Evidence map›Paper›PMID 33334818›Full record

ArticleThe British journal of ophthalmology2022

Irish National Diabetic RetinaScreen Programme: report on five rounds of retinopathy screening and screen-positive referrals. (INDEAR study report no. 1).

Rajiv Pandey, Margaret M Morgan, Colette Murphy, Helen Kavanagh, Robert Acheson, Mark Cahill, Patricia McGettrick, Louise O'Toole, Fatima Hamroush, Therese Mooney and 3 more

Open access · hybridAbstract read
In one paragraph

Article in The British journal of ophthalmology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.6field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 2 countries.

Rajiv PandeyDiabetic RetinaScreen, National Screening Service, Health Service Executive, Dublin, Ireland.ORCID 0000-0003-1061-2150
Margaret M MorganDepartment of Ophthalmology, Letterkenny University Hospital, Letterkenny, Ireland.
Colette MurphyMater Retinal Research Group, Mater Misericordiae University Hospital, Dublin, Ireland.
Helen KavanaghMater Retinal Research Group, Mater Misericordiae University Hospital, Dublin, Ireland.
Robert AchesonDiabetic Retinal Screening Service, Northgate Information Solutions Ltd, Hemel Hempstead, UK.
Mark CahillGlobal Vision, Centric Health Ltd, Dublin, Ireland.
Patricia McGettrickGlobal Vision, Centric Health Ltd, Dublin, Ireland.
Louise O'TooleDiabetic Retinal Screening Service, Northgate Information Solutions Ltd, Hemel Hempstead, UK.
Fatima HamroushDiabetic Retinal Screening Service, Northgate Information Solutions Ltd, Hemel Hempstead, UK.
Therese MooneyProgramme Evaluation Unit, National Screening Service, Dublin, Ireland.
Helen ByrneProgramme Evaluation Unit, National Screening Service, Dublin, Ireland.
Patricia FitzpatrickProgramme Evaluation Unit, National Screening Service, Dublin, Ireland.
David J KeeganDiabetic RetinaScreen, National Screening Service, Health Service Executive, Dublin, Ireland dkeegan@mater.ie.
Mater Misericordiae University Hospital · IEHemel Hempstead Hospital · GBLetterkenny University Hospital · IEUniversity College Dublin · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study the uptake of annual diabetic retinopathy screening and study the 5-year trends in the detection of screen-positive diabetic retinopathy and non-diabetes-related eye disease in a cohort of annually screened individuals.

designRetrospective retinopathy screening attendance and retinopathy grading analysis.

settingCommunity-based retinopathy screening centres for the Diabetic RetinaScreen Programme.

participants171 557 were identified by the screening programme to be eligible for annual diabetic retinopathy screening. 120 048 individuals over the age of 12 consented to and attended at least one screening appointment between February 2013 to December 2018.

main outcome measuresDetection rate per 100 000 of any retinopathy, screen-positive referrable retinopathy and nondiabetic eye disease.

resultsUptake of screening had reached 67.2% in the fifth round of screening. Detection rate of screen-positive retinopathy reduced from 13 229 to 4237 per 100 000 screened over five rounds. Detection of proliferative disease had reduced from 2898 to 713 per 100 000 screened. Non-diabetic eye disease detection and referral to treatment centres increased almost eightfold from 393 in round 1 to 3225 per 100 000 screened. The majority of individuals referred to treatment centres for ophthalmologist assessment are over the age of 50 years.

conclusionsScreening programme has seen a reduced detection rate both screen-positive retinopathy referral in Ireland over five rounds of screening. Management of nondiabetic eye diseases poses a significant challenge in improving visual outcomes of people living with diabetes in Ireland.

Indexed as

Diabetes MellitusDiabetic RetinopathyDelivery of Health CareHumansMass ScreeningMiddle AgedReferral and ConsultationRetrospective StudiesEpidemiologyPublic healthRetina

Identifiers

PMID33334818
PMCPMC8867278
OpenAlexW3115467577

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.