TY - JOUR
T1 - Evaluation and referral of diabetic eye disease in the endocrinology and primary care offce settings
AU - Silva, Fabiana Q.
AU - Adhi, Mehreen
AU - Wai, Karen M.
AU - Olansky, Leann
AU - Cecilia Lansang, M.
AU - Singh, Rishi P.
PY - 2016/10
Y1 - 2016/10
N2 - BACKGROUND AND OBJECTIVE: The purpose of this study was to identify whether endocrinologists and primary care physicians (PCP) adequately screen for ophthalmic symptoms/signs within offce visits and provide timely ophthalmology referrals in patients with diabetes. PATIENTS AND METHODS: Patients between the ages of 18 years and 80 years with diabetes who underwent an offce visit with an endocrinologist or a PCP between January 1, 2014, and December 31, 2014, were identifed. Demographics, ophthalmic assessments, and referral information were collected. RESULTS: A total of 1,250 patient records were reviewed. Providers asked about ophthalmic symptoms/signs in 95.5% and 71% of endocrinology and primary care offce encounters, respectively (P <.0001). Past and/or future ophthalmology appointments were verifed in 86.1% and 49.7% of patients during endocrinology and PCP visits, respectively (P <.0001). CONCLUSIONS: Ophthalmic complications from diabetes are not adequately screened, especially within the primary care setting, and further quality improvement measures may improve adherence to recommended screening protocols.
AB - BACKGROUND AND OBJECTIVE: The purpose of this study was to identify whether endocrinologists and primary care physicians (PCP) adequately screen for ophthalmic symptoms/signs within offce visits and provide timely ophthalmology referrals in patients with diabetes. PATIENTS AND METHODS: Patients between the ages of 18 years and 80 years with diabetes who underwent an offce visit with an endocrinologist or a PCP between January 1, 2014, and December 31, 2014, were identifed. Demographics, ophthalmic assessments, and referral information were collected. RESULTS: A total of 1,250 patient records were reviewed. Providers asked about ophthalmic symptoms/signs in 95.5% and 71% of endocrinology and primary care offce encounters, respectively (P <.0001). Past and/or future ophthalmology appointments were verifed in 86.1% and 49.7% of patients during endocrinology and PCP visits, respectively (P <.0001). CONCLUSIONS: Ophthalmic complications from diabetes are not adequately screened, especially within the primary care setting, and further quality improvement measures may improve adherence to recommended screening protocols.
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U2 - 10.3928/23258160-20161004-06
DO - 10.3928/23258160-20161004-06
M3 - Article
C2 - 27759859
AN - SCOPUS:84994131475
SN - 2325-8160
VL - 47
SP - 930
EP - 934
JO - Ophthalmic Surgery Lasers and Imaging Retina
JF - Ophthalmic Surgery Lasers and Imaging Retina
IS - 10
ER -