Evaluating screening policies for the early detection of retinopathy in patients with non-insulin dependent diabetes

被引：17

作者：

Brailsford S.C. ^{[1
]}

Davies R. ^{[1
]}

Canning C. ^{[2
]}

Roderick P.J. ^{[3
]}

机构：

[1] School of Management, University of Southampton

[2] Southampton Eye Unit, Southampton University Hospitals Trust

[3] Wessex Institute of Health Research and Development, University of Southampton

来源：

Health Care Management Science | 1998年 / 1卷 / 2期

关键词：

Diabetic Retinopathy; Blindness; Diabetic Macular Oedema; Proliferative Diabetic Retinopathy; Annual Probability;

D O I：

10.1023/A:1019086300747

中图分类号：

学科分类号：

摘要：

Retinopathy is a common complication of insulin-dependent (IDDM) and non-insulin-dependent (NIDDM) diabetes, but serious visual loss may be prevented or delayed with sufficiently early diagnosis and treatment. Screening for early signs of retinopathy is clearly beneficial for some people, but there is no established consensus about who should be screened, by whom, by what technique and with what frequency, especially for NIDDM. The model described in this paper simulates the development of eye disease in a population of NIDDM patients and the effects of different screening schemes in terms of years of sight saved and the numbers of people prevented from suffering severe visual loss. The initial results indicate that blanket screening of all NIDDM patients may not be effective. © Baltzer Science Publishers BV.

引用

页码：115 / 124

页数：9

共 44 条

[31]

Mather H.M., Diabetes in elderly Asians, Journal of the Royal Society of Medicine, 87, pp. 615-616, (1994)

[32]

McNabb W.L., Adherence in diabetes: Can we define it and can we measure it?, Diabetes Care, 20, pp. 215-219, (1997)

[33]

Moss S.E., Et al., Comparison of ophthalmoscopy and fundus photography in determining severity of diabetic retinopathy, Ophthalmology, 92, pp. 62-67, (1985)

[34]

Neil H.A.W., Et al., The Oxford community diabetes study, Diabetic Medicine, 4, pp. 539-543, (1987)

[35]

Mortality Statistics - General, (1992)

[36]

O'Neill J.P., Et al., Retinal photography in diabetes in general practice: How worthwhile?, Practical Diabetes, 11, pp. 78-80, (1994)

[37]

Panzram G., Mortality and survival in Type 2 (non-insulin-dependent) diabetes mellitus, Diabetologia, 30, pp. 123-131, (1987)

[38]

Perry I.J., Et al., Prospective study of risk factors for development of NIDDM in middle-aged British men, British Medical Journal, 310, pp. 560-564, (1995)

[39]

Reenders K., Et al., Screening for diabetic retinopathy by general practitioners, Scandinavian Journal of Primary Health Care, 10, pp. 306-309, (1992)

[40]

Samanta A., Burden A.C., Fent B., Comparative prevalence of NIDDM in Asian and white Caucasian adults, Diabetes Research & Clinical Practice, 4, pp. 1-6, (1987)

← 1 2 3 4 5 →