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[The Granada Diabetic Retinopathy Study. Direct screening of 8,244 patients. I].
| Content Provider | Semantic Scholar |
|---|---|
| Author | García-Serrano, José Luis Serrano-Laborda, D. López-Pozas, M. Cabello-Aparicio, C. Castro-Rosales, L. |
| Copyright Year | 2007 |
| Abstract | OBJECTIVES To evaluate the results of regular screening for diabetic retinopathy in the geographic area assigned to the San Cecilio University Hospital of Granada. MATERIAL AND METHODS A multicenter prospective cohort study was carried out over a 2-year follow-up period. Retinal examinations were performed in 8244 diabetics in 14 health centres. 11,924 retinal examinations using an indirect ophthalmoscope, following pupil dilatation, were carried out. The classification of the lesions was as recommended by the simplified international scale of diabetic retinopathy and macular edema. The intervals between fundus examinations followed those recommended by the ETDRS. RESULTS The crude prevalence of diabetes in the health area concerned was 2.77%. The average screening compliance of the program was 84.1%, and in only 0.3% of the patients was the fundus ophthalmoscopy ungradable. 91.3% of the known diabetic population attended for at least one fundus examination, with only 3.4% of the patients being referred for hospital treatment. The annual cost of the program was set at 53,173 Euros, with the average cost of each examination (6000 per year) being 8.87 Euros. CONCLUSIONS The Diabetic Retinopathy Screening Program (through dilated pupils) carried out with indirect ophthalmoscopy is cost-effective. It provides coverage to the whole known diabetic population with a high level of compliance. The percentage of patients whose fundus can be considered ungradable is minimal. |
| Starting Page | 129 |
| Ending Page | 132 |
| Page Count | 4 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://scielo.isciii.es/pdf/aseo/v82n11/original2.pdf |
| PubMed reference number | 17979036v1 |
| Volume Number | 82 |
| Issue Number | 11 |
| Journal | Archivos de la Sociedad Espanola de Oftalmologia |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Diabetes Mellitus Diabetic Nephropathy Diabetic Retinopathy Dilate procedure Fundus Indirect Ophthalmoscopy International Scale for BCR-ABL1 Measurement Macular retinal edema Mydriasis Ophthalmoscopes Patients PersonNameUse - assigned Pupil Retina Retinal Diseases |
| Content Type | Text |
| Resource Type | Article |
