Screening attendance, prevalence and severity of diabetic retinopathy (DR) in a cohort of patients with diabetes mellitus secondary to chronic pancreatitis (DMsCP) in Northern Ireland
Introduction This study investigated Northern Ireland Diabetic Eye Screening Programme (NIDESP) attendance and diabetic retinopathy (DR) prevalence/severity in patients with diabetes mellitus secondary to chronic pancreatitis (PwDMsCP).Research design and methods Medical/NIDESP records for all PwDMs...
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| Language: | English |
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BMJ Publishing Group
2021-03-01
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| Series: | BMJ Open Diabetes Research & Care |
| Online Access: | https://drc.bmj.com/content/9/1/e002267.full |
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| author | Tunde Peto Nicola Quinn Philip C Johnston Catherine Jamison Rossella D’Aloisio Laura Nicole Cushley |
| author_facet | Tunde Peto Nicola Quinn Philip C Johnston Catherine Jamison Rossella D’Aloisio Laura Nicole Cushley |
| author_sort | Tunde Peto |
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| description | Introduction This study investigated Northern Ireland Diabetic Eye Screening Programme (NIDESP) attendance and diabetic retinopathy (DR) prevalence/severity in patients with diabetes mellitus secondary to chronic pancreatitis (PwDMsCP).Research design and methods Medical/NIDESP records for all PwDMsCP attending the pancreatic diabetes clinic were analyzed in 2017 (n=78) and 2019 (n=94).Results Between 2017 and 2019, those without DR decreased (76% to 63%); mild non-proliferative DR (NPDR), severe NPDR and PDR were found in 30%, 2% and 5%, respectively (previously 18%, 4%, 2%); diabetic maculopathy (DMac) was present in 12% (previously 10%). There was no significant difference between worst-eye DR/DMac grade and HbA1c, gender, body mass index, pancreatitis etiology and screening attendance (p>0.05). Patients with proliferative DR had longer diabetes and pancreatitis duration than DR-free patients (both p=0.001).Conclusions DR prevalence was similar in PwDMsCP and patients with type 2 diabetes of similar disease duration. This work demonstrates the importance of reaching all patients for establishing DR severity reliably and to provide accessible, equitable care to PwDMsCP. |
| format | Article |
| id | doaj-art-37041aa67d074f918d9253feab60d98b |
| institution | OA Journals |
| issn | 2052-4897 |
| language | English |
| publishDate | 2021-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Diabetes Research & Care |
| spelling | doaj-art-37041aa67d074f918d9253feab60d98b2025-08-20T02:34:20ZengBMJ Publishing GroupBMJ Open Diabetes Research & Care2052-48972021-03-019110.1136/bmjdrc-2021-002267Screening attendance, prevalence and severity of diabetic retinopathy (DR) in a cohort of patients with diabetes mellitus secondary to chronic pancreatitis (DMsCP) in Northern IrelandTunde Peto0Nicola Quinn1Philip C Johnston2Catherine Jamison3Rossella D’Aloisio4Laura Nicole Cushley5Centre for Public Health, Queen`s University Belfast Faculty of Medicine Health and Life Sciences, Belfast, UKBelfast Ophthalmic Reading Centre, Centre for Public Health, Queen’s University Belfast, Belfast, UKThe Belfast Pancreatic Diabetes Clinic, Belfast City Hospital Health and Social Services Trust, Belfast, UKBelfast Ophthalmic Reading Centre, Centre for Public Health, Queen’s University Belfast, Belfast, UKOphthalmology Clinic, Department of Medicine and Science of Ageing, University G d`Annunzio Chieti-Pescara, Chieti, ItalyBelfast Ophthalmic Reading Centre, Centre for Public Health, Queen’s University Belfast, Belfast, UKIntroduction This study investigated Northern Ireland Diabetic Eye Screening Programme (NIDESP) attendance and diabetic retinopathy (DR) prevalence/severity in patients with diabetes mellitus secondary to chronic pancreatitis (PwDMsCP).Research design and methods Medical/NIDESP records for all PwDMsCP attending the pancreatic diabetes clinic were analyzed in 2017 (n=78) and 2019 (n=94).Results Between 2017 and 2019, those without DR decreased (76% to 63%); mild non-proliferative DR (NPDR), severe NPDR and PDR were found in 30%, 2% and 5%, respectively (previously 18%, 4%, 2%); diabetic maculopathy (DMac) was present in 12% (previously 10%). There was no significant difference between worst-eye DR/DMac grade and HbA1c, gender, body mass index, pancreatitis etiology and screening attendance (p>0.05). Patients with proliferative DR had longer diabetes and pancreatitis duration than DR-free patients (both p=0.001).Conclusions DR prevalence was similar in PwDMsCP and patients with type 2 diabetes of similar disease duration. This work demonstrates the importance of reaching all patients for establishing DR severity reliably and to provide accessible, equitable care to PwDMsCP.https://drc.bmj.com/content/9/1/e002267.full |
| spellingShingle | Tunde Peto Nicola Quinn Philip C Johnston Catherine Jamison Rossella D’Aloisio Laura Nicole Cushley Screening attendance, prevalence and severity of diabetic retinopathy (DR) in a cohort of patients with diabetes mellitus secondary to chronic pancreatitis (DMsCP) in Northern Ireland BMJ Open Diabetes Research & Care |
| title | Screening attendance, prevalence and severity of diabetic retinopathy (DR) in a cohort of patients with diabetes mellitus secondary to chronic pancreatitis (DMsCP) in Northern Ireland |
| title_full | Screening attendance, prevalence and severity of diabetic retinopathy (DR) in a cohort of patients with diabetes mellitus secondary to chronic pancreatitis (DMsCP) in Northern Ireland |
| title_fullStr | Screening attendance, prevalence and severity of diabetic retinopathy (DR) in a cohort of patients with diabetes mellitus secondary to chronic pancreatitis (DMsCP) in Northern Ireland |
| title_full_unstemmed | Screening attendance, prevalence and severity of diabetic retinopathy (DR) in a cohort of patients with diabetes mellitus secondary to chronic pancreatitis (DMsCP) in Northern Ireland |
| title_short | Screening attendance, prevalence and severity of diabetic retinopathy (DR) in a cohort of patients with diabetes mellitus secondary to chronic pancreatitis (DMsCP) in Northern Ireland |
| title_sort | screening attendance prevalence and severity of diabetic retinopathy dr in a cohort of patients with diabetes mellitus secondary to chronic pancreatitis dmscp in northern ireland |
| url | https://drc.bmj.com/content/9/1/e002267.full |
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