Evidence map›Paper›PMID 39887521›Full record

ArticleDiabetes, obesity & metabolism2025

Recognition of ophthalmology consultation and fundus examination among individuals with diabetes in Japan: A cross-sectional study using claims-questionnaire linked data.

Kouko Yamamoto, Noriko Ihana-Sugiyama, Takehiro Sugiyama, Takuya Yamaoka, Akiko Wakui-Kimura, Kenjiro Imai, Naoaki Kuroda, Mitsuru Ohsugi, Kohjiro Ueki, Toshimasa Yamauchi and 1 more

Abstract read
In one paragraph

Article in Diabetes, obesity & metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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.

Kouko YamamotoDepartment of Health Services Research, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Noriko Ihana-SugiyamaDiabetes and Metabolism Information Center, Research Institute, National Center for Global Health and Medicine, Shinjuku-Ku, Tokyo, Japan.
Takehiro SugiyamaDepartment of Health Services Research, Institute of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.ORCID 0000-0001-5391-682X
Takuya YamaokaDepartment of Health Services Research, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Akiko Wakui-KimuraDiabetes and Metabolism Information Center, Research Institute, National Center for Global Health and Medicine, Shinjuku-Ku, Tokyo, Japan.
Kenjiro ImaiDiabetes and Metabolism Information Center, Research Institute, National Center for Global Health and Medicine, Shinjuku-Ku, Tokyo, Japan.
Naoaki KurodaHealth Services Research and Development Center, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Mitsuru OhsugiDiabetes and Metabolism Information Center, Research Institute, National Center for Global Health and Medicine, Shinjuku-Ku, Tokyo, Japan.
Kohjiro UekiDepartment of Diabetes, Endocrinology, and Metabolism, National Center for Global and Medicine Hospital, Shinjuku-Ku, Tokyo, Japan.
Toshimasa YamauchiDepartment of Diabetes and Metabolic Diseases, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan.
Nanako TamiyaDepartment of Health Services Research, Institute of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.

Funding

Health and Labor Sciences Research Grants 20FA1016 (FY2020-2022)Health and Labor Sciences Research Grants 23FA1020 (FY2023-2025)Japan Society for the Promotion of Science JP23K24585
6 · The paper itself

Abstract

aimsThis study aimed to assess the relationship between individuals' recognition of ophthalmology consultation recommendations, their knowledge of the recommended frequency of diabetic retinopathy screening, and the likelihood of undergoing fundus examinations. MATERIALS AND

methodsThis cross-sectional secondary analysis linked claims and health checkup data to a questionnaire survey. Questionnaires were distributed to randomly sampled National Health Insurance beneficiaries in Tsukuba City, using data from claims and health checkups. Weighting was applied based on sample extraction and response rates. We calculated the proportions of fundus examinations and knowledge of screening frequency according to the recognition of ophthalmology consultation recommendations. The association between visits to medical facilities with diabetes specialists and diabetic retinopathy screening was also examined.

resultsAmong 290 participants, 47.6% recognized ophthalmology consultation recommendations. Those who recognized these recommendations had better knowledge of the screening frequency (93.4% vs. 49.6%) and were more likely to undergo fundus examinations (72.9% vs. 30.1%; adjusted risk ratio 2.36; 95% CI, 1.65-3.38). Participants who visited medical facilities with diabetes specialists were more likely to recognize recommendations, have knowledge of screening frequency, and undergo fundus examinations.

conclusionsRecognition of ophthalmology consultation recommendations was associated with better knowledge of screening frequency and higher participation in fundus examinations. Increasing awareness through healthcare provider recommendations may improve diabetic retinopathy screening rates, highlighting the need for targeted interventions to promote eye care among individuals with diabetes.

Indexed as

Diabetic RetinopathyHealth Knowledge, Attitudes, PracticeOphthalmologyReferral and ConsultationAdultAgedCross-Sectional StudiesFemaleFundus OculiHumansJapanMaleMass ScreeningMiddle AgedSurveys and Questionnairesdatabase researchdiabetic retinopathyobservational studyperceptions

Identifiers

PMID39887521
PMCPMC11885107

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.