Philip S, Cowie L M, Olson J A
Grampian Diabetes Retinal Screening Programme, Woolmanhill, Aberdeen AB25 1LD, UK.
Br J Ophthalmol. 2005 Jul;89(7):891-6. doi: 10.1136/bjo.2004.051334.
To ascertain the impact of the Health Technology Board for Scotland's grading model on referrals to ophthalmology services.
An analysis was performed of the screening outcomes of 5575 consecutive patients, who were screened by the Grampian Diabetic Retinopathy Screening Programme between March and September 2003 according to the recommendations of the Health Technology Board and the Scottish Diabetic Retinopathy Grading Scheme 2003.
3066 (55%) were male. The median age was 65 years. 5.4% were passed on to the level 3 grader and 3.4% were finally referred to ophthalmology services. 2.3% required re-screening in 6 months; 85% were screened without mydriasis; 11.9% had ungradeable images despite a staged mydriasis protocol. Time to complete grading was 32 days (22-45).
The impact of the Health Technology Board for Scotland's recommendations on referrals to ophthalmology services is modest and should be containable within existing resources.
确定苏格兰卫生技术委员会的分级模式对眼科服务转诊的影响。
对5575例连续患者的筛查结果进行分析，这些患者于2003年3月至9月期间由格兰扁糖尿病视网膜病变筛查项目根据卫生技术委员会的建议和2003年苏格兰糖尿病视网膜病变分级方案进行筛查。
3066例（55%）为男性。中位年龄为65岁。5.4%的患者被转至三级分级人员处，3.4%的患者最终被转诊至眼科服务。2.3%的患者需要在6个月后重新筛查；85%的患者在未散瞳的情况下进行了筛查；尽管采用了分阶段散瞳方案，但11.9%的患者图像无法分级。完成分级的时间为32天（22 - 45天）。
苏格兰卫生技术委员会的建议对眼科服务转诊的影响较小，应可在现有资源范围内得到控制。
