如何改善糖尿病视网膜病变的筛查：勃艮第的经验。
How to improve screening for diabetic retinopathy: the Burgundy experience.
机构信息
Department of Ophthalmology, University Hospital, CHU Hopital-Général, 3, rue du Faubourg-Raines, 21000 Dijon, France.
出版信息
Diabetes Metab. 2010 Apr;36(2):114-9. doi: 10.1016/j.diabet.2009.09.003. Epub 2010 Jan 29.
OBJECTIVES
The aim of this study was to evaluate the impact of a mobile diabetic retinopathy (DR) screening programme on the overall ophthalmological follow-up of diabetics in Burgundy.
METHODS
The primary objective was to compare the rate of eye examinations, according to the information personnalisée aux professionnels de santé (IPPS; personalized information sent to health professionals) database, in diabetics before and after the screening campaign in selected zones. The secondary objectives were to compare the rate of eye examinations in diabetics before and after the screening programme in two different situations: with a mobile site; and with general practitioners (GPs) who teach in medical school. The impact of the different kinds of information on improving DR screening participation was also assessed.
RESULTS
The overall rate of ophthalmological visits did not change significantly before vs after the screening campaign (42.2% vs 41.8%; P=0.73), nor did the rate of ophthalmological visits in screened areas (44% vs 43%; P=0.58), compared with non-screened areas (41% vs 41%; P=0.99) and the sectors with GPs as teachers (47% vs 49%). Patients referred to the screening programme were mainly informed of the screening by flyers provided by the National Health System.
CONCLUSION
The DR screening campaign represents a major improvement in diabetic management, as around 80% of the screened patients with DR consulted an ophthalmologist after the screening campaign. However, the overall rate of diabetics having the recommended annual ophthalmological visit in the region of Burgundy remained unchanged.
目的
本研究旨在评估移动糖尿病视网膜病变（DR）筛查项目对勃艮第地区糖尿病患者整体眼科随访的影响。
方法
主要目的是根据信息个性化（IPPS）数据库比较筛选活动前后选定区域糖尿病患者的眼部检查率。次要目标是比较两种情况下（移动筛查点和在医学院任教的全科医生）筛选前后糖尿病患者的眼部检查率：移动筛查点和在医学院任教的全科医生。还评估了不同信息对提高 DR 筛查参与度的影响。
结果
与筛查活动前相比，筛查活动后总体眼科就诊率无显著变化（42.2% vs 41.8%；P=0.73），筛查区域的眼科就诊率也无显著变化（44% vs 43%；P=0.58），与非筛查区域（41% vs 41%；P=0.99）和有全科医生任教的领域（47% vs 49%）相比。被转诊至筛查项目的患者主要通过国家卫生系统提供的传单了解筛查信息。
结论
DR 筛查活动代表了糖尿病管理的重大改进，因为大约 80%的 DR 筛查患者在筛查后咨询了眼科医生。然而，勃艮第地区糖尿病患者每年接受推荐眼科检查的总体比例保持不变。
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