No loss of chance of diabetic retinopathy screening by endocrinologists with a digital fundus camera.

Abstract:

OBJECTIVE:To compare the efficacy of the diabetic retinopathy (DR) screening with digital camera by endocrinologists with that by specialist and resident ophthalmologists in terms of sensitivity, specificity, and level of "loss of chance." RESEARCH DESIGN AND METHODS:In a cross-sectional study, 500 adult diabetic patients (1,000 eyes) underwent three-field retinal photography with a digital fundus camera following pupillary dilatation. Five endocrinologists and two ophthalmology residents underwent 40 h of training on screening and grading of DR and detection of associated retinal findings. A κ test compared the accuracy of endocrinologist and ophthalmology resident screening with that performed by experienced ophthalmologists. Screening efficiency of endocrinologists was evaluated in terms of "loss of chance," i.e., missed diagnoses that required ophthalmologist referrals. RESULTS:The mean weighted κ of DR screening performed by endocronologists was similar to that of ophthalmology residents (0.65 vs. 0.73). Out of 456 DR eyes, both endocrinologists and ophthalmology residents misdiagnosed only stage 1 DR (36 and 14, respectively), which did not require ophthalmologist referral. There were no significant differences between endocrinologists and ophthalmology residents in terms of diabetic maculopathy and incidental findings except for papillary cupping and choroidal lesions, which were not the main purpose of the study or of the training. CONCLUSIONS:The endocrinologist with specific training for DR detection using a three-field digital fundus camera with pupillary dilatation can perform a reliable DR screening without any loss of chance for the patients when compared with identical evaluation performed by experienced ophthalmologists.

journal_name

Diabetes Care

journal_title

Diabetes care

authors

Germain N,Galusca B,Deb-Joardar N,Millot L,Manoli P,Thuret G,Gain P,Estour B

doi

10.2337/dc10-1373

subject

Has Abstract

pub_date

2011-03-01 00:00:00

pages

580-5

issue

3

eissn

0149-5992

issn

1935-5548

pii

dc10-1373

journal_volume

34

pub_type

杂志文章
  • Asymptomatic bacteriuria and hemoglobin A1.

    abstract::We measured hemoglobin A1 (HbA1) and performed clean-catch urine cultures in 752 patients (411 men and 341 women) with non-insulin-dependent diabetes mellitus (NIDDM) attending an outpatient diabetes clinic. Prevalence of bacteriuria was significantly greater in diabetic women than in controls (9.1 vs. 5.0%, P less th...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.9.5.518

    authors: Schmitt JK,Fawcett CJ,Gullickson G

    更新日期:1986-09-01 00:00:00

  • Skeletal muscle morphology and exercise response in congenital generalized lipodystrophy.

    abstract:OBJECTIVE:Congenital generalized lipodystrophy (CGL) is an autosomal recessive genetic disorder characterized by almost complete absence of adipose tissue, muscular appearance, and severe insulin resistance since birth. We investigated whether insulin resistance in CGL patients is associated with abnormal muscle morpho...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.23.10.1545

    authors: Garg A,Stray-Gundersen J,Parsons D,Bertocci LA

    更新日期:2000-10-01 00:00:00

  • Medication adherence and racial differences in A1C control.

    abstract:OBJECTIVE:The purpose of this study was to examine medication adherence and other self-management practices as potential determinants of higher glycemic risk among black relative to white patients. RESEARCH DESIGN AND METHODS:We used a retrospective, longitudinal repeated-measures design to model the contribution of m...

    journal_title:Diabetes care

    pub_type: 杂志文章,多中心研究

    doi:10.2337/dc07-1924

    authors: Adams AS,Trinacty CM,Zhang F,Kleinman K,Grant RW,Meigs JB,Soumerai SB,Ross-Degnan D

    更新日期:2008-05-01 00:00:00

  • Comparative Effectiveness of the Sodium-Glucose Cotransporter 2 Inhibitor Empagliflozin Versus Other Antihyperglycemics on Risk of Major Adverse Kidney Events.

    abstract:OBJECTIVE:To examine the comparative effectiveness of the sodium-glucose cotransporter 2 inhibitor (SGLT2i) empagliflozin and other non-SGLT2i antihyperglycemics on the risk of major adverse kidney events (MAKE) of estimated glomerular filtration rate (eGFR) decline >50%, end-stage kidney disease, or all-cause mortalit...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc20-1231

    authors: Xie Y,Bowe B,Gibson AK,McGill JB,Yan Y,Maddukuri G,Al-Aly Z

    更新日期:2020-11-01 00:00:00

  • Differences in the pattern of antibiotic prescription profile and recurrence rate for possible urinary tract infections in women with and without diabetes.

    abstract:OBJECTIVE:Women with diabetes have a high incidence and complication rate of urinary tract infections (UTIs). Our aims were to compare current treatment strategies with respect to recurrence rates in women with diabetes with those without diabetes. RESEARCH DESIGN AND METHODS:We used a Dutch registration database cont...

    journal_title:Diabetes care

    pub_type: 杂志文章,多中心研究

    doi:10.2337/dc07-2188

    authors: Schneeberger C,Stolk RP,Devries JH,Schneeberger PM,Herings RM,Geerlings SE

    更新日期:2008-07-01 00:00:00

  • Bimodal distribution of glucose is not universally useful for diagnosing diabetes.

    abstract:OBJECTIVE:Bimodality in the distribution of glucose has been used to define the cut point for the diagnosis of diabetes. Previous studies on bimodality have primarily been in populations with a high prevalence of type 2 diabetes, including one study in a white Caucasian population. All studies included participants wit...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc08-0867

    authors: Vistisen D,Colagiuri S,Borch-Johnsen K,DETECT-2 Collaboration.

    更新日期:2009-03-01 00:00:00

  • Alcohol consumption and the incidence of type 2 diabetes: a 20-year follow-up of the Finnish twin cohort study.

    abstract:OBJECTIVE:The aim of this study was to investigate alcohol consumption in relation to the incidence of type 2 diabetes. RESEARCH DESIGN AND METHODS:The study population consisted of 22778 twins of the Finnish Twin Cohort. This cohort was compiled in 1975 and includes all same-sexed twins born in Finland before 1958. I...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.26.10.2785

    authors: Carlsson S,Hammar N,Grill V,Kaprio J

    更新日期:2003-10-01 00:00:00

  • Ideal cardiovascular health and the prevalence and progression of coronary artery calcification in adults with and without type 1 diabetes.

    abstract:OBJECTIVE:In 2010, the American Heart Association defined seven metrics (smoking, BMI, physical activity, diet, total cholesterol, blood pressure, and fasting plasma glucose) for ideal cardiovascular health (ICH). Subsequent studies have shown that the prevalence of achieving these metrics is very low in the general po...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc13-0997

    authors: Alman AC,Maahs DM,Rewers MJ,Snell-Bergeon JK

    更新日期:2014-02-01 00:00:00

  • Diabetes mellitus and cerebrovascular disease: prevalence of carotid artery occlusive disease and associated risk factors in 482 adult diabetic patients.

    abstract::The prevalence of carotid artery occlusive disease (CAOD) in a population of adults with diabetes mellitus was determined, and factors associated with its presence were identified. By oculoplethysmography and phonoangiography, 20% of the population studied had detectable CAOD. Univariate analyses revealed that patient...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.6.3.274

    authors: Kuebler TW,Bendick PJ,Fineberg SE,Markand ON,Norton JA Jr,Vinicor FN,Clark CM Jr

    更新日期:1983-05-01 00:00:00

  • 7. Diabetes Technology: Standards of Medical Care in Diabetes-2020.

    abstract::The American Diabetes Association (ADA) "Standards of Medical Care in Diabetes" includes the ADA's current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. Members of the ADA Professional Practic...

    journal_title:Diabetes care

    pub_type: 杂志文章,评审

    doi:10.2337/dc20-S007

    authors: American Diabetes Association.

    更新日期:2020-01-01 00:00:00

  • The Impact of Liraglutide on Diabetes-Related Foot Ulceration and Associated Complications in Patients With Type 2 Diabetes at High Risk for Cardiovascular Events: Results From