Characteristics Associated with Adherence to Annual Dilated Eye Examinations among US Patients with Diagnosed Diabetes
To identify the characteristics that are associated with adherence to annual diabetic eye exams and patient awareness of retinopathy using a nationally representative sample from the United States. Cross-sectional, secondary analysis. National Health and Nutrition Examination Survey (NHANES) partici...
Uloženo v:
| Vydáno v: | Ophthalmology (Rochester, Minn.) Ročník 126; číslo 11; s. 1492 |
|---|---|
| Hlavní autoři: | , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
| Vydáno: |
United States
01.11.2019
|
| Témata: | |
| ISSN: | 1549-4713, 1549-4713 |
| On-line přístup: | Zjistit podrobnosti o přístupu |
| Tagy: |
Přidat tag
Žádné tagy, Buďte první, kdo vytvoří štítek k tomuto záznamu!
|
| Abstract | To identify the characteristics that are associated with adherence to annual diabetic eye exams and patient awareness of retinopathy using a nationally representative sample from the United States.
Cross-sectional, secondary analysis.
National Health and Nutrition Examination Survey (NHANES) participants from 2005 to 2016 aged 20 years and older with diabetes mellitus.
The NHANES collected surveys every 2 years from 2005 to 2016, which contained demographic information, clinical information, and time to last dilated eye exam. From 2005 to 2008, retinal photographs were taken of all participants older than 40 years of age. We used univariate and multivariable logistic regression to determine the demographic and clinical factors associated with adherence to annual diabetic eye examinations and those associated with correctly reporting their retinopathy status.
Factors associated with adherence defined as having an eye exam within the preceding 12 or 24 months.
From 2005 to 2016, NHANES surveyed 4072 individuals who represent 20 million Americans aged 20 years and older with self-report of diabetes. By using the adherence definitions of 12 and 24 months, 63.4% and 78.7%, respectively, were adherent to diabetic eye examinations. The nonadherence rates of 36.6% and 21.3% for this national estimate did not change from 2005 to 2016 (P = 0.7, logistic regression). Insurance status, age, education, income, cholesterol levels, duration of diabetes, and self-reported retinopathy were all significantly associated with adherence with both definitions (all P < 0.05, logistic regression). Insurance status had the highest predictive value, with 76% of Americans on combination private-public insurance adherent compared with 36% of uninsured. Most Americans with retinopathy incorrectly denied having the diagnosis (2 727 144/3 896 093 or 70%).
Multiple variables were associated with nonadherence to eye exams, with insurance status having the strongest association. Adherence with annual eye exams has not improved over the past decade. The majority of patients with retinopathy are unaware of this diagnosis, including the majority of those with a dilated funduscopic examination in the past year. Further improvements in education and adherence may reduce the visual morbidity caused by diabetes. |
|---|---|
| AbstractList | To identify the characteristics that are associated with adherence to annual diabetic eye exams and patient awareness of retinopathy using a nationally representative sample from the United States.
Cross-sectional, secondary analysis.
National Health and Nutrition Examination Survey (NHANES) participants from 2005 to 2016 aged 20 years and older with diabetes mellitus.
The NHANES collected surveys every 2 years from 2005 to 2016, which contained demographic information, clinical information, and time to last dilated eye exam. From 2005 to 2008, retinal photographs were taken of all participants older than 40 years of age. We used univariate and multivariable logistic regression to determine the demographic and clinical factors associated with adherence to annual diabetic eye examinations and those associated with correctly reporting their retinopathy status.
Factors associated with adherence defined as having an eye exam within the preceding 12 or 24 months.
