Ibanez Bruron, MC;
Lola Solebo, A;
Cumberland, P;
Rahi, J;
(2019)
Low attendance to diabetic retinopathy screening in young people in England.
Presented at: Annual Meeting of the Association-for-Research-in-Vision-and-Ophthalmology (ARVO), Vancouver (BC), Canada.
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Abstract
PURPOSE: Periodic retinal examination is recommended in people living with diabetes. In the UK, diabetic eye screening is delivered by local screening programs, which are run independently of pediatric diabetes care. Annual attendance to diabetic eye screening among eligible children according to the UK guidelines, i.e. children aged 12 years old or older, is currently unknown. We aim to determine annual diabetic eye screening uptake in children and young people between 12 and 25 years and explore its associations with socio-demographics factors. METHODS: Extraction of anonymized data of children and young people between 12 and 25 years old registered in participating diabetic eye screening programs (DESPs). Annual uptake was calculated using data from two audit years (2014/2015; 2015/2016). Multivariable regression analysis was undertaken to investigate possible associations. RESULTS: Data from 40% (n=25 of 62) of British DESPs are presented. 11,403 children and young people between aged 12 and 25 years at the beginning of the study period received annual screening invitations during each of the two audit years. Among them, the overall annual uptake was 68%. 22% attended only a single screening event, and 10% failed to attend both invitations. The respective percentages for children <16 years at the beginning of the study period (n=2,975) were 81%, 15% and 4%. On regression analysis, failure to attend both screening invitations was associated with older age at the moment of screening invitation (OR, 1.14 per year, 95%CI, 1.11-1.17; p-value <0.001), being male (OR, 1.41, 95%CI, 1.24-1.60; p-value <0.001), belonging to more socio economical deprived deciles (1.07 per decile, 95%CI, 1.05-1.10; p-values <0.001) and older age at registration in DESP (OR, 1.03 per year, 95%CI, 1.003-1.06; p-value 0.027). CONCLUSIONS: There appears to be a low annual diabetic eye screening uptake in young people, particularly in males from deprived backgrounds. Specific strategies may be required to increase attendance among these groups.
| Type: | Conference item (Presentation) |
|---|---|
| Title: | Low attendance to diabetic retinopathy screening in young people in England |
| Event: | Annual Meeting of the Association-for-Research-in-Vision-and-Ophthalmology (ARVO) |
| Location: | Vancouver (BC), Canada |
| Dates: | 28th April 2019 - 2nd May 2019 |
| Open access status: | An open access version is available from UCL Discovery |
| Publisher version: | https://iovs.arvojournals.org/article.aspx?article... |
| Language: | English |
| Additional information: | © 2019 Association for Research in Vision and Ophthalmology. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (http://creativecommons.org/licenses/by-nc-nd/4.0). |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Population, Policy and Practice Dept |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10085043 |
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