Magnitude and Determinants of Noncompliance for Screening and Management of Diabetic Retinopathy
Journal Title: National Journal of Medical Research - Year 2018, Vol 8, Issue 2
Abstract
"Introduction: Strategies to reduce visual disabilities due to diabetic retinopathy (DR) include early detection and prompt management. Patient compliance is a crucial a factor to achieve this goal. The aim of the study is to assess the level of noncompliance among diabetic patients towards diabetic retinopathy screening and towards undergoing suggested ophthalmic interventions. Methodology: Diabetic patients presenting to the tertiary eye hospital of Western India were divided into 2 groups: diabetic retinopathy (DR) screening group (SGR) and diabetic patients with sight threatening (STDR) who were advised intervention (DR treatment group) (TR GR). All patients were interviewed to determine the level of noncompliance and barriers perceived towards noncompliance. P<0.05 was statistically significant. Results: There were 75 diabetics in SGR and 72 in TR GR. The rate of noncompliance for DR screening was 64% [95% confidence interval (CI):53.1 – 74.9]. The rate of non-compliance for treatment for DR was 56.9% (95%CI 45.5 – 68.3). Rural residents (P=0.03) were statistically significantly more noncompliant towards DR screening. The best-corrected visual acuity in the better eye was associated to noncompliance to STDR treatment (P=0.001)while severity of DR was associated to the noncompliance for DR screening (P=0.05). Conclusions: Noncompliance towards periodic DR screening as well as recommended ophthalmic treatment among diabetic eye patients is high. Lack of knowledge, cost of intervention and distance to eyecare services were main perceived barriers. Public health strategies to address these barriers could improve compliance for periodic DR screening and STDR management.
Authors and Affiliations
Khurshed M Bharucha, Kuldeep Dole, Kunal Bhadbhade, Rahul Deshpande, Madan Deshpande
Keywords
Related Articles
- EP ID EP618387
- DOI -
- Views 35
- Downloads 0
Etiological Spectrum of Cirrhosis In Anand District, Gujarat, India
Introduction: Alcohol is considered to be a major etiological factor in western world, whereas viral etiology is considered to be predominant cause of cirrhosis in Indian subcontinent. Alcohol consumption and subsequent...
Characteristics of Testicular Torsion in Arifin Achmad Regional Gen-eral Hospital, Pekanbaru, Riau Province, Indonesia
Background: Testicular torsion is an abnormality disease in the testicle because torsion of the spermatic cord resulting in occlusion and strangulation vascularization of the veins and arteries to the testes and epi-didy...
Adolescent Sexuality: Perceptions, Preferences and Practices
"Introduction: Adolescence is a transitional stage of physical and mental development between childhood and adulthood. This is a large, heterogeneous and vulnerable group who will be adults tomorrow and drive the economy...
Study of Audiovisual Reaction Time in Indian Classical Singers
Introduction: Audiovisual Reaction Time involves the time period taken for the response to auditory or visual stimuli which depends on the intactness of the sensory and the motor system. Objective: The present study was...
Plain Radiography & MRI Correlation in Soft Tissue Injuries of the Knee Joint
Introduction: The primary aim is to identify and establish new signs in plain radiography of the knee joint that could indicate soft tissue abnormalities that are established on Magnetic Resonance Imaging (MRI). To corre...