From 2005 to 2016, NHANES surveyed 4072 individuals who represent 20 million Americans aged 20 years and older with self-report of diabetes. By using the adherence definitions of 12 and 24 months, 63.4% and 78.7%, respectively, were adherent to diabetic eye examinations. The nonadherence rates of 36.6% and 21.3% for this national estimate did not change from 2005 to 2016 (P = 0.7, logistic regression). Insurance status, age, education, income, cholesterol levels, duration of diabetes, and self-reported retinopathy were all significantly associated with adherence with both definitions (all P < 0.05, logistic regression). Insurance status had the highest predictive value, with 76% of Americans on combination private-public insurance adherent compared with 36% of uninsured. Most Americans with retinopathy incorrectly denied having the diagnosis (2 727 144/3 896 093 or 70%).
Multiple variables were associated with nonadherence to eye exams, with insurance status having the strongest association. Adherence with annual eye exams has not improved over the past decade. The majority of patients with retinopathy are unaware of this diagnosis, including the majority of those with a dilated funduscopic examination in the past year. Further improvements in education and adherence may reduce the visual morbidity caused by diabetes. To identify the characteristics that are associated with adherence to annual diabetic eye exams and patient awareness of retinopathy using a nationally representative sample from the United States.PURPOSETo identify the characteristics that are associated with adherence to annual diabetic eye exams and patient awareness of retinopathy using a nationally representative sample from the United States.Cross-sectional, secondary analysis.DESIGNCross-sectional, secondary analysis.National Health and Nutrition Examination Survey (NHANES) participants from 2005 to 2016 aged 20 years and older with diabetes mellitus.PARTICIPANTSNational Health and Nutrition Examination Survey (NHANES) participants from 2005 to 2016 aged 20 years and older with diabetes mellitus.The NHANES collected surveys every 2 years from 2005 to 2016, which contained demographic information, clinical information, and time to last dilated eye exam. From 2005 to 2008, retinal photographs were taken of all participants older than 40 years of age. We used univariate and multivariable logistic regression to determine the demographic and clinical factors associated with adherence to annual diabetic eye examinations and those associated with correctly reporting their retinopathy status.METHODSThe NHANES collected surveys every 2 years from 2005 to 2016, which contained demographic information, clinical information, and time to last dilated eye exam. From 2005 to 2008, retinal photographs were taken of all participants older than 40 years of age. We used univariate and multivariable logistic regression to determine the demographic and clinical factors associated with adherence to annual diabetic eye examinations and those associated with correctly reporting their retinopathy status.Factors associated with adherence defined as having an eye exam within the preceding 12 or 24 months.MAIN OUTCOME MEASUREFactors associated with adherence defined as having an eye exam within the preceding 12 or 24 months.From 2005 to 2016, NHANES surveyed 4072 individuals who represent 20 million Americans aged 20 years and older with self-report of diabetes. By using the adherence definitions of 12 and 24 months, 63.4% and 78.7%, respectively, were adherent to diabetic eye examinations. The nonadherence rates of 36.6% and 21.3% for this