Compliance with screening guidelines for diabetic retinopathy in a large academic children's hospital in the Bronx

Jamie B. Rosenberg, Ilana B. Friedman, Judith E. Gurland

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Objective: As the rate of type 2 diabetes mellitus (DM) in children is increasing, the number of children with complications of DM, such as retinopathy, will also increase. American Diabetes Association and American Academy of Pediatrics guidelines recommend annual eye exams for children with type 1 DM who are older than 10 years, starting 3-5 years after diagnosis. Adolescents with type 2 DM should have an exam when diagnosed. This study was designed to determine if these guidelines are followed and to determine factors that influence providers to follow them. Patients and methods: We identified all 15- to 20-year-old patients seen in a pediatric diabetes clinic over 6 months. All patients with type 2 DM and those with type 1 DM diagnosed at least 5 years prior were included. Charts were reviewed for 18 months to determine whether patients were referred for an eye exam. Data extracted included demographics, DM type, DM duration, hemoglobin A 1C, and presence of microalbuminuria. Results: Of 80 patients, 28 (35%) were referred for an eye exam. Patients with a longer duration of DM (P=.006) and those with microalbuminuria (P=.02) were more likely to be referred for screening. Conclusions: As only 35% of the patients in this study were referred for eye exams, patients at risk for retinopathy are missing opportunities for screening and early treatment. With the increasing number of children with type 2 DM, more patients will be at risk for retinopathy and its consequences. Pediatricians and endocrinologists should be educated about referring for annual eye exams.

Original languageEnglish (US)
Pages (from-to)222-226
Number of pages5
JournalJournal of Diabetes and its Complications
Volume25
Issue number4
DOIs
StatePublished - Jul 2011

Fingerprint

Diabetic Retinopathy
Guidelines
Type 2 Diabetes Mellitus
Diabetes Mellitus
Type 1 Diabetes Mellitus
Pediatrics
Hemoglobin A
Diabetes Complications
Demography

Keywords

  • Diabetes mellitus
  • Diabetic retinopathy
  • Guidelines
  • Screening

ASJC Scopus subject areas

  • Endocrinology
  • Endocrinology, Diabetes and Metabolism
  • Internal Medicine

Cite this

Compliance with screening guidelines for diabetic retinopathy in a large academic children's hospital in the Bronx. / Rosenberg, Jamie B.; Friedman, Ilana B.; Gurland, Judith E.

In: Journal of Diabetes and its Complications, Vol. 25, No. 4, 07.2011, p. 222-226.

Research output: Contribution to journalArticle

@article{7be9713037994d9f9ad56b2f25ae5eb8,
title = "Compliance with screening guidelines for diabetic retinopathy in a large academic children's hospital in the Bronx",
abstract = "Objective: As the rate of type 2 diabetes mellitus (DM) in children is increasing, the number of children with complications of DM, such as retinopathy, will also increase. American Diabetes Association and American Academy of Pediatrics guidelines recommend annual eye exams for children with type 1 DM who are older than 10 years, starting 3-5 years after diagnosis. Adolescents with type 2 DM should have an exam when diagnosed. This study was designed to determine if these guidelines are followed and to determine factors that influence providers to follow them. Patients and methods: We identified all 15- to 20-year-old patients seen in a pediatric diabetes clinic over 6 months. All patients with type 2 DM and those with type 1 DM diagnosed at least 5 years prior were included. Charts were reviewed for 18 months to determine whether patients were referred for an eye exam. Data extracted included demographics, DM type, DM duration, hemoglobin A 1C, and presence of microalbuminuria. Results: Of 80 patients, 28 (35{\%}) were referred for an eye exam. Patients with a longer duration of DM (P=.006) and those with microalbuminuria (P=.02) were more likely to be referred for screening. Conclusions: As only 35{\%} of the patients in this study were referred for eye exams, patients at risk for retinopathy are missing opportunities for screening and early treatment. With the increasing number of children with type 2 DM, more patients will be at risk for retinopathy and its consequences. Pediatricians and endocrinologists should be educated about referring for annual eye exams.",
keywords = "Diabetes mellitus, Diabetic retinopathy, Guidelines, Screening",
author = "Rosenberg, {Jamie B.} and Friedman, {Ilana B.} and Gurland, {Judith E.}",
year = "2011",
month = "7",
doi = "10.1016/j.jdiacomp.2010.11.001",
language = "English (US)",
volume = "25",
pages = "222--226",
journal = "Journal of Diabetes and its Complications",
issn = "1056-8727",
publisher = "Elsevier Inc.",
number = "4",

