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Diabetic retinopathy screening in the public sector in India: What is needed?

India has been witnessing an epidemic of diabetes for several years now. A large proportion of patients with undiagnosed and poorly controlled diabetes are at great risk of developing diabetic retinopathy (DR) and irreversible blindness. The goal of DR screening is to identify people with sight-thre...

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Autores principales: Gupta, Vivek, Azad, Shorya Vardhan, Vashist, Praveen, Senjam, Suraj S, Kumar, Atul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9114582/
https://www.ncbi.nlm.nih.gov/pubmed/35225509
http://dx.doi.org/10.4103/ijo.IJO_1298_21
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author Gupta, Vivek
Azad, Shorya Vardhan
Vashist, Praveen
Senjam, Suraj S
Kumar, Atul
author_facet Gupta, Vivek
Azad, Shorya Vardhan
Vashist, Praveen
Senjam, Suraj S
Kumar, Atul
author_sort Gupta, Vivek
collection PubMed
description India has been witnessing an epidemic of diabetes for several years now. A large proportion of patients with undiagnosed and poorly controlled diabetes are at great risk of developing diabetic retinopathy (DR) and irreversible blindness. The goal of DR screening is to identify people with sight-threatening DR early so that prompt treatment can be initiated, and blindness can be prevented. Systematic DR screening is essential to identify disease early, and a national effort for the same is required. We adopt a health system approach to outline the actions that need to take place for effective DR screening in the public sector in India. We discuss the role of national leadership, needs assessment, finalization of DR screening and referral pathway, trainings, strategies to improve the uptake, allocation of roles and responsibilities, public-private partnerships, quality control, and financing.
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spelling pubmed-91145822022-05-19 Diabetic retinopathy screening in the public sector in India: What is needed? Gupta, Vivek Azad, Shorya Vardhan Vashist, Praveen Senjam, Suraj S Kumar, Atul Indian J Ophthalmol Review Article India has been witnessing an epidemic of diabetes for several years now. A large proportion of patients with undiagnosed and poorly controlled diabetes are at great risk of developing diabetic retinopathy (DR) and irreversible blindness. The goal of DR screening is to identify people with sight-threatening DR early so that prompt treatment can be initiated, and blindness can be prevented. Systematic DR screening is essential to identify disease early, and a national effort for the same is required. We adopt a health system approach to outline the actions that need to take place for effective DR screening in the public sector in India. We discuss the role of national leadership, needs assessment, finalization of DR screening and referral pathway, trainings, strategies to improve the uptake, allocation of roles and responsibilities, public-private partnerships, quality control, and financing. Wolters Kluwer - Medknow 2022-03 2022-02-25 /pmc/articles/PMC9114582/ /pubmed/35225509 http://dx.doi.org/10.4103/ijo.IJO_1298_21 Text en Copyright: © 2022 Indian Journal of Ophthalmology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Review Article
Gupta, Vivek
Azad, Shorya Vardhan
Vashist, Praveen
Senjam, Suraj S
Kumar, Atul
Diabetic retinopathy screening in the public sector in India: What is needed?
title Diabetic retinopathy screening in the public sector in India: What is needed?
title_full Diabetic retinopathy screening in the public sector in India: What is needed?
title_fullStr Diabetic retinopathy screening in the public sector in India: What is needed?
title_full_unstemmed Diabetic retinopathy screening in the public sector in India: What is needed?
title_short Diabetic retinopathy screening in the public sector in India: What is needed?
title_sort diabetic retinopathy screening in the public sector in india: what is needed?
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9114582/
https://www.ncbi.nlm.nih.gov/pubmed/35225509
http://dx.doi.org/10.4103/ijo.IJO_1298_21
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