national estimate did not change from 2005 to 2016 (P = 0.7, logistic regression). Insurance status, age, education, income, cholesterol levels, duration of diabetes, and self-reported retinopathy were all significantly associated with adherence with both definitions (all P < 0.05, logistic regression). Insurance status had the highest predictive value, with 76% of Americans on combination private-public insurance adherent compared with 36% of uninsured. Most Americans with retinopathy incorrectly denied having the diagnosis (2 727 144/3 896 093 or 70%).RESULTSFrom 2005 to 2016, NHANES surveyed 4072 individuals who represent 20 million Americans aged 20 years and older with self-report of diabetes. By using the adherence definitions of 12 and 24 months, 63.4% and 78.7%, respectively, were adherent to diabetic eye examinations. The nonadherence rates of 36.6% and 21.3% for this national estimate did not change from 2005 to 2016 (P = 0.7, logistic regression). Insurance status, age, education, income, cholesterol levels, duration of diabetes, and self-reported retinopathy were all significantly associated with adherence with both definitions (all P < 0.05, logistic regression). Insurance status had the highest predictive value, with 76% of Americans on combination private-public insurance adherent compared with 36% of uninsured. Most Americans with retinopathy incorrectly denied having the diagnosis (2 727 144/3 896 093 or 70%).Multiple variables were associated with nonadherence to eye exams, with insurance status having the strongest association. Adherence with annual eye exams has not improved over the past decade. The majority of patients with retinopathy are unaware of this diagnosis, including the majority of those with a dilated funduscopic examination in the past year. Further improvements in education and adherence may reduce the visual morbidity caused by diabetes.CONCLUSIONSMultiple variables were associated with nonadherence to eye exams, with insurance status having the strongest association. Adherence with annual eye exams has not improved over the past decade. The majority of patients with retinopathy are unaware of this diagnosis, including the majority of those with a dilated funduscopic examination in the past year. Further improvements in education and adherence may reduce the visual morbidity caused by diabetes. |
| Author | Eppley, Sarah E Ramanathan, Saras Lowry, Eugene A Mansberger, Steven L |
| Author_xml | – sequence: 1 givenname: Sarah E surname: Eppley fullname: Eppley, Sarah E organization: School of Medicine, University of California, San Francisco, California – sequence: 2 givenname: Steven L surname: Mansberger fullname: Mansberger, Steven L organization: Devers Eye Institute, Legacy Health System, Portland, Oregon – sequence: 3 givenname: Saras surname: Ramanathan fullname: Ramanathan, Saras organization: Department of Ophthalmology, University of California, San Francisco, California – sequence: 4 givenname: Eugene A surname: Lowry fullname: Lowry, Eugene A email: eugenelowry@gmail.com organization: Devers Eye Institute, Legacy Health System, Portland, Oregon; Casey Eye Institute, Oregon Health and Sciences University, Portland, Oregon. Electronic address: eugenelowry@gmail.com |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31281055$$D View this record in MEDLINE/PubMed |
| BookMark | eNpNkM9LwzAcxYNMnJv-ByI5emlNmqZNjmWbP2CgoDuXb5tszWiT2WTq_nuLm-DpPR6f9w5vgkbWWY3QDSUxJTS738Zu14QG4oRQGRMeE8bO0CXlqYzSnLLRPz9GE--3hJAsY-kFGjOaCEo4v0SfswZ6qIPujQ-m9rjw3tUGglb4y4QGF6rRvba1xsHhwto9tHhu2l9gcdB48Q2dsRCMsx5D5-wGr97w6xBoG_xxY25gY50fGoOrdND-Cp2vofX6-qRTtHpYvM-eouXL4_OsWEZ1SnmIZK5SDcAFY7RWkOdCEgV8XXEhRSpIojJRMwkVqbhUNOM5S9bAGMkIU5KqZIrujru73n3stQ9lZ3yt2xasdntfJglnghE-HDJFtyd0X3ValbvedNAfyr-vkh-Tb2-j |