}

TY - JOUR

T1 - Compliance with screening guidelines for diabetic retinopathy in a large academic children's hospital in the Bronx

AU - Rosenberg, Jamie B.

AU - Friedman, Ilana B.

AU - Gurland, Judith E.

PY - 2011/7

Y1 - 2011/7

N2 - Objective: As the rate of type 2 diabetes mellitus (DM) in children is increasing, the number of children with complications of DM, such as retinopathy, will also increase. American Diabetes Association and American Academy of Pediatrics guidelines recommend annual eye exams for children with type 1 DM who are older than 10 years, starting 3-5 years after diagnosis. Adolescents with type 2 DM should have an exam when diagnosed. This study was designed to determine if these guidelines are followed and to determine factors that influence providers to follow them. Patients and methods: We identified all 15- to 20-year-old patients seen in a pediatric diabetes clinic over 6 months. All patients with type 2 DM and those with type 1 DM diagnosed at least 5 years prior were included. Charts were reviewed for 18 months to determine whether patients were referred for an eye exam. Data extracted included demographics, DM type, DM duration, hemoglobin A 1C, and presence of microalbuminuria. Results: Of 80 patients, 28 (35%) were referred for an eye exam. Patients with a longer duration of DM (P=.006) and those with microalbuminuria (P=.02) were more likely to be referred for screening. Conclusions: As only 35% of the patients in this study were referred for eye exams, patients at risk for retinopathy are missing opportunities for screening and early treatment. With the increasing number of children with type 2 DM, more patients will be at risk for retinopathy and its consequences. Pediatricians and endocrinologists should be educated about referring for annual eye exams.

AB - Objective: As the rate of type 2 diabetes mellitus (DM) in children is increasing, the number of children with complications of DM, such as retinopathy, will also increase. American Diabetes Association and American Academy of Pediatrics guidelines recommend annual eye exams for children with type 1 DM who are older than 10 years, starting 3-5 years after diagnosis. Adolescents with type 2 DM should have an exam when diagnosed. This study was designed to determine if these guidelines are followed and to determine factors that influence providers to follow them. Patients and methods: We identified all 15- to 20-year-old patients seen in a pediatric diabetes clinic over 6 months. All patients with type 2 DM and those with type 1 DM diagnosed at least 5 years prior were included. Charts were reviewed for 18 months to determine whether patients were referred for an eye exam. Data extracted included demographics, DM type, DM duration, hemoglobin A 1C, and presence of microalbuminuria. Results: Of 80 patients, 28 (35%) were referred for an eye exam. Patients with a longer duration of DM (P=.006) and those with microalbuminuria (P=.02) were more likely to be referred for screening. Conclusions: As only 35% of the patients in this study were referred for eye exams, patients at risk for retinopathy are missing opportunities for screening and early treatment. With the increasing number of children with type 2 DM, more patients will be at risk for retinopathy and its consequences. Pediatricians and endocrinologists should be educated about referring for annual eye exams.

KW - Diabetes mellitus

KW - Diabetic retinopathy

KW - Guidelines

KW - Screening

UR - http://www.scopus.com/inward/record.url?scp=79959978852&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79959978852&partnerID=8YFLogxK

U2 - 10.1016/j.jdiacomp.2010.11.001

DO - 10.1016/j.jdiacomp.2010.11.001

M3 - Article

C2 - 21177125

AN - SCOPUS:79959978852

VL - 25

SP - 222

EP - 226

JO - Journal of Diabetes and its Complications

JF - Journal of Diabetes and its Complications

SN - 1056-8727

IS - 4

ER -