Research Article
Diabetic retinopathy screening: perspectives of people with diabetes, screening intervals and costs of attending screening

S. T. Yeo, R. T. Edwards, S. D. Luzio, J. M. Charles, R. L. Thomas, J. M. Peters and D. R. Owens

Diabetic Medicine, 2012, 29(7), 878-885. DOI: 10.1111/j.1464-5491.2012.03637.x

Abstract

Aims  To obtain the views of people with diabetes about the provision of diabetic retinopathy screening services; and the interval of screening.

Methods  Between October 2009 and January 2010, people with diabetes attending diabetic retinopathy screening clinics across Wales were asked to complete a questionnaire comprising of two parts: the first asking about their health, diabetes history, demographic characteristics and views about the diabetic retinopathy screening service, and the second asking about the costs of attending the screening.

Results  The response rate was 40% (n = 621) from 1550 questionnaires distributed at diabetic retinopathy clinics, with 600 complete responses analysed. Respondents had a mean known duration of diabetes of 8.5 years (sd 7.8) and had attended for screening on average 3.2 times (sd 1.6) in the last 5 years. Sixty-eight per cent (n = 408) of respondents reported having their eyes screened approximately once a year. Eighty-five per cent (n = 507) felt that they should have their eyes screened every year. However, 65% (= 390) of respondents would accept screening at 2- or 3-year intervals if medical evidence showed that it was safe. The reported personal costs incurred by respondents attending diabetic retinopathy screening were low.

Conclusion  Our study suggests that people with diabetes undergoing diabetic retinopathy screening would accept a greater screening interval, provided that adequate clinical evidence and medical reassurance were given.

ASCI-ID: 109-1088

View Fulltext

Similar Articles


Risk factors for diabetic retinopathy in a South Indian Type 2 diabetic population—the Chennai Urban Rural Epidemiology Study (CURES) Eye Study 4

Diabetic Medicine, 2008, 25(5), 536-542. DOI: 10.1111/j.1464-5491.2008.02423.x

Health utility values associated with diabetic retinopathy

Diabetic Medicine, 2008, 25(5), 618-624. DOI: 10.1111/j.1464-5491.2008.02430.x

The Y402H variant of complement factor H is associated with age-related macular degeneration but not with diabetic retinal disease in the Go-DARTS study

Diabetic Medicine, 2009, 26(5), 460-465. DOI: 10.1111/j.1464-5491.2009.02719.x

Long-term impact of retinal screening on significant diabetes-related visual impairment in the working age population

Diabetic Medicine, 2009, 26(5), 489-492. DOI: 10.1111/j.1464-5491.2009.02718.x

Trends in yield and effects of screening intervals during 17 years of a large UK community-based diabetic retinopathy screening programme

Diabetic Medicine, 2009, 26(10), 1040-1047. DOI: 10.1111/j.1464-5491.2009.02820.x

Pregnancy-induced sight-threatening diabetic retinopathy in women with Type 1 diabetes

Diabetic Medicine, 2010, 27(4), 431-435.

Is risk of diabetic retinopathy lower in Australia’s Greek-born migrants?

Diabetic Medicine, 2010, 27(6), 660-665. DOI: 10.1111/j.1464-5491.2010.03005.x

Retinal microaneurysm count predicts progression and regression of diabetic retinopathy. Post-hoc results from the DIRECT Programme

Diabetic Medicine, 2011, 28(3), 345-351. DOI: 10.1111/j.1464-5491.2010.03210.x

Increased levels of monokine induced by interferon-γ (Mig) in the vitreous of patients with diabetic retinopathy

Diabetic Medicine, 2008, 25(7), 875-877. DOI: 10.1111/j.1464-5491.2008.02466.x

Reliability of screening methods for diabetic retinopathy

Diabetic Medicine, 2009, 26(8), 783-790. DOI: 10.1111/j.1464-5491.2009.02778.x

Blood pressure control and awareness among patients with diabetes and hypertension attending a tertiary ophthalmic clinic

Diabetic Medicine, 2009, 26(1), 34-39. DOI: 10.1111/j.1464-5491.2008.02614.x

Diabetic retinopathy screening: a systematic review of the economic evidence

Diabetic Medicine, 2010, 27(3), 249-256. DOI: 10.1111/j.1464-5491.2009.02870.x

Socio-economic and ethnic inequalities in diabetes retinal screening

Diabetic Medicine, 2010, 27(3), 282-288. DOI: 10.1111/j.1464-5491.2010.02946.x

Association between alcohol consumption and diabetic retinopathy and visual acuity-the AdRem Study

Diabetic Medicine, 2010, 27(10), 1130-1137. DOI: 10.1111/j.1464-5491.2010.03080.x

Agreement and reasons for disagreement between photographic and hospital biomicroscopy grading of diabetic retinopathy

Diabetic Medicine, 2011, 28(6), 741-746. DOI: 10.1111/j.1464-5491.2011.03273.x

Do type 2 diabetes patients without diabetic retinopathy or subjects with impaired fasting glucose have impaired colour vision? The Okubo Color Study Report

Diabetic Medicine, 2011, 28(7), 865-871. DOI: 10.1111/j.1464-5491.2011.03290.x

External quality assurance for image grading in the Scottish Diabetic Retinopathy Screening Programme

Diabetic Medicine, 2012, 29(6), 776-783. DOI: 10.1111/j.1464-5491.2011.03504.x

Preferences of people with diabetes for diabetic retinopathy screening: a discrete choice experiment

Diabetic Medicine, 2012, 29(7), 869-877. DOI: 10.1111/j.1464-5491.2012.03636.x

Prevalence of diabetic retinopathy in Type 2 diabetes in developing and developed countries

Diabetic Medicine, 2013, 30(4), 387-398. DOI: 10.1111/dme.12119

Perceptions of insulin therapy amongst Asian patients with diabetes in Singapore

Diabetic Medicine, 2011, 28(2), 206-211. DOI: 10.1111/j.1464-5491.2010.03195.x

Modification and validation of the Revised Diabetes Knowledge Scale

Diabetic Medicine, 2011, 28(3), 306-310. DOI: 10.1111/j.1464-5491.2010.03190.x

Measuring psychological well-being in South Asians with diabetes; a qualitative investigation of the PHQ-9 and the WHO-5 as potential screening tools for measuring symptoms of depression

Diabetic Medicine, 2012, 29(1), 140-147. DOI: 10.1111/j.1464-5491.2011.03481.x

Psychometric validation and use of a novel diabetes in-patient treatment satisfaction questionnaire

Diabetic Medicine, 2009, 26(7), 729-735. DOI: 10.1111/j.1464-5491.2009.02754.x

Insulin adherence behaviours and barriers in the multinational Global Attitudes of Patients and Physicians in Insulin Therapy study

Diabetic Medicine, 2012, 29(5), 682-689. DOI: 10.1111/j.1464-5491.2012.03605.x

Validation of a tool to assess medication treatment satisfaction in patients with Type 2 diabetes: the Diabetes Medication System Rating Questionnaire (DMSRQ)

Diabetic Medicine, 2012, 29(8), 1060-1066. DOI: 10.1111/j.1464-5491.2011.03538.x

Preferences of people with diabetes for diabetic retinopathy screening: a discrete choice experiment

Diabetic Medicine, 2012, 29(7), 869-877. DOI: 10.1111/j.1464-5491.2012.03636.x