| CitedBy_id | crossref_primary_10_1111_1753_0407_13328 crossref_primary_10_1016_j_diabres_2020_108361 crossref_primary_10_1089_tmj_2019_0206 crossref_primary_10_1136_bmjopen_2024_096438 crossref_primary_10_1186_s12913_025_12472_8 crossref_primary_10_1136_bmjdrc_2022_003174 crossref_primary_10_1097_CM9_0000000000001816 crossref_primary_10_1155_2024_3231341 crossref_primary_10_2147_OPTH_S410425 crossref_primary_10_1080_09286586_2024_2406506 crossref_primary_10_1016_j_pcd_2024_12_007 crossref_primary_10_1089_tmj_2020_0270 crossref_primary_10_1001_jamaophthalmol_2024_3528 crossref_primary_10_1016_j_puhe_2024_05_021 crossref_primary_10_1089_tmj_2022_0357 crossref_primary_10_1186_s12886_025_04336_w crossref_primary_10_2147_OPTH_S402082 crossref_primary_10_2147_CIA_S297494 crossref_primary_10_2337_dc23_1119 crossref_primary_10_3390_vision7030053 crossref_primary_10_1089_tmj_2021_0329 crossref_primary_10_1016_j_ajo_2022_10_003 crossref_primary_10_2147_OPTH_S330913 crossref_primary_10_2147_OPTH_S422513 crossref_primary_10_2337_ds19_0067 crossref_primary_10_1016_j_ajo_2020_08_038 crossref_primary_10_1001_jamaophthalmol_2022_5237 crossref_primary_10_1080_09286586_2022_2127785 crossref_primary_10_1007_s11427_023_2305_0 crossref_primary_10_1016_j_eprac_2022_11_013 crossref_primary_10_1136_bmjdrc_2021_002374 crossref_primary_10_2147_OPTH_S342965 crossref_primary_10_1016_j_ophtha_2024_02_017 crossref_primary_10_1016_j_oret_2023_01_001 crossref_primary_10_1111_opo_12746 crossref_primary_10_2196_63253 crossref_primary_10_1186_s13098_022_00953_3 crossref_primary_10_1007_s00592_024_02354_6 crossref_primary_10_1001_jamaophthalmol_2023_5287 crossref_primary_10_3390_jcm11226859 crossref_primary_10_1093_lifemedi_lnad033 crossref_primary_10_1016_j_ophtha_2019_09_010 crossref_primary_10_1016_j_oret_2020_01_016 crossref_primary_10_1007_s40615_022_01363_x crossref_primary_10_1016_j_pcd_2023_06_004 crossref_primary_10_1016_j_ajo_2024_06_031 crossref_primary_10_3389_fmed_2021_773881 crossref_primary_10_1111_dom_16164 |
| ContentType | Journal Article |
| Copyright | Copyright © 2019 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved. |
| Copyright_xml | – notice: Copyright © 2019 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved. |
| DBID | CGR CUY CVF ECM EIF NPM 7X8 |
| DOI | 10.1016/j.ophtha.2019.05.033 |
| DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic |
| DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE MEDLINE - Academic |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database |
| DeliveryMethod | no_fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 1549-4713 |
| ExternalDocumentID | 31281055 |
| Genre | Journal Article |
| GeographicLocations | United States |
| GeographicLocations_xml | – name: United States |
| GroupedDBID | --- --K .1- .55 .FO .GJ 0R~ 123 1B1 1P~ 1~5 29N 4.4 457 4G. 53G 5RE 5VS 7-5 71M AAEDT AAEDW AALRI AAQFI AAQQT AAQXK AAXUO ABCQX ABFRF ABJNI ABLJU ABMAC ABOCM ABWVN ACGFO ACGFS ACIUM ACNCT ACRPL ADMUD ADNMO ADPAM AEFWE AENEX AEVXI AFFNX AFJKZ AFRHN AFTJW AITUG AJUYK AKRWK ALMA_UNASSIGNED_HOLDINGS AMRAJ BELOY C5W CGR CS3 CUY CVF DU5 EBS ECM EFJIC EIF EJD F5P FDB FEDTE FGOYB GBLVA HVGLF HZ~ IHE J1W K-O KOM L7B M27 M41 MO0 N4W N9A NPM NQ- O9- OF- OPF OQ~ P2P R2- RIG ROL RPZ SDG SEL SES SSZ UHS UNMZH UV1 WH7 X7M XH2 XPP Z5R ZGI ZXP 7X8 EFKBS |
| ID | FETCH-LOGICAL-c415t-97d4eaa58331cda77890da5fb58984802d68c39ab0b59d165732fa330603d91d2 |
| IEDL.DBID | 7X8 |
