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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
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URI: https://cronfa.swan.ac.uk/Record/cronfa56211
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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.</abstract><type>Journal Article</type><journal>Diabetic Medicine</journal><volume>38</volume><journalNumber>9</journalNumber><paginationStart/><paginationEnd/><publisher>Wiley</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>0742-3071</issnPrint><issnElectronic>1464-5491</issnElectronic><keywords>Diabetes related retinopathy; Screening; Repeated non&#x2010;attendance</keywords><publishedDay>1</publishedDay><publishedMonth>9</publishedMonth><publishedYear>2021</publishedYear><publishedDate>2021-09-01</publishedDate><doi>10.1111/dme.14536</doi><url/><notes/><college>COLLEGE NANME</college><department>Health Data Science</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>HDAT</DepartmentCode><institution>Swansea University</institution><apcterm/><funders>Health and Care Research Wales</funders><projectreference/><lastEdited>2022-10-27T11:30:38.4427626</lastEdited><Created>2021-02-08T18:19:31.2130575</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Medicine</level></path><authors><author><firstname>Becky</firstname><surname>Thomas</surname><orcid/><order>1</order></author><author><firstname>Ivy</firstname><surname>Cheung</surname><order>2</order></author><author><firstname>Jim</firstname><surname>Rafferty</surname><orcid>0000-0002-1667-7265</orcid><order>3</order></author><author><firstname>Steve</firstname><surname>Luzio</surname><orcid>0000-0002-7206-6530</orcid><order>4</order></author><author><firstname>Ashley</firstname><surname>Akbari</surname><orcid>0000-0003-0814-0801</orcid><order>5</order></author><author><firstname>David</firstname><surname>Owens</surname><orcid>0000-0003-1002-1238</orcid><order>6</order></author></authors><documents><document><filename>56211__20998__5c79b99f48204a21ab6671c53a2f9a1e.pdf</filename><originalFilename>56211.pdf</originalFilename><uploaded>2021-09-24T16:08:57.6893340</uploaded><type>Output</type><contentLength>198072</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>&#xA9; 2021 The Authors. 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spelling 2022-10-27T11:30:38.4427626 v2 56211 2021-02-08 Characteristics of repeat non‐attenders at Diabetes Eye Screening Wales, a national community‐based diabetes‐related retinopathy screening service, during 2003‐2018 e83b45ec71428bd748ce201048f43d6a Becky Thomas Becky Thomas true false a9142ffd398f89eff40ada503e315639 Ivy Cheung Ivy Cheung true false 52effe759a718bd36eb12cdd10fe1a09 0000-0002-1667-7265 Jim Rafferty Jim Rafferty true false 01491e1cd582746a654fad9addf0de16 0000-0002-7206-6530 Steve Luzio Steve Luzio true false aa1b025ec0243f708bb5eb0a93d6fb52 0000-0003-0814-0801 Ashley Akbari Ashley Akbari true false 2fd4b7c3f82c6d3bd546eff61ff944e9 0000-0003-1002-1238 David Owens David Owens true false 2021-02-08 HDAT 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. Journal Article Diabetic Medicine 38 9 Wiley 0742-3071 1464-5491 Diabetes related retinopathy; Screening; Repeated non‐attendance 1 9 2021 2021-09-01 10.1111/dme.14536 COLLEGE NANME Health Data Science COLLEGE CODE HDAT Swansea University Health and Care Research Wales 2022-10-27T11:30:38.4427626 2021-02-08T18:19:31.2130575 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Becky Thomas 1 Ivy Cheung 2 Jim Rafferty 0000-0002-1667-7265 3 Steve Luzio 0000-0002-7206-6530 4 Ashley Akbari 0000-0003-0814-0801 5 David Owens 0000-0003-1002-1238 6 56211__20998__5c79b99f48204a21ab6671c53a2f9a1e.pdf 56211.pdf 2021-09-24T16:08:57.6893340 Output 198072 application/pdf Version of Record true © 2021 The Authors. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License true eng http://creativecommons.org/licenses/by-nc-nd/4.0/
title Characteristics of repeat non‐attenders at Diabetes Eye Screening Wales, a national community‐based diabetes‐related retinopathy screening service, during 2003‐2018
spellingShingle 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
title_short Characteristics of repeat non‐attenders at Diabetes Eye Screening Wales, a national community‐based diabetes‐related retinopathy screening service, during 2003‐2018
title_full Characteristics of repeat non‐attenders at Diabetes Eye Screening Wales, a national community‐based diabetes‐related retinopathy screening service, during 2003‐2018
title_fullStr Characteristics of repeat non‐attenders at Diabetes Eye Screening Wales, a national community‐based diabetes‐related retinopathy screening service, during 2003‐2018
title_full_unstemmed Characteristics of repeat non‐attenders at Diabetes Eye Screening Wales, a national community‐based diabetes‐related retinopathy screening service, during 2003‐2018
title_sort Characteristics of repeat non‐attenders at Diabetes Eye Screening Wales, a national community‐based diabetes‐related retinopathy screening service, during 2003‐2018
author_id_str_mv e83b45ec71428bd748ce201048f43d6a
a9142ffd398f89eff40ada503e315639
52effe759a718bd36eb12cdd10fe1a09
01491e1cd582746a654fad9addf0de16
aa1b025ec0243f708bb5eb0a93d6fb52
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author_id_fullname_str_mv e83b45ec71428bd748ce201048f43d6a_***_Becky Thomas
a9142ffd398f89eff40ada503e315639_***_Ivy Cheung
52effe759a718bd36eb12cdd10fe1a09_***_Jim Rafferty
01491e1cd582746a654fad9addf0de16_***_Steve Luzio
aa1b025ec0243f708bb5eb0a93d6fb52_***_Ashley Akbari
2fd4b7c3f82c6d3bd546eff61ff944e9_***_David Owens
author Becky Thomas
Ivy Cheung
Jim Rafferty
Steve Luzio
Ashley Akbari
David Owens
author2 Becky Thomas
Ivy Cheung
Jim Rafferty
Steve Luzio
Ashley Akbari
David Owens
format Journal article
container_title Diabetic Medicine
container_volume 38
container_issue 9
publishDate 2021
institution Swansea University
issn 0742-3071
1464-5491
doi_str_mv 10.1111/dme.14536
publisher Wiley
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 1
active_str 0
description 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.
published_date 2021-09-01T04:11:00Z
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