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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, Steve Luzio, Ashley Akbari, David Owens

Diabetic Medicine, Volume: 38, Issue: 9

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

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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
Issue: 9