| ISICitedReferencesCount | 56 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000490992500013&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 1549-4713 |
| IngestDate | Wed Oct 01 14:31:57 EDT 2025 Thu Jan 02 23:00:24 EST 2025 |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 11 |
| Language | English |
| License | Copyright © 2019 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved. |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c415t-97d4eaa58331cda77890da5fb58984802d68c39ab0b59d165732fa330603d91d2 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| PMID | 31281055 |
| PQID | 2253830531 |
| PQPubID | 23479 |
| ParticipantIDs | proquest_miscellaneous_2253830531 pubmed_primary_31281055 |
| PublicationCentury | 2000 |
| PublicationDate | 2019-11-00 20191101 |
| PublicationDateYYYYMMDD | 2019-11-01 |
| PublicationDate_xml | – month: 11 year: 2019 text: 2019-11-00 |
| PublicationDecade | 2010 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States |
| PublicationTitle | Ophthalmology (Rochester, Minn.) |
| PublicationTitleAlternate | Ophthalmology |
| PublicationYear | 2019 |
| SSID | ssj0006634 |
| Score | 2.5204756 |
| Snippet | To identify the characteristics that are associated with adherence to annual diabetic eye exams and patient awareness of retinopathy using a nationally... |
| SourceID | proquest pubmed |
| SourceType | Aggregation Database Index Database |
| StartPage | 1492 |
| SubjectTerms | Academies and Institutes - standards Adult Aged Cholesterol - blood Cross-Sectional Studies Diabetes Mellitus - diagnosis Diabetic Retinopathy - diagnosis Female Humans Insurance, Health - statistics & numerical data Male Middle Aged Mydriatics - administration & dosage Nutrition Surveys Ophthalmology - standards Patient Compliance - statistics & numerical data Physical Examination - statistics & numerical data Practice Guidelines as Topic - standards Pupil - drug effects Societies, Medical - standards United States Vision Screening - standards |
| Title | Characteristics Associated with Adherence to Annual Dilated Eye Examinations among US Patients with Diagnosed Diabetes |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/31281055 https://www.proquest.com/docview/2253830531 |
| Volume | 126 |
| WOSCitedRecordID | wos000490992500013&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3NS8MwFA_qRLz4_TG_iOA12DZp05xkzA0vGwMd7FbSJmUDaaetQ_97X5KW4UEQvPTUlJD36_vIe-_3ELoDi5BzriIiqNCE8TwmMvU4MWRXTIGBYrGywyb4eBzPZmLSXLhVTVllqxOtolZlZu7I7wF3EEwZyDws34iZGmWyq80IjU3UoeDKGFTz2ZotHKypzSpDDATb8GnbOmfru8rlvJ4b5iFfWO5OMzr3NyfTGpvh_n-3eYD2GjcT9xwuDtGGLo7QzqhJpB-jVf8nUTNuxaQVNlezuKfmrhEQ1yV2JPz4cfFqXxh8aTz4lKaIxqIW24lFePqMJ46ltXLfeHRlfLCiqbupTtB0OHjpP5FmBAPJwLLXRHDFtJSmNcvPlOSmbVbJME_DWMQs9gIVxRkVIN40FMqPQk6DXFKIQzyqhK-CU7RVlIU-Rxj8yiDPFaeMKpYGLAbPM4iyUIGSiSTLu-i2PdEEIG7yFrLQ5UeVrM-0i86cWJKl4-JIqMkEemF48YfVl2jXSNt1El6hTg4_uL5G29mqXlTvNxY78BxPRt-oZs19 |
| linkProvider | ProQuest |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Characteristics+Associated+with+Adherence+to+Annual+Dilated+Eye+Examinations+among+US+Patients+with+Diagnosed+Diabetes&rft.jtitle=Ophthalmology+%28Rochester%2C+Minn.%29&rft.au=Eppley%2C+Sarah+E&rft.au=Mansberger%2C+Steven+L&rft.au=Ramanathan%2C+Saras&rft.au=Lowry%2C+Eugene+A&rft.date=2019-11-01&rft.eissn=1549-4713&rft.volume=126&rft.issue=11&rft.spage=1492&rft_id=info:doi/10.1016%2Fj.ophtha.2019.05.033&rft_id=info%3Apmid%2F31281055&rft_id=info%3Apmid%2F31281055&rft.externalDocID=31281055 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1549-4713&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1549-4713&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1549-4713&client=summon |