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Routine Ophthalmological Examination Rates in Adults with Sickle Cell Disease Are Low and Must Be Improved
The American Academy of Ophthalmology and the National Heart, Lung and Blood Institute recommend patients with sickle cell disease (SCD) undergo dilated funduscopic exams (DFE) every 1–2 years to screen for sickle retinopathy. There is a paucity of data on the adherence rate to these guidelines; a r...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9962573/ https://www.ncbi.nlm.nih.gov/pubmed/36834146 http://dx.doi.org/10.3390/ijerph20043451 |
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author | Zulueta, Patricia Minniti, Caterina P. Rai, Anvit Toribio, Tiana J. Moon, Jee-Young Mian, Umar K. |
author_facet | Zulueta, Patricia Minniti, Caterina P. Rai, Anvit Toribio, Tiana J. Moon, Jee-Young Mian, Umar K. |
author_sort | Zulueta, Patricia |
collection | PubMed |
description | The American Academy of Ophthalmology and the National Heart, Lung and Blood Institute recommend patients with sickle cell disease (SCD) undergo dilated funduscopic exams (DFE) every 1–2 years to screen for sickle retinopathy. There is a paucity of data on the adherence rate to these guidelines; a retrospective study was performed to evaluate our institution’s adherence. A chart review of 842 adults with SCD, seen 3/2017–3/2021 in the Montefiore healthcare system (All Patients), was done. Only about half of All Patients (n = 842) had >1 DFE during the study period (Total Examined Patients, n = 415). The Total Examined Patients were categorized as screening, those without retinopathy (Retinopathy−, n = 199), or follow-up, including individuals previously diagnosed with retinopathy (Retinopathy+, n = 216). Only 40.3% of screening patients (n = 87) had DFE at least biennially. As expected, there was a significant decrease in the average DFE rate of the Total Examined Patients after the COVID-19 pandemic started (13.6%) compared to pre-COVID (29.8%, p < 0.001). Similarly, there was a significant decrease in the screening rate of Retinopathy− patients from 18.6% on average pre-COVID to 6.7% during COVID (p < 0.001). This data shows the sickle retinopathy screening rate is low and innovative approaches may need to be employed to remedy this issue. |
format | Online Article Text |
id | pubmed-9962573 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-99625732023-02-26 Routine Ophthalmological Examination Rates in Adults with Sickle Cell Disease Are Low and Must Be Improved Zulueta, Patricia Minniti, Caterina P. Rai, Anvit Toribio, Tiana J. Moon, Jee-Young Mian, Umar K. Int J Environ Res Public Health Article The American Academy of Ophthalmology and the National Heart, Lung and Blood Institute recommend patients with sickle cell disease (SCD) undergo dilated funduscopic exams (DFE) every 1–2 years to screen for sickle retinopathy. There is a paucity of data on the adherence rate to these guidelines; a retrospective study was performed to evaluate our institution’s adherence. A chart review of 842 adults with SCD, seen 3/2017–3/2021 in the Montefiore healthcare system (All Patients), was done. Only about half of All Patients (n = 842) had >1 DFE during the study period (Total Examined Patients, n = 415). The Total Examined Patients were categorized as screening, those without retinopathy (Retinopathy−, n = 199), or follow-up, including individuals previously diagnosed with retinopathy (Retinopathy+, n = 216). Only 40.3% of screening patients (n = 87) had DFE at least biennially. As expected, there was a significant decrease in the average DFE rate of the Total Examined Patients after the COVID-19 pandemic started (13.6%) compared to pre-COVID (29.8%, p < 0.001). Similarly, there was a significant decrease in the screening rate of Retinopathy− patients from 18.6% on average pre-COVID to 6.7% during COVID (p < 0.001). This data shows the sickle retinopathy screening rate is low and innovative approaches may need to be employed to remedy this issue. MDPI 2023-02-16 /pmc/articles/PMC9962573/ /pubmed/36834146 http://dx.doi.org/10.3390/ijerph20043451 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Zulueta, Patricia Minniti, Caterina P. Rai, Anvit Toribio, Tiana J. Moon, Jee-Young Mian, Umar K. Routine Ophthalmological Examination Rates in Adults with Sickle Cell Disease Are Low and Must Be Improved |
title | Routine Ophthalmological Examination Rates in Adults with Sickle Cell Disease Are Low and Must Be Improved |
title_full | Routine Ophthalmological Examination Rates in Adults with Sickle Cell Disease Are Low and Must Be Improved |
title_fullStr | Routine Ophthalmological Examination Rates in Adults with Sickle Cell Disease Are Low and Must Be Improved |
title_full_unstemmed | Routine Ophthalmological Examination Rates in Adults with Sickle Cell Disease Are Low and Must Be Improved |
title_short | Routine Ophthalmological Examination Rates in Adults with Sickle Cell Disease Are Low and Must Be Improved |
title_sort | routine ophthalmological examination rates in adults with sickle cell disease are low and must be improved |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9962573/ https://www.ncbi.nlm.nih.gov/pubmed/36834146 http://dx.doi.org/10.3390/ijerph20043451 |
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