Nurse-led diabetic retinopathy screening: a pilot study to evaluate a new approach to vision care for Canadian Aboriginal peoples

Autor: Jill Bally, Shahab Khan, Krista Trinder, Shelley Spurr, Carol Bullin
Rok vydání: 2018
Předmět:
Male
Health (social science)
genetic structures
Epidemiology
Pilot Projects
Type 2 diabetes
Overweight
0302 clinical medicine
Glucose test
Mass Screening
030212 general & internal medicine
Aboriginal
medicine.diagnostic_test
General Medicine
Diabetic retinopathy
Middle Aged
Hypertension
Female
type 2 diabetes
medicine.symptom
Canadian
Retinopathy
Research Article
Adult
medicine.medical_specialty
Canada
lcsh:Arctic medicine. Tropical medicine
lcsh:RC955-962
030209 endocrinology & metabolism
03 medical and health sciences
Vision Screening
retinopathy
medicine
Humans
Mass screening
Aged
Glycated Hemoglobin
Diabetic Retinopathy
nurse-led vision care
business.industry
Public Health
Environmental and Occupational Health
Fundus photography
Blood Pressure Determination
medicine.disease
eye diseases
Blood pressure
Diabetes Mellitus
Type 2
Family medicine
Indians
North American
business
Zdroj: International Journal of Circumpolar Health
International Journal of Circumpolar Health, Vol 77, Iss 1 (2018)
ISSN: 2242-3982
Popis: Diabetic retinopathy is the most common cause of new cases of blindness and is pandemic among Aboriginal people around the world. To reduce health inequities, accessible vision screening among these high-risk populations is essential. To assess cardio-metabolic co-morbidities associated with type 2 diabetes and the use of a portable fundus camera as a novel approach for convenient, earlier and more accessible vision screening for Aboriginal peoples living with type 2 diabetes in northern and remote Canadian communities. This quantitative pilot study screened participants diagnosed with type 2 diabetes for commonly associated cardio-metabolic co-morbidities using anthropometrical measurements, blood pressure and a A1c (HbA1c) blood glucose test, followed by vision exams conducted first by a trained nurse and then by an ophthalmologist to screen for signs of retinopathy using fundus photography. Large numbers of the participants presented with overweight/obese (84.8%), pre-hypertension/hypertension (69.7%) and an elevated A1C (78.8%). Inter-rater reliability demonstrated substantial agreement between vision exam judgements made by the nurse and ophthalmologist (k = .67). Nurse-led vision screening in remote or northern communities can improve the standard of care by extending access to health services, lowering the costs to families by reducing travel expenses and preventing vision loss in a family member.
Databáze: OpenAIRE
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