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Characteristics of repeat non‐attenders at Diabetes Eye Screening Wales, a national community‐based diabetes‐related retinopathy screening service, during 2003‐2018

Becky Thomas, Ivy Cheung, Jim Rafferty Orcid Logo, Steve Luzio Orcid Logo, Ashley Akbari Orcid Logo, David Owens Orcid Logo

Diabetic Medicine, Volume: 38, Issue: 9

Swansea University Authors: Becky Thomas, Ivy Cheung, Jim Rafferty Orcid Logo, Steve Luzio Orcid Logo, Ashley Akbari Orcid Logo, David Owens Orcid Logo

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DOI (Published version): 10.1111/dme.14536

Abstract

AimsTo understand factors associated with repeat non-attendance at screening for diabetes-related retinopathy.MethodsRetrospective observational study using anonymised data from Diabetic Eye Screening Wales for people with a full history of screening invitations and attendances was linked with prima...

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Published in: Diabetic Medicine
ISSN: 0742-3071 1464-5491
Published: Wiley 2021
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa56211
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Abstract: AimsTo understand factors associated with repeat non-attendance at screening for diabetes-related retinopathy.MethodsRetrospective observational study using anonymised data from Diabetic Eye Screening Wales for people with a full history of screening invitations and attendances was linked with primary and secondary care records held in the Secure Anonymised Information Linkage Databank. Repeat non-attendance was defined as no record of attendance during any 36-month period despite three cycles of annual screening invitations. The associations between repeat non-attendance and potential risk factors were examined using multivariable logistic regression analysis, stratified according to type 1 and type 2 diabetes.ResultsA total of 18% with type 1 diabetes (1146/6513) and 8% with type 2 diabetes (12,475/156,525) were repeat non-attenders. Participants attending their very first appointment were least likely to become repeat non-attenders [odds ratio (95% confidence interval)]: type 1 diabetes: 0.12 (0.09, 0.17) and type 2 diabetes: 0.08 (0.07, 0.09). For both types of diabetes, those of a younger age, living in areas of higher deprivation and subject to multiple house moves were at greater risk of becoming repeat non-attenders.Conclusion/interpretationA more tailored approach is needed for the younger population, those living in areas of higher deprivation and/or undergoing multiple residential relocation and to ensure attendance at their initial appointment to minimise future repeat non-attendance.
Keywords: Diabetes related retinopathy; Screening; Repeated non‐attendance
College: Swansea University Medical School
Funders: Health and Care Research Wales
Issue: 9