Evidence map›Paper›PMID 33483856›Full record

ArticleActa diabetologica2021

Factors associated with non-attendance in the Irish national diabetic retinopathy screening programme (INDEAR study report no. 2).

Stephen R Kelly, Allison R Loiselle, Rajiv Pandey, Andrew Combes, Colette Murphy, Helen Kavanagh, Patricia Fitzpatrick, Therese Mooney, Patricia Kearney, David P Crabb and 1 more

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Article in Acta diabetologica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

11 authors.

Stephen R KellyMater Retina Research Group, Mater Misericordiae University Hospital, Dublin, Ireland. stephen@leigheas.ie.ORCID https://orcid.org/0000-0002-4334-9355
Allison R LoiselleDepartment of Ophthalmology, University Medical Centre Groningen, Groningen, Netherlands.ORCID http://orcid.org/0000-0003-2686-0634
Rajiv PandeyMater Retina Research Group, Mater Misericordiae University Hospital, Dublin, Ireland.ORCID http://orcid.org/0000-0003-1061-2150
Andrew CombesNorthgate Public Services, NEC, Tokyo, Japan.
Colette MurphyDiabetic RetinaScreen, National Screening Service, Health Service Executive, Cork, Ireland.
Helen KavanaghDiabetic RetinaScreen, National Screening Service, Health Service Executive, Cork, Ireland.
Patricia FitzpatrickProgramme Evaluation Unit, National Screening Service, Health Service Executive, Dublin, Ireland.
Therese MooneyProgramme Evaluation Unit, National Screening Service, Health Service Executive, Dublin, Ireland.
Patricia KearneyDepartment of Epidemiology, University College Cork, Cork, Ireland.
David P CrabbOptometry and Visual Sciences, School of Health Sciences, City, University of London, London, UK.
David J KeeganMater Retina Research Group, Mater Misericordiae University Hospital, Dublin, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsWe aimed to determine the patient and screening-level factors that are associated with non-attendance in the Irish National Diabetic Retinal screening programme (Diabetic RetinaScreen). To accomplish this, we modelled a selection of predictors derived from the historical screening records of patients with diabetes.

methodsIn this cohort study, appointment data from the national diabetic retinopathy screening programme (RetinaScreen) were extracted and augmented using publicly available meteorological and geospatial data. A total of 653,969 appointments from 158,655 patients were included for analysis. Mixed-effects models (univariable and multivariable) were used to estimate the influence of several variables on non-attendance to screening appointments.

resultsAll variables considered for analysis were statistically significant. Variables of note, with meaningful effect, were age (OR: 1.23 per decade away from 70; 95% CI: [1.22-1.24]), type 2 diabetes (OR: 1.10; 95% CI: [1.06-1.14]) and socio-economic deprivation (OR: 1.12; 95% CI: [1.09-1.16]). A majority (52%) of missed appointments were from patients who had missed three or more appointments.

conclusionsThis study is the first to outline factors that are associated with non-attendance within the Irish national diabetic retinopathy screening service. In particular, when corrected for age and other factors, patients with type 2 diabetes had higher rates of non-attendance. Additionally, this is the first study of any diabetic screening programme to demonstrate that weather may influence attendance. This research provides unique insight to guide the implementation of an optimal and cost-effective intervention strategy to improve attendance.

Indexed as

Mass ScreeningAgedCohort StudiesCost-Benefit AnalysisDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Diabetic RetinopathyFemaleHumansMaleMiddle AgedNo-Show PatientsPovertyRisk FactorsSocioeconomic FactorsDiabetic retinopathyPublic healthScreeningSocio-economic issues

Identifiers

PMID33483856
PMCPMC8076137

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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.