Department of Metabolic Medicine, Osaka University Graduate School of Medicine, Suita City, Osaka, Japan.
Department of Diabetes Care Medicine, Osaka University Graduate School of Medicine, Suita City, Osaka, Japan.
J Diabetes Investig. 2021 Aug;12(8):1508-1511. doi: 10.1111/jdi.13482. Epub 2021 Jan 10.
This study aimed to show the proportion of fundus examinations in patients with diabetes who were scheduled for surgery. We retrospectively analyzed 455 consecutive patients with diabetes admitted for surgery. Just 49% had fundus examinations before hospitalization. The decision tree analysis showed that the type of family doctor was the first split associated with fundus examination; patients treated by a diabetes specialist were more likely to receive the examination. In this subgroup, glycated hemoglobin levels ≥8.0% and age ≥71 years were associated with a lower proportion of receiving the examination. In patients whose family doctor was not a diabetes specialist, glycated hemoglobin levels <7.2% and body mass index <27.4 kg/m without severe comorbidities were associated with a higher proportion of receiving the examination. In conclusion, half of patients scheduled for surgery did not receive fundus examinations. A high-risk population for not receiving the examination varied with the consultation setting.
本研究旨在展示拟行手术糖尿病患者眼底检查的比例。我们回顾性分析了 455 例连续糖尿病手术患者。仅 49%的患者在住院前进行了眼底检查。决策树分析显示，家庭医生的类型是与眼底检查相关的第一个分支；由糖尿病专科医生治疗的患者更有可能接受该检查。在该亚组中，糖化血红蛋白水平≥8.0%和年龄≥71 岁与接受检查的比例较低相关。在家庭医生不是糖尿病专家的患者中，糖化血红蛋白水平<7.2%且体重指数<27.4kg/m2且无严重合并症与接受检查的比例较高相关。总之，一半拟行手术的患者未接受眼底检查。不接受检查的高危人群因咨询环境而异。
