compliance to follow-up care after urban diabetic retinopathy tele-screening. Can J Ophthalmol. 2020;55(1 Suppl 1):2-7.
Boucher, M. C., Ouazani Chahdi, H., & El Yamani, M. E. M. (2020). Compliance to follow-up care after urban diabetic retinopathy tele-screening. Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie, 55(1 Suppl 1), 2-7. https://doi.org/10.1016/j.jcjo.2019.01.001
Boucher MC, Ouazani Chahdi H, El Yamani MEM. Compliance to Follow-up Care After Urban Diabetic Retinopathy Tele-screening. Can J Ophthalmol. 2020;55(1 Suppl 1):2-7. PubMed PMID: 31712019.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Compliance to follow-up care after urban diabetic retinopathy tele-screening. AU - Boucher,Marie Carole, AU - Ouazani Chahdi,Hamza, AU - El Yamani,Mohammed El Mehdi, Y1 - 2019/02/22/ PY - 2018/10/11/received PY - 2018/12/30/revised PY - 2019/01/02/accepted PY - 2019/11/13/pubmed PY - 2021/7/8/medline PY - 2019/11/13/entrez SP - 2 EP - 7 JF - Canadian journal of ophthalmology. Journal canadien d'ophtalmologie JO - Can J Ophthalmol VL - 55 IS - 1 Suppl 1 N2 - BACKGROUND: Although many diabetic retinopathy (DR) tele-screening projects have shown effectiveness for DR, timely follow-up care after screening is essential to achieve the expected visual benefits of screening. OBJECTIVE: To better understand the possible factors of non-compliance to follow-up care in diabetics after tele-screening for DR. METHOD: This cross-sectional retrospective descriptive study analyses the data of 148 diabetics referred to follow-up care following screening of 1185 diabetics through an urban community-based DR Teleophthalmology Project aimed at Type 2 diabetes. A telephone survey was conducted to assess the screening program appreciation and the sociodemographic characteristics of that population. RESULTS: This study achieved a 91,9% (n=136) compliance rate to follow-up care. Female sex, type 2 diabetes, lower general and DR education, telephone unreachability, age less than 60 years, knowledge of a visually impaired acquaintance and more severe DR were more prevalent in non-compliant patients. Age, ethnicity, economic status, level of precariousness, distance from home to the screening/examination sites, and previous adherence to the DR screening guidelines were similar in both compliants and noncompliants. A high satisfaction score (4,8/5, n=96) to the tele-screening program was measured. CONCLUSION: This study is applicable to other screening programs and suggests that an increase in the number of recall letters and a greater flexibility in the organization of follow-up care appointments as well as the addition of multilingual members to the recalling team may have further improved compliance to follow-up care. It measures a high level of satisfaction provided by this model of urban teleophthalmology screening. SN - 1715-3360 UR - https://www.unboundmedicine.com/medline/citation/31712019/Compliance_to_follow_up_care_after_urban_diabetic_retinopathy_tele_screening_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0008-4182(18)31040-8 DB - PRIME DP - Unbound Medicine ER -