DOI: 10.1111/j.1464-5491.1991.tb01612.x. Screening for Treatable Diabetic Retinopathy: a Comparison of Different Methods

Screening for Treatable Diabetic Retinopathy: a Comparison of Different Methods

10.1111/j.1464-5491.1991.tb01612.x

Crossref journal-article

Wiley

Diabetic Medicine (311)

Abstract

The results of the screening of 3318 diabetic patients for sight‐threatening diabetic retinopathy in three UK centres are reported. The aims of the study were to determine the extent of diabetic retinopathy in the screened population and to assess the relative effectiveness of different screening methods in appropriately referring cases from a diabetic population, in a context very close to a routine clinical service. Patients were assessed by ophthalmoscopic examination by an ophthalmological clinical assistant. The clinical assistants' referral grades formed the reference standard against which to assess the effectiveness of other screening methods including ophthalmoscopy by primary screeners who were general practitioners (GPs), ophthalmic opticians and hospital physicians, and the assessment by consultant ophthalmologists of non‐mydriatic Polaroid fundus photography. The performance of primary screeners based on ophthalmoscopy ranged from a sensitivity of 0.41, with a specificity of 0.89, for one of the GP groups, to a sensitivity of 0.67, with a specificity of 0.96, for the hospital physician group. The performance of the non‐mydriatic camera ranged from a sensitivity of 0.35, with a specificity of 0.95, to a sensitivity of 0.67, with a specificity of 0.98.

Bibliography

Buxton, M. J., Sculpher, M. J., Ferguson, B. A., Humphreys, J. E., Altman, J. F. B., Spiegelhalter, D. J., Kirby, A. J., Jacob, J. S., Bacon, H., Dudbridge, S. B., Stead, J. W., Feest, T. G., Cheng, H., Franklin, S. L., Courtney, P., Talbot, J. F., Ahmed, R., & Dabbs, T. R. (1991). Screening for Treatable Diabetic Retinopathy: a Comparison of Different Methods. Diabetic Medicine, 8(4), 371â377. Portico.

Authors 18

M. J. Buxton (first)
M. J. Sculpher (additional)
B. A. Ferguson (additional)
J. E. Humphreys (additional)
J. F. B. Altman (additional)
D. J. Spiegelhalter (additional)
A. J. Kirby (additional)
J. S. Jacob (additional)
H. Bacon (additional)
S. B. Dudbridge (additional)
J. W. Stead (additional)
T. G. Feest (additional)
H. Cheng (additional)
S. L. Franklin (additional)
P. Courtney (additional)
J. F. Talbot (additional)
R. Ahmed (additional)
T. R. Dabbs (additional)

References 26 Referenced 97

{'key': 'e_1_2_1_2_2', 'volume-title': 'Causes of Blindness and Partial Sight Among Adults in 1976/1977 and 1980/81 England', 'author': 'Department of Health and Social Security', 'year': '1988'} / Causes of Blindness and Partial Sight Among Adults in 1976/1977 and 1980/81 England by Department of Health and Social Security (1988)
10.1016/0002-9394(74)90010-5
10.1001/archopht.1984.01040030405011
{'key': 'e_1_2_1_5_2', 'first-page': '1110', 'article-title': 'Photocoagulation in the treatment of diabetic maculopathy', 'author': 'British Multicentre Study Group', 'year': '1975', 'journal-title': 'Lancet'} / Lancet / Photocoagulation in the treatment of diabetic maculopathy by British Multicentre Study Group (1975)
10.1016/0002-9394(76)90292-0
{'key': 'e_1_2_1_7_2', 'first-page': '739', 'article-title': 'Proliferative diabetic retinopathy: treatment with xenon‐arc photocoagulation', 'author': 'British Multicentre Study Group', 'year': '1977', 'journal-title': 'Br Med J'} / Br Med J / Proliferative diabetic retinopathy: treatment with xenon‐arc photocoagulation by British Multicentre Study Group (1977)
10.1016/S0161-6420(81)34978-1
10.1007/BF00281116
{'key': 'e_1_2_1_10_2', 'first-page': '1796', 'article-title': 'Photocoagulation for diabetic macula edema', 'volume': '103', 'author': 'Early Treatment Diabetic Retinopathy Study (ETDRS) Research Group', 'year': '1985', 'journal-title': 'Arch Ophthalmol'} / Arch Ophthalmol / Photocoagulation for diabetic macula edema by Early Treatment Diabetic Retinopathy Study (ETDRS) Research Group (1985)
10.1111/j.1464-5491.1989.tb01158.x
{'key': 'e_1_2_1_12_2', 'first-page': '250', 'article-title': 'Screening of diabetics by ophthalmic opticians', 'volume': '102', 'author': 'Gilbert CE', 'year': '1982', 'journal-title': 'Trans Ophthal Soc UK'} / Trans Ophthal Soc UK / Screening of diabetics by ophthalmic opticians by Gilbert CE (1982)
10.1136/bmj.290.6474.1052
{'key': 'e_1_2_1_14_2', 'first-page': '318', 'article-title': 'Diabetic retinopathy in West of Scotland: its detection and prevalence, and the cost‐effectiveness of a proposed screening programme', 'volume': '41', 'author': 'Foulds WS', 'year': '1983', 'journal-title': 'Health Bull (Edinb)'} / Health Bull (Edinb) / Diabetic retinopathy in West of Scotland: its detection and prevalence, and the cost‐effectiveness of a proposed screening programme by Foulds WS (1983)
10.1001/jama.1982.03320480047025 / JAMA / Diagnosis of diabetic eye disease by Sussman EJ (1982)
10.1016/S0161-6420(85)34003-4
10.1002/pdi.1960020512
10.1136/bmj.293.6555.1140
10.1136/bmj.296.6628.1029
10.1111/j.1464-5491.1990.tb01353.x
{'key': 'e_1_2_1_21_2', 'volume-title': 'Clinical Decision Analysis', 'author': 'Weinstein MC', 'year': '1980'} / Clinical Decision Analysis by Weinstein MC (1980)
{'key': 'e_1_2_1_22_2', 'volume-title': 'Methods in Medical Research', 'author': 'Armitage P.', 'year': '1987'} / Methods in Medical Research by Armitage P. (1987)
10.1136/bjo.70.11.804
10.1111/j.1464-5491.1988.tb01117.x
10.1136/bmj.301.6763.1243
10.1111/j.1464-5491.1991.tb01671.x
10.1136/bmj.299.6709.1198

Dates

Type	When
Created	16 years ago (July 30, 2009, 6:34 a.m.)
Deposited	1 year, 10 months ago (Oct. 23, 2023, 4:50 a.m.)
Indexed	11 months, 2 weeks ago (Sept. 5, 2024, 4:49 p.m.)
Issued	34 years, 3 months ago (May 1, 1991)
Published	34 years, 3 months ago (May 1, 1991)
Published Online	16 years ago (July 30, 2009)
Published Print	34 years, 3 months ago (May 1, 1991)

Funders 0

None

BibTeX

@article{Buxton_1991, title={Screening for Treatable Diabetic Retinopathy: a Comparison of Different Methods}, volume={8}, ISSN={1464-5491}, url={http://dx.doi.org/10.1111/j.1464-5491.1991.tb01612.x}, DOI={10.1111/j.1464-5491.1991.tb01612.x}, number={4}, journal={Diabetic Medicine}, publisher={Wiley}, author={Buxton, M. J. and Sculpher, M. J. and Ferguson, B. A. and Humphreys, J. E. and Altman, J. F. B. and Spiegelhalter, D. J. and Kirby, A. J. and Jacob, J. S. and Bacon, H. and Dudbridge, S. B. and Stead, J. W. and Feest, T. G. and Cheng, H. and Franklin, S. L. and Courtney, P. and Talbot, J. F. and Ahmed, R. and Dabbs, T. R.}, year={1991}, month=may, pages={371–377} }

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