Back to Search
Start Over
Eye Care Utilization Among Insured People With Diabetes in the U.S., 2010-2014.
- Source :
-
Diabetes Care . Mar2019, Vol. 42 Issue 3, p427-433. 7p. 4 Charts. - Publication Year :
- 2019
-
Abstract
- <bold>Objective: </bold>Diabetic retinopathy (DR) is the leading cause of blindness among working-age adults, and although screening with eye exams is effective, screening rates are low. We evaluated eye exam visits over a 5-year period in a large population of insured patients 10-64 years of age with diabetes.<bold>Research Design and Methods: </bold>We used claims data from IBM Watson Health to identify patients with diabetes and continuous insurance coverage from 2010 to 2014. Diabetes and DR were defined using ICD-9 Clinical Modification codes. We calculated eye exam visit frequency by diabetes type over a 5-year period and estimated period prevalence and cumulative incidence of DR among those receiving an eye exam.<bold>Results: </bold>Among the 298,383 insured patients with type 2 diabetes and no diagnosed DR, almost half had no eye exam visits over the 5-year period and only 15.3% met the American Diabetes Association (ADA) recommendations for annual or biennial eye exams. For the 2,949 patients with type 1 diabetes, one-third had no eye exam visits and 26.3% met ADA recommendations. The 5-year period prevalence and cumulative incidence of DR were 24.4% and 15.8%, respectively, for patients with type 2 diabetes and 54.0% and 33.4% for patients with type 1 diabetes.<bold>Conclusions: </bold>The frequency of eye exams was alarmingly low, adding to the abundant literature that systemic changes in health care may be needed to detect and prevent vision-threatening eye disease among people with diabetes. [ABSTRACT FROM AUTHOR]
- Subjects :
- *DIABETIC retinopathy
*EYE care
*TYPE 1 diabetes
*TYPE 2 diabetes
*DIABETES
Subjects
Details
- Language :
- English
- ISSN :
- 01495992
- Volume :
- 42
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Diabetes Care
- Publication Type :
- Academic Journal
- Accession number :
- 134840572
- Full Text :
- https://doi.org/10.2337/dc18-0828