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• W1998485544 abstract "AimsWe studied the quality of opportunistic screening for diabetic retinopathy, which existed in the absence of a formal screening programme.MethodsPatients referred during the period from June 1992 to May 1997 were identified. The findings and outcome at first ophthalmic consultation were used as surrogate measures to determine the appropriateness of referral. We considered patients to have had sight-threatening retinopathy (STDR) if laser treatment or fluorescein angiography was recommended, or follow-up at 6 months or less was arranged. Patients whose fundi could not be visualised were also included in the STDR group.ResultsTwo hundred and eighty-nine case records were available for analysis; 190 of these (65.7%) were considered to have STDR and 41 (14.2%) had other pathology, without concurrent diabetic retinopathy. The agreement between the referrer's diagnosis and the diagnosis made by the ophthalmologist was only fair, when comparing major diagnostic categories (kappa 0.35, 95% CI 0.30–0.41) and also for grading of retinopathy (kappa 0.30, 95% CI 0.23–0.37).ConclusionsOur findings suggest that opportunistic screening can identify retinopathy only at a late stage. Our data should be valuable in measuring the benefits of formal screening for diabetic retinopathy as compared to previously existing services. Copyright © 2001 John Wiley & Sons, Ltd." @default.
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• W1998485544 date "2001-01-01" @default.
• W1998485544 modified "2023-09-27" @default.
• W1998485544 title "Does opportunistic screening for diabetic retinopathy result in timely and appropriate referral?" @default.
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• W1998485544 doi "https://doi.org/10.1002/pdi.263" @default.
• W1998485544 hasPublicationYear "2001" @default.
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