Understanding the uptake of a national retinopathy screening programme: An audit of patients with diabetes in two large primary care centres [version 1; peer review: awaiting peer review

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dc.contributor.author Tracey, Marsha
dc.contributor.author Racine, Emmy
dc.contributor.author Riordan, Fiona
dc.contributor.author McHugh, Sheena M.
dc.contributor.author Kearney, Patricia M.
dc.date.accessioned 2019-09-17T15:39:09Z
dc.date.available 2019-09-17T15:39:09Z
dc.date.issued 2019-07-26
dc.identifier.citation Tracey, M., Racine, E., Riordan, F., McHugh, S. and Kearney, P. (2019) 'Understanding the uptake of a national retinopathy screening programme: An audit of patients with diabetes in two large primary care centres [version 1; peer review: awaiting peer review]', HRB Open Research, 2:17, (8pp.). DOI: 10.12688/hrbopenres.12926.1 en
dc.identifier.volume 2 en
dc.identifier.startpage 1 en
dc.identifier.endpage 8 en
dc.identifier.uri http://hdl.handle.net/10468/8555
dc.identifier.doi 10.12688/hrbopenres.12926.1 en
dc.description.abstract Background: Diabetic retinopathy (DR) affects 8.2% of the Irish population with type 2 diabetes over 50 years and is one of the leading causes of blindness among working-age adults. Regular diabetic retinopathy screening (DRS) can reduce the risk of sight loss. In 2013, the new national screening programme (RetinaScreen) was introduced in Ireland. Maximising DRS uptake (consent to participate in the programme and attendance once invited) is a priority, therefore it is important to identify characteristics which determine DRS uptake among those with diabetes in Ireland. We report uptake in an Irish primary care population during the initial phase of implementation of RetinaScreen and investigate factors which predict consenting to participate in the programme. Methods: In two primary care practices, data were extracted from records of people with diabetes (type 1 and type 2) aged ≥18 years who were eligible to participate in RetinaScreen between November 2013 and August 2015. Records were checked for a RetinaScreen letter. RetinaScreen were contacted to establish the status of those without a letter on file. Multivariable Poisson regression was used to examine associations between socio-demographic variables and consenting. Adjusted incident rate ratios (IRR) with 95% CI were generated as a measure of association. Results: Of 722 people with diabetes, one fifth (n=141) were not registered with RetinaScreen. Of 582 who were registered, 63% (n=365) had participated in screening. Most people who consented subsequently attended (n=365/382, 96%). People who had attended another retinopathy screening service were less likely to consent (IRR 0.65 [95%CI 0.5-0.8]; p<0.001). Other predictors were not significantly associated with consent. Conclusions: Over one third of people eligible to participate in RetinaScreen had not consented. Research is needed to understand barriers and enablers of DRS uptake in the Irish context. Implementing strategies to improve DRS uptake (consent and attendance) should be a priority. en
dc.description.sponsorship Health Research Board Ireland [RL/2013/7] en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher HRB en
dc.relation.uri https://hrbopenresearch.org/articles/2-17/v1
dc.rights ©2019 Tracey M et al. This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. en
dc.rights.uri http://creativecommons.org/licenses/by/4.0/ en
dc.subject Diabetes en
dc.subject Retinopathy en
dc.subject Screening en
dc.subject Microvascular complication en
dc.subject Primary care en
dc.title Understanding the uptake of a national retinopathy screening programme: An audit of patients with diabetes in two large primary care centres [version 1; peer review: awaiting peer review en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Fiona Riordan, School of Public Health, University College Cork, Cork, Ireland. +353-21-490-3000 Email: fiona.riordan@ucc.ie en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.contributor.funder Health Research Board en
dc.description.status Peer reviewed en
dc.identifier.journaltitle HRB Open Research en
dc.internal.IRISemailaddress fiona.riordan@ucc.ie en
dc.identifier.articleid 17 en
dc.internal.bibliocheck Check peer review status
dc.identifier.eissn 2515-4826


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©2019 Tracey M et al. This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Except where otherwise noted, this item's license is described as ©2019 Tracey M et al. This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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