Document Detail

Diabetic retinopathy screening in general practice: a pilot study.
MedLine Citation:
PMID:  19893789     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Early detection and treatment of diabetic retinopathy (DR) can prevent nearly all associated severe vision loss. We investigated the feasibility of DR screening using nonmydriatic cameras in two Australian primary care clinics. METHODS: Two general practitioners from Queensland photographed the retinas of patients with type 2 diabetes seen in their clinics during the 9 month study period. The patients were then photographed and assessed by two independent ophthalmologists. The ophthalmologists' assessments provided the reference standard. General practitioners' accuracy in determining photograph interpretability and DR diagnostic sensitivity and specificity were measured. The attitudes of GPs about the DR screening were also assessed. RESULTS: One hundred and fourteen patient participants provided 219 photographs. Two ophthalmologists read 158 photographs and deemed 61% (97/158) interpretable, but GPs tended to accept more photographs for interpretation. General practitioners' diagnostic sensitivity and specificity was 87% and 95% respectively. Participating GPs were very positive about expanding their clinical role into DR screening. DISCUSSION: General practice based DR screening was feasible and acceptable in the clinics studied, but photograph quality was an issue.
Deborah Askew; Philip J Schluter; Geoffrey Spurling; Clare M Maher; Peter Cranstoun; Craig Kennedy; Claire Jackson
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Australian family physician     Volume:  38     ISSN:  0300-8495     ISO Abbreviation:  Aust Fam Physician     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-11-06     Completed Date:  2010-02-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0326701     Medline TA:  Aust Fam Physician     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  650-6     Citation Subset:  IM    
Discipline of General Practice, The University of Queensland.
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MeSH Terms
Blindness / prevention & control
Diabetic Retinopathy / diagnosis*
Early Diagnosis
Family Practice*
Feasibility Studies
Mass Screening / utilization*
Pilot Projects

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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