Grading and disease management in national screening for diabetic retinopathy in England and Wales

Harding, Simon; Greenwood, Richard; Aldington, S J; Gibson, Jonathan; Owens, David M.; Taylor, Roy; Kohner, Eva M.; Scanlon, Peter H; Leese, Graham

doi:10.1111/j.1464-5491.2003.01077.x

Cited by 173 publications

(168 citation statements)

References 14 publications

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“…The criteria used for grading and allocation of R and M levels are those required by the English NHS Diabetic Eye Screening Programme 8 and the relationship to the Early Treatment Diabetic Retinopathy Study (ETDRS) severity scale 9, 10 are shown in Table 1. Referable diabetic retinopathy was defined in the English programmes by the presence of any of R2 (moderate to severe non‐proliferative diabetic retinopathy), R3 (proliferative diabetic retinopathy) or M1 (maculopathy) in at least one eye and the equivalent levels were identified in the Scottish screening programme.…”

Section: Methodsmentioning

confidence: 99%

Screening attendance, age group and diabetic retinopathy level at first screen

Scanlon¹,

Stratton²,

Leese

et al. 2015

Diabet. Med.

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AimsTo report on the relationships between age at diagnosis of diabetes, time from registration with the screening programme to first diabetic eye screening and severity of diabetic retinopathy.MethodsData were extracted from four English screening programmes and from the Scottish, Welsh and Northern Irish programmes. Time from diagnosis of diabetes to first screening and age at diagnosis were calculated.ResultsTime from registration with the screening programme to first screening episode is strongly related to age at registration. Within 18 months of registration 89% of 3958 young people under 18 years of age and 81% of 391 293 people over 35 years of age were seen. In 19 058 people between 18 and 34 years of age, 80% coverage was not reached until 2 years and 9 months. The time from diagnosis of diabetes to first screening is positively associated with severity of disease (P < 0.0001).ConclusionsThis report is the first that to demonstrate that those in the 18–34 year age group are least likely to attend promptly for screening after registration with a higher risk of referable diabetic retinopathy being present at the time of first screen. Date of diagnosis should be recorded and prodigious efforts made to screen all people promptly after diagnosis. Screening programmes should collect data on those who have not attended within one year of registration.

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Section: Methodsmentioning

confidence: 99%

Screening attendance, age group and diabetic retinopathy level at first screen

Scanlon¹,

Stratton²,

Leese

et al. 2015

Diabet. Med.

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“…A digital fundus camera was used to take two 45°images (one macula-centred and one optic disc-centred) through dilated pupils in each eye. Grading was performed according to English national grading definitions 12 and quality assured to National Diabetic Eye Screening Programme (NDESP) guidelines.…”

Section: Methodsmentioning

confidence: 99%

Diagnosis of retinopathy in children younger than 12 years of age: implications for the diabetic eye screening guidelines in the UK

Hamid

Wharton

Mills

et al. 2016

Eye

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“…Quality assurance is the key driver for all aspects of the screening programme. A grading classification for England and Wales has been published 3 and a minimum data set for regional and national monitoring developed. 4 Similar developments are underway in Scotland.…”

Section: Introductionmentioning

confidence: 99%

The impact of national diabetic retinopathy screening on ophthalmology: the need for urgent planning

Harding

Garvican²,

Talbot

2004

Eye

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Grading and disease management in national screening for diabetic retinopathy in England and Wales

Abstract: The protocol developed by the Diabetic Retinopathy Grading and Disease Management Working Party represents a new consensus upon which national guidelines can be based leading to the introduction of quality-assured screening for people with diabetes.

Cited by 173 publications

References 14 publications

Screening attendance, age group and diabetic retinopathy level at first screen

Screening attendance, age group and diabetic retinopathy level at first screen

Diagnosis of retinopathy in children younger than 12 years of age: implications for the diabetic eye screening guidelines in the UK

The impact of national diabetic retinopathy screening on ophthalmology: the need for urgent planning

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