Clinical Medicine Journal
Articles Information
Clinical Medicine Journal, Vol.4, No.4, Dec. 2018, Pub. Date: Oct. 25, 2018
Effectiveness of Diabetic Retinopathy Screening Program in Primary Health Care Centres, Dubai Health Authority 2015 – 2017
Pages: 44-51 Views: 223 Downloads: 81
Authors
[01] Hanan Ali Mubarak Obaid, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
[02] Waad Mohamed Obaid Aal Ali, Health Centre Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
[03] Ayesha Sultan Alolama, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
[04] Mai Haider Mohammad Zain, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
[05] Abdulla Abdul Salam Abdulla Ali Naqi, Ophthalmology Department, Dubai Hospital, Dubai Health Authority, Dubai, United Arab Emirates.
[06] Hend Mohd Sultan Hannawi Ajtabi, Health Centre Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
[07] Amani Mahmood Mohd Saeed AlJassmi, Ophthalmology Department, Dubai Hospital, Dubai Health Authority, Dubai, United Arab Emirates.
[08] Patricio M. Aduriz-Lorenzo, Information Technology Department, Dubai Health Authority, Dubai, United Arab Emirates.
[09] Amel Ibrahim Buharoun, Health Centre Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
[10] Nahed AbdulKhaleq Monsef, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
[11] Manal Mohammad Omran Taryam, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
[12] Salah Ahmed Mohamed Elbadawi, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
[13] Moulham Saleh Ashtar, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
Abstract
Diabetic Retinopathy (DR) is the leading cause of blindness among adults. It represents 4.8% of the total cases of blindness globally. One in 3 people with diabetes mellitus (DM) have Diabetic Retinopathy. One in 10 develop Vision Threatening Diabetic Retinopathy (VTDR). The prevalence of Diabetic Retinopathy in UAE around 19%. The objectives of this study are to assess the effectiveness of the diabetic retinopathy-screening program in reducing the waiting time for referral to ophthalmologist, reducing unnecessary referral to ophthalmology clinic, increasing the number of screened patients, in addition to the early detection and management of retinal abnormalities on timely basis. A retrospective review of Data of 5270 diabetic patients attended the screening program in health centers of Dubai health authority was performed. The data was stored in electronic medical records. Patients included in the study are those who attended Diabetes clinics in 12 health centers in primary health care in the period of the study from April 2015 until December 2017, a total number of 12626. The number of screened diabetic patients in 2015 was 1135, in 2016 was 2205 and in 2017 was 1930 patients. About 41.74% of patients had Non Mydriatic Retinal Camera screening, 30% in 2015, 46.91% in 2016 and 45.97% in 2017.Percentage of referral to ophthalmology clinic diminished from 80% before screening implementation to 10% after screening implementation. Waiting time to get an appointment for funduscopic examination reduced from 52 days in 2013 to Zero days in 2017. Percentage of DM patients with DR was 22.12%, 7.83% with mild Non Proliferative Diabetic Retinopathy (NPDR), 8.76% with moderate NPDR, 0.46% with severe and 5.07 with Proliferative Diabetic Retinopathy (PDR).In conclusion, DR screening in PHC reduced waiting time for retinal screening of diabetic patients. It reduced unnecessary ophthalmology referral and expedited ophthalmologist engagement for management when it is required. Due to obvious success of retinopathy-screening program, it is recommended to increase the service to reach more diabetic patients in order to prevent eye complication of diabetes. This expansion of services could be followed by another study to assess its effect on blindness.
Keywords
Diabetic Retinopathy (DR), Vision-Threatening Diabetic Retinopathy (VTDR), Diabetes Mellitus (DM), Primary Health Care (PHC), Dubai Health Authority (DHA), Non-Mydriatic Retinal Camera (NMRC)
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