Relevant bibliographies by topics / Dilated eye exam adherence

Academic literature on the topic 'Dilated eye exam adherence'

Author: Grafiati
Published: 10 December 2022
Last updated: 28 January 2023

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Journal articles on the topic "Dilated eye exam adherence"

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Winters, David, Robin Casten, Barry Rovner, Ann Murchison, Benjamin E. Leiby, Julia A. Haller, Lisa Hark, David M. Weiss, and Laura T. Pizzi. "Cost-Effectiveness of Behavior Activation Versus Supportive Therapy on Adherence to Eye Exams in Older African Americans With Diabetes." American Journal of Medical Quality 32, no. 6 (November 24, 2016): 661–67. http://dx.doi.org/10.1177/1062860616680290.

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Although the importance of ophthalmologic screening in diabetic patients is widely recognized by clinicians, the cost-effectiveness of strategies aimed at improving eye care utilization in this population is not well established. A cost-effectiveness analysis was performed comparing behavior activation (BA) to supportive therapy (ST) in activating patients to receive a dilated fundus exam (DFE) and promoting healthy management of diabetes. Two hundred six subjects were randomized to receive either BA or ST between 2009 and 2013. Cost-effectiveness was calculated as incremental cost-effectiveness ratio (ICER) of BA versus ST. Total costs for BA and ST per participant were $259.02 and $216.12, respectively. At the 6-month follow-up, 87.91% of BA subjects received a DFE compared to 34.48% of ST subjects. The ICER for BA versus ST was $80.29/percent increase in DFE rate. In terms of improving DFE rates, BA was found to be more cost-effective than ST.
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Corrao, Giovanni, Federico Rea, Mirko Di Martino, Adele Lallo, Marina Davoli, Rossana DlE PlALMA, Laura Belotti, et al. "Effectiveness of adherence to recommended clinical examinations of diabetic patients in preventing diabetes-related hospitalizations." International Journal for Quality in Health Care 31, no. 6 (July 1, 2019): 464–72. http://dx.doi.org/10.1093/intqhc/mzy186.

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Abstract Objective To validate a set of indicators for quality of diabetes care through their relationship with measurable clinical outcomes. Design A retrospective cohort study was carried out from 2010 to 2015. Setting Population-based study. Data were retrieved from healthcare utilization databases of three Italian regions (Lombardy, Emilia Romagna and Lazio) on the whole covering 20 million citizens. Participants The 77 285 individuals who were newly taken in care for diabetes during 2010 entered into the cohort. Interventions Exposure to selected clinical recommendations (i.e. periodic controls for glycated hemoglobin, lipid profile, urine albumin excretion, serum creatinine and dilated eye exams) was recorded. Main outcomes measures A composite outcome was employed taking into account hospitalizations for brief-term diabetes complications, uncontrolled diabetes, long-term vascular outcomes and no traumatic lower limb amputation. A multivariable proportional hazards model was fitted to estimate hazard ratio, and 95% confidence intervals (CI), for the exposure-outcome association. Results Among the newly taken in care patients with diabetes, those who adhered to almost none (0 or 1), just some (2 or 3) or almost all (4 or 5) recommendations during the first year after diagnosis were 44%, 36% and 20%, respectively. Compared patients who adhered to almost none recommendation, significant risk reductions of 16% (95% CI, 6–24%) and 20% (7–28%) were observed for those who adhered to just some and almost all recommendations, respectively. Conclusions Tight control of patients with diabetes through regular clinical examinations must to be considered the cornerstone of national guidance, national audits and quality improvement incentives schemes.
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Cooper, Blake. "Ten Key Elements of a Diabetes-Related Eye Examination." ADA Clinical Compendia 2022, no. 3 (2022): 4–7. http://dx.doi.org/10.2337/db20223-4.

