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COVERAGE OF A SCREENING PROGRAM AND PREVALENCE OF DIABETIC RETINOPATHY IN PRIMARY CARE

Tamizaje en el diagnóstico y prevalencia de Retinopatía Diabética en atención primaria.

Author
Covarrubias, Trinidad; Hospital Sotero del Río

Delgado, Iris; Universidad del Desarrollo

Rojas, Daniel; Hospital Sotero del Río

Coria, Marcelo; Hospital Sotero del Río

Full text
http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/5445
Abstract
Background: Diabetic retinopathy is the first cause of blindness during working years. Aim: To report the coverage of a screening program for diabetic retinopathy in primary care, the prevalence and the severity of the disease. Material and methods: Analysis of retinographies performed to 9076 diabetic patients aged 61 ± 13 years (61% women) adscribed to a Cardiovascular Health program in primary care centers of eastern metropolitan Santiago. The examination was carried out using a digital Polaroid retinograph. Results: The coverage of the screening program was 21%. The prevalence of severe non-proliferative and proliferative diabetic retinopathy was 24.6 and 2.4% respectively. The prevalence of these entities was 45% higher in people aged between 18 and 44 years than in older people. Their prevalence in urban communities was 32% higher than in rural locations. Conclusions: The coverage of the screening program is low. Diabetic patients aged 18 to 44 years and those coming from urban communities have a higher prevalence of severe non-proliferative and proliferative diabetic retinopathy.
 
Background: Diabetic retinopathy is the first cause of blindness during working years. Aim: To report the coverage of a screening program for diabetic retinopathy in primary care, the prevalence and the severity of the disease. Material and methods: Analysis of retinographies performed to 9076 diabetic patients aged 61 ± 13 years (61% women) adscribed to a Cardiovascular Health program in primary care centers of eastern metropolitan Santiago. The examination was carried out using a digital Polaroid retinograph. Results: The coverage of the screening program was 21%. The prevalence of severe non-proliferative and proliferative diabetic retinopathy was 24.6 and 2.4% respectively. The prevalence of these entities was 45% higher in people aged between 18 and 44 years than in older people. Their prevalence in urban communities was 32% higher than in rural locations. Conclusions: The coverage of the screening program is low. Diabetic patients aged 18 to 44 years and those coming from urban communities have a higher prevalence of severe non-proliferative and proliferative diabetic retinopathy.
 
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Artes, Arquitectura y UrbanismoCiencias Agrarias, Forestales y VeterinariasCiencias Exactas y NaturalesCiencias SocialesDerechoEconomía y AdministraciónFilosofía y HumanidadesIngenieríaMedicinaMultidisciplinarias
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Universidad de ChileUniversidad Católica de ChileUniversidad de Santiago de ChileUniversidad de ConcepciónUniversidad Austral de ChileUniversidad Católica de ValparaísoUniversidad del Bio BioUniversidad de ValparaísoUniversidad Católica del Nortemore

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