Abstract
INTRODUCTION: Diabetic Retinopathy Screening Programme using Fundus Camera has been extended to Primary Care for more than 10 years to ease the patient overload for screening in Eye Clinics. NICE Guidelines recommended screening modalities with the sensitivity of 80%, Specificity of 95% and technical failure of ?5%. Beside screening tools, successful screening program also involves the skills and competency of the staff. However, limited research has been conducted to review the quality of this program. METHODS: This research was conducted between January-October 2017. 30 diabetics patientsÂ’ fundus images from chosen clinic in each district were randomly selected. Findings of both eyes stated by MOs in the reports and quality of images were evaluated by Ophthalmologist. Agreement on the findings by Ophthalmologist were graded as True Positive/Negative or False Positive/Negative. Subsequently, the data was analyzed as sensitivity, specificity and percentage of unsatisfactory images and compared with the standard. RESULTS: Overall unsatisfactory images were 11.3%. Total of 271 images were analyzed and average sensitivity was 83.7% and Specificity 93.8%. Three districts (SPU, SPT&TL) were able to achieve sensitivity >80%. Clinic from BD has the lowest sensitivity with only 53.3%. Clinic from SPU, SPT and BD has specificity >95%. Only SPU had 5% unsatisfactory image while the others ranging from 7%-22%. There is no district able to fulfill all the recommended criteria. DISCUSSIONS: The move to use Fundus Camera for retinopathy screening at primary care is necessary for wider coverage in the demand of urbanization. However, this program must not be left unmonitored to ensure the standard of screening quality
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@proceedings{APCPH-2019-296,
title = {The Quality of Diabetic Retinopathy Screening Program in Primary Health Care Penang 2017},
author = {Nasim Muhammad Abdul Kuthoose and Norhazirah Mohd Noor and Rokiah Mohd and Rohana Taharin Rafidah Md Noor},
year = {2019},
date = {2019-07-22},
urldate = {2019-07-22},
journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
issue = {6},
abstract = {INTRODUCTION: Diabetic Retinopathy Screening Programme using Fundus Camera has been extended to Primary Care for more than 10 years to ease the patient overload for screening in Eye Clinics. NICE Guidelines recommended screening modalities with the sensitivity of 80%, Specificity of 95% and technical failure of ?5%. Beside screening tools, successful screening program also involves the skills and competency of the staff. However, limited research has been conducted to review the quality of this program. METHODS: This research was conducted between January-October 2017. 30 diabetics patientsÂ’ fundus images from chosen clinic in each district were randomly selected. Findings of both eyes stated by MOs in the reports and quality of images were evaluated by Ophthalmologist. Agreement on the findings by Ophthalmologist were graded as True Positive/Negative or False Positive/Negative. Subsequently, the data was analyzed as sensitivity, specificity and percentage of unsatisfactory images and compared with the standard. RESULTS: Overall unsatisfactory images were 11.3%. Total of 271 images were analyzed and average sensitivity was 83.7% and Specificity 93.8%. Three districts (SPU, SPT\&TL) were able to achieve sensitivity \>80%. Clinic from BD has the lowest sensitivity with only 53.3%. Clinic from SPU, SPT and BD has specificity \>95%. Only SPU had 5% unsatisfactory image while the others ranging from 7%-22%. There is no district able to fulfill all the recommended criteria. DISCUSSIONS: The move to use Fundus Camera for retinopathy screening at primary care is necessary for wider coverage in the demand of urbanization. However, this program must not be left unmonitored to ensure the standard of screening quality},
note = {Type: POSTER PRESENTATION; Organisation: 1Penang State Health Department, 2Hospital Bukit Mertajam},
keywords = {},
pubstate = {published},
tppubtype = {proceedings}
}