Evidence map›Paper›PMID 39843349›Full record

ArticleBMJ open ophthalmology2025

Effect of ethnicity and other sociodemographic factors on attendance at ophthalmology appointments following referral from a Diabetic Eye Screening Programme: a retrospective cohort study.

James Banks, Abraham Olvera-Barrios, Matilda Pitt, Daisy Williams, Michael Seltene, Celestine Rutowska, Mumina Khatun, Josef Huemer, Yasir Khan, Zoe Ockrim and 5 more

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In one paragraph

Article in BMJ open ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

15 authors.

James BanksPopulation Health Research Institute, City St George's, University of London , London, UK.ORCID 0000-0003-3266-1594
Abraham Olvera-BarriosMedical Retina, Moorfields Eye Hospital NHS Foundation Trust, London, UK.ORCID 0000-0002-3305-4465
Matilda PittPopulation Health Research Institute, City St George's, University of London , London, UK.
Daisy WilliamsPopulation Health Research Institute, City St George's, University of London , London, UK.
Michael SelteneMedical Retina, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Celestine RutowskaMedical Retina, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Mumina KhatunMedical Retina, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Josef HuemerMedical Retina, Moorfields Eye Hospital NHS Foundation Trust, London, UK.ORCID 0000-0001-5238-8295
Yasir KhanMedical Retina, Moorfields Eye Hospital NHS Foundation Trust, London, UK.ORCID 0000-0002-6562-993X
Zoe OckrimMedical Retina, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Ling Zhi HengMedical Retina, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Alicja R RudnickaPopulation Health Research Institute, City St George's, University of London , London, UK.ORCID 0000-0003-0369-8574
Adnan TufailMedical Retina, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Catherine A EganMedical Retina, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Christopher G OwenPopulation Health Research Institute, City St George's, University of London , London, UK cowen@sgul.ac.uk.ORCID 0000-0003-1135-5977

Funding

Wellcome Trust
6 · The paper itself

Abstract

BACKGROUND/

aimsTo examine the association between sociodemographic characteristics and attendance at Hospital Eye Service (HES) referrals from the Diabetic Eye Screening Programme (DESP), in a large, ethnically diverse urban population.

methodsRetrospective cohort study (4 January 2016-12 August 2019) of people with diabetic retinopathy (DR) referred from an English DESP to a tertiary referral eye hospital. We conducted a multivariable logistic regression with attendance as the primary outcome, controlling for age, sex, ethnicity, Index of Multiple Deprivation, best eye visual acuity and baseline DR grade.

resultsOf 7793 people referred (mean age 64 years, 62.6% male, 13.9% white, 12.5% black, 25.3% South Asian, 6.5% any other Asian background, 19.3% no recorded ethnicity and 20.9% of 'Other' ethnic origin), 69% attended. Compared with white individuals, people of black ethnic origin were similarly likely to attend. South Asians and those of other Asian backgrounds were more likely, and people with 'Other' or missing ethnicity were less likely to attend. Those with higher levels of deprivation, younger (aged 18-45 years) and older (76-90 years) age groups and worse visual acuity were less likely to attend, whereas people identified as having proliferative DR in both eyes were more likely to attend.

conclusionSociodemographic patterns in attendance after referral from the DESP to the HES exist, and these do not appear to explain ethnic differences in more severe sight-threatening DR, suggesting other explanations. More work is needed to understand and reduce inequalities in HES attendance.

Indexed as

Appointments and SchedulesDiabetic RetinopathyEthnicityOphthalmologyReferral and ConsultationAdolescentAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesSociodemographic FactorsVisual AcuityEpidemiologyMaculaPublic healthRetina

Identifiers

PMID39843349
PMCPMC11759212

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