Scanlon P H, Stratton I M, Leese G P, Bachmann M O, Land M, Jones C, Ferguson B
Gloucestershire Retinal Research Group, Gloucester, UK.
Ninewells Hospital and Medical School, Dundee, UK.
Diabet Med. 2016 Jul;33(7):904-11. doi: 10.1111/dme.12957. Epub 2015 Oct 6.
To report on the relationships between age at diagnosis of diabetes, time from registration with the screening programme to first diabetic eye screening and severity of diabetic retinopathy.
Data were extracted from four English screening programmes and from the Scottish, Welsh and Northern Irish programmes. Time from diagnosis of diabetes to first screening and age at diagnosis were calculated.
Time from registration with the screening programme to first screening episode is strongly related to age at registration. Within 18 months of registration 89% of 3958 young people under 18 years of age and 81% of 391 293 people over 35 years of age were seen. In 19 058 people between 18 and 34 years of age, 80% coverage was not reached until 2 years and 9 months. The time from diagnosis of diabetes to first screening is positively associated with severity of disease (P < 0.0001).
This report is the first that to demonstrate that those in the 18-34 year age group are least likely to attend promptly for screening after registration with a higher risk of referable diabetic retinopathy being present at the time of first screen. Date of diagnosis should be recorded and prodigious efforts made to screen all people promptly after diagnosis. Screening programmes should collect data on those who have not attended within one year of registration.
报告糖尿病诊断年龄、从登记参加筛查项目到首次糖尿病眼部筛查的时间与糖尿病视网膜病变严重程度之间的关系。
数据取自四个英格兰筛查项目以及苏格兰、威尔士和北爱尔兰的项目。计算从糖尿病诊断到首次筛查的时间以及诊断时的年龄。
从登记参加筛查项目到首次筛查的时间与登记时的年龄密切相关。在登记后的18个月内，3958名18岁以下年轻人中有89%以及391293名35岁以上人群中有81%接受了检查。在19058名18至34岁的人群中，直到2年9个月时才达到80%的覆盖率。从糖尿病诊断到首次筛查的时间与疾病严重程度呈正相关（P<0.0001）。
本报告首次表明，18至34岁年龄组的人群在登记后最不可能及时参加筛查，且首次筛查时存在可转诊糖尿病视网膜病变的风险较高。应记录诊断日期，并在诊断后立即全力对所有人进行筛查。筛查项目应收集登记后一年内未参加筛查者的数据。
