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|Many Youth Newly Diagnosed with Diabetes Aren't Screened for Retinopathy|
|Venerdì 24 Marzo 2017 04:59|
By Kelly Young
Many children and adolescents with diabetes aren't being screened for diabetic retinopathy soon after their diagnosis, according to a retrospective study in JAMA Ophthalmology. For type 1 diabetes, the American Academy of Ophthalmology recommends retinopathy screening 5 years after diagnosis. For type 2 diabetes, screening is recommended at the time of diagnosis.
Using healthcare records from a U.S. managed care network, researchers studied nearly 13,000 patients aged 21 and younger who were diagnosed with diabetes. Six years after diagnosis, only 65% of patients with type 1 diabetes and 42% of those with type 2 diabetes had undergone an ophthalmologic exam. Screening rates were lowest among black and Latino youth and among those with lower household incomes.
To increase screening rates, a commentator advocates using retinal telescreening in the primary care setting. (Of note, the commentator is an adviser to a company that makes a retinal screening tool for primary care providers.)
JAMA Ophthalmology article (Free abstract)