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Diabetes-related eye examinations focus on detecting the impact of diabetes on ocular health, including diabetes-related retinal disease (DRD), diabetes-related macular edema (DME), glaucoma, and cataracts. Screening and early treatment can often halt or reverse the level of DRD and protect eyesight. This chapter reviews the 10 key elements of a diabetes-related eye exam: history, visual acuity, intraocular pressure, pupils, extraocular motility, visual field, external examination, slit-lamp examination, dilated funduscopic examination, and diagnostic testing. By its conclusion, readers should understand the basics of a diabetes-related eye exam and how to prepare people for their visits to an eye care professional (ECP).
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Martinez-Hollingsworth, Adrienne, Theodore Friedman, and Mohsen Bazargan. "Connecting Patient and Provider Burnout to Eye Exam Frequency among Latinx Older Adults with Diabetes Mellitus." Innovation in Aging 5, Supplement_1 (December 1, 2021): 625. http://dx.doi.org/10.1093/geroni/igab046.2383.

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Abstract Among Latinx older adults, our current understanding of barriers to eye exam often fails to consider the impact of patient and provider burnout which can decrease treatment adherence and recommendation receptivity in this group. The purpose of this study was to examine correlates of eye exam frequency among Latinx older adults in South Los Angeles and explore associations reflecting patient and/or provider burnout. Data analysis was informed by the Secret Self-Management Loop and the Burnout Dyad conceptual models. This secondary analysis used data collected from a convenience sample of non-institutionalized Latinx adults 55+ in South LA (n=165) and used multinomial regression analysis. Outcome variable is recency of eye exam, independent variables are self-reported health, including diabetes mellitus diagnosis, and either patient or provider burnout (that are functions of grouped demographic or quality of care variables). Variables associated with Provider Burnout, appear to represent a larger influence on eye examination frequency then variables associated with Patient Burnout, with the most influential factor being provider recommendation. A surprising finding was the number of participants who had never received this recommendation from a provider (21%). One-third (32%) of participants with diabetes mellitus had not had an eye examination within 12 months and almost one-fifth (13%) of participants with diabetes who had received this recommendation had not received the exam. Further exploration is needed to support a better understanding of how both patient and provider burnout impacts adherence to eye examination and other preventive care recommendations for diabetes mellitus among Latinx older adults.
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Zhang, Wenlan, Peter Nicholas, Stefanie Gail Schuman, Michael John Allingham, Ambar Faridi, Tushar Suthar, Scott William Cousins, and Sasapin Grace Prakalapakorn. "Screening for Diabetic Retinopathy Using a Portable, Noncontact, Nonmydriatic Handheld Retinal Camera." Journal of Diabetes Science and Technology 11, no. 1 (July 11, 2016): 128–34. http://dx.doi.org/10.1177/1932296816658902.

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Background: Diabetic retinopathy (DR) is a leading cause of low vision and blindness. We evaluated the feasibility of using a handheld, noncontact digital retinal camera, Pictor, to obtain retinal images in dilated and undilated eyes for DR screening. We also evaluated the accuracy of ophthalmologists with different levels of training/experience in grading these images to identify eyes with vision-threatening DR. Methods: A prospective study of diabetic adults scheduled to have dilated eye exams at Duke Eye Center from January to May 2014 was conducted. An imager acquired retinal images pre- and postdilation with Pictor and selected 1 pre- and 1 postdilation image per eye. Five masked ophthalmologists graded images for gradability (based on image focus and centration) and the presence of no, mild, moderate, or severe nonproliferative DR (NPDR) or proliferative DR (PDR). Referable disease was defined as moderate or severe NPDR or PDR on image grading. We evaluated feasibility based on the graders’ evaluation of image gradability. We evaluated accuracy of identifying vision-threatening disease (severe NPDR or PDR documented on dilated clinical examination) based on the graders’ sensitivity and specificity of grading referable disease. Results: Images were gradable in 86-94% of predilation and 94-97% of postdilation photos. Compared to the dilated clinical exam, overall sensitivity for identifying vision-threatening DR was 64-88% and specificity was 71-90%. Conclusions: Pictor can capture retinal images of sufficient quality to screen for DR with and without dilation. Single retinal images obtained using Pictor can identify eyes with vision-threatening DR with high sensitivity and acceptable specificity compared to clinical exam.
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Gediminas, Raila, Liseckienė Ida, Jarusevičienė Lina, and Leonas Valius. "Guideline Adherence and the Factors Associated with Better Care for Type 2 Diabetes Mellitus Patients in Lithuanian PHC: Diabetes Mellitus Guideline Adherence in Lithuania PHC." Open Medicine Journal 6, no. 1 (August 30, 2019): 50–57. http://dx.doi.org/10.2174/1874220301906010050.

