Quality of Screening for Diabetic Retinopathy in the Rijeka Region of Croatia
Autor: | Loncarek, K., Petricek, I., Ines Brajac, Filipovic, T., Vatavuk, Z., Stalekar, H. |
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Jazyk: | angličtina |
Rok vydání: | 2005 |
Předmět: |
Adult
Male Diabetic Retinopathy Croatia screening diabetic retinopathy quality control Middle Aged Models Organizational Population Surveillance Humans Mass Screening Female Screening Diabetic retinophaty Rijeka Registries BIOMEDICINE AND HEALTHCARE. Clinical Medical Sciences. Ophthalmology Referral and Consultation Aged Quality of Health Care BIOMEDICINA I ZDRAVSTVO. Kliničke medicinske znanosti. Oftalmologija |
Zdroj: | Collegium antropologicum Volume 29-Supplement 1 Issue 1 ResearcherID Web of Science |
ISSN: | 0350-6134 1848-9486 |
Popis: | The aim of this study was to compare the quality of screening for diabetic retinopathy in cities of Rijeka and Zagreb, Croatia. Review of a random sample of 500 diabetic patient records and prospective ophthalmologic survey of 466 randomly selected diabetic patients in a secondary level diabetologic service in Rijeka (coastal region of Croatia). The main outcome measures were proportion of diabetic patient records with notes on ophthalmologic examination ; rate of diabetic patients involved with screening for diabetic retinopathy ; comparison with rates in Zagreb (Croatian capital). A total of 67% patients visited the ophthalmologist at least once after diagnosed with diabetes, and notes on ophthalmologic examination were found in only 28% patient records. Fifty percent of patients underwent an ophthalmologic examination within two years. Only one third of patients diagnosed with DM in last two years visited the ophthalmologist within this time, and 14% of patients older than 50 years never visited the ophthalmologist. Model of screening for diabetic retinopathy in Croatia works better in Zagreb than in Rijeka region, and needs certain improvements. The authors suggested modern methods of screening, the incorporation of the mechanisms of quality control, the obligatory reporting of newly diagnosed diabetic patients to the national registry, and the direct referral from diabetologist to ophthalmologist. |
Databáze: | OpenAIRE |
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