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Background: Type 2 diabetes mellitus is one of the most common chronic conditions, which requires appropriate management and care at PHC level, which is described in guidelines. However, guideline adherence at the international arena is insufficient and little is known about the reasons for guideline non-adherence. Objective: The aim of the survey was to analyse to what extent the Lithuanian family practitioners adhere to diabetes guidelines in order to compare to international data and to discover the factors associated with better diabetes care. Methods: The present study is a part of EUPRIMECARE Project, which sets out to develop a framework aiming at the analysis of PHC across Europe. The sample strategy was based on an unequal probability sampling design. An audit of 4 public and 6 private PHC medical records of the year 2011 was carried out in Kaunas region, clinical records of 382 diabetes type 2 patients were reviewed. Demography, diseases and diabetes performance indicators data were collected using a uniform template. Binary and multivariable logistic regression analyses were used in the investigation of the factors related to better diabetes guideline adherence. Results: Three guideline adherence levels were identified: high performance (performed in more than 90% cases) - BP measurement and HbA1c exam; good performance (performed in more than 50% cases) - ECG examination and serum creatinine check; insufficient performance (performed in less than 50% of cases) - annual endocrinologist consultation, eye fundus and foot examinations, LDL check and BMI calculation. Insufficient glycaemic control was positive associated with increased endocrinologist consultation and foot exam rates, elevated BP demonstrated the positive effect to creatinine check rate, multimorbidity had positive association to the annual eye, ECG, creatinine check rates; frequent FP attendance showed no positive effect on process indicators. Rural patients have a negative association to foot and ECG exam rates compared to urban patients. In a stepwise logistic regression model, 3 dependent variables had statistically significant impact on overall diabetes care indicator performance: negative - rural location of patients (OR 0.4, 95% CI 0.2-0.8), elevated mean BP (OR 0.6, 95% CI 0.4-0.9); positive - multimorbidity (OR 2.0, 95% CI 1.2-3.4). Conclusion: Guideline adherence for T2DM is not optimal in Lithuanian PHC. The best are BP and HbA1c checks. Suboptimal are BMI and LDL annual checks. The situation with these is almost the same as in other European countries. The better guideline adherence has been observed in urban (foot exam, ECG exam), multimorbidity (eye, ECG, creatinine exams), controlled by means of BP patients (serum creatinine test).
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An, Jaejin, Craig Cheetham, Fang Niu, Yamina Rajput, and Adam Turpcu. "Dilated Eye Exam Compliance for Persons With Diabetes Mellitus in a Managed Care Setting." Journal of Patient-Centered Research and Reviews 2, no. 2 (April 30, 2015): 105. http://dx.doi.org/10.17294/2330-0698.1115.

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Cai, Cindy X., Yixuan Li, Scott L. Zeger, and Melissa L. McCarthy. "Social determinants of health impacting adherence to diabetic retinopathy examinations." BMJ Open Diabetes Research & Care 9, no. 1 (September 2021): e002374. http://dx.doi.org/10.1136/bmjdrc-2021-002374.

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IntroductionThis study evaluates the association of multidimensional social determinants of health (SDoH) with non-adherence to diabetic retinopathy examinations.Research design and methodsThis was a post-hoc subgroup analysis of adults with diabetes in a prospective cohort study of enrollees in the Washington, DC Medicaid program. At study enrollment, participants were given a comprehensive SDoH survey based on the WHO SDoH model. Adherence to recommended dilated diabetic retinopathy examinations, as determined by qualifying Current Procedural Terminology codes in the insurance claims, was defined as having at least one eye examination in the 2-year period following study enrollment.ResultsOf the 8943 participants enrolled in the prospective study, 1492 (64% female, 91% non-Hispanic Black) were included in this post-hoc subgroup analysis. 47.7% (n=712) were adherent to the recommended biennial diabetic eye examinations. Not having a regular provider (eg, a primary care physician) and having poor housing conditions (eg, overcrowded, inadequate heating) were associated with decreased odds of adherence to diabetic eye examinations (0.45 (95% CI 0.31 to 0.64) and 0.70 (95% CI 0.53 to 0.94), respectively) in the multivariate logistic regression analysis controlling for age, sex, race/ethnicity, overall health status using the Chronic Disability Payment System, diabetes severity using the Diabetes Complications Severity Index, history of eye disease, and history of diabetic eye disease treatment.ConclusionsA multidimensional evaluation of SDoH revealed barriers that impact adherence to diabetic retinopathy examinations. Having poor housing conditions and not having a regular provider were associated with poor adherence. A brief SDoH assessment could be incorporated into routine clinical care to identify social risks and connect patients with the necessary resources to improve adherence to diabetic retinopathy examinations.
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Budhram, Gavin. "Acute Glaucoma after Dilated Eye Exam in a Patient With Hyphema, Retinal Detachment, and Vitreous Hemorrhage." Academic Emergency Medicine 16, no. 1 (January 2009): 87–88. http://dx.doi.org/10.1111/j.1553-2712.2008.00277.x.

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Roohipourmoallai, Ramak, Samaneh Davoudi, Seyed Majid Hosseinian Benvidi, and Siva S. R. Iyer. "Peripheral Retinal Neovascularization in a Patient with Sarcoidosis and Cocaine-Associated Autoimmunity." Case Reports in Ophthalmological Medicine 2021 (June 1, 2021): 1–4. http://dx.doi.org/10.1155/2021/9923260.

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A 63-year-old African-American female with history of sarcoidosis (lymph node biopsy proven) and cocaine abuse for 8 years was referred to us because of new floater. Her ocular history was unremarkable except for vague complaints of visual disturbance during a hospital admission in 2016. On presentation, her visual acuity was 20/400 in the right eye and 20/30 in the left eye. Dilated fundus exam and multimodal imaging showed thick epiretinal membrane (ERM) superior to optic nerve head causing a lamellar macular hole and intra retinal edema in the right eye, a full thickness macular hole, and peripheral neovascularization in the left eye. Peripheral vasculitis was appreciated in both eyes and peripheral neovascularization in the left eye on fluorescein angiography. The patient underwent laser therapy, and the new vessels regressed in the left eye without any changes in systemic medications. Multiple factors may contribute to retinal vasculitis and neovascularization including sarcoidosis, cocaine abuse, and other undiagnosed systemic vasculitis, which makes this case a mystery.
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Book chapters on the topic "Dilated eye exam adherence"

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Zengeya, Stanley Tamuka, and Tiroumourougane V. Serane. "Examination of cranial nerves." In The MRCPCH Clinical Exam Made Simple. Oxford University Press, 2011. http://dx.doi.org/10.1093/oso/9780199587933.003.0015.

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Cranial nerve examination is one of the commonly assessed areas of the nervous system in the MRCPCH clinical examination. The examiner may ask you to examine some of the cranial nerves or just the eye. This guide will take you through a systematic nerve examination, which is followed by most practitioners. You may need to individualize the examination sequence to suit your style. The key competence skills required in the cranial nerve examination are given in table 9.1. Cranial nerves cases commonly encountered in the MRCPCH Clinical Exam are listed in table 9.2. Causes of the different cranial nerve lesions are given in table 9.3. These steps are repeated in every system to reiterate their importance and to help you recollect the initial approach of any clinical exam. Also refer to chapter 4. • On entering the examination room, demonstrate strict adherence to infection control measures by washing your hands or by decontaminating them with alcohol rub. • Introduce yourself both to the parents and the child. • Talk slowly and clearly with a smile on your face. • Establish rapport with the child and parents. • Ensure privacy. • Positioning: examine the older child while they sit on the edge of the bed or on a chair. It is preferable to examine the younger child on a parent’s lap rather than on a couch, as this can cause much anxiety. The aim of the visual survey is to capture every available clue, which may help you to reach the correct diagnosis. • Look at the child and try to estimate their approximate age. • Always consider whether the findings combine to form a recognizable clinical syndrome. Common syndromes with cranial nerve involvement include Aicardi’s syndrome, Angelman’s syndrome, Arnold–Chiari malformation, Crouzon’s syndrome, Lesch–Nyhan syndrome, Sturge–Weber syndrome, and Werdnig–Hoff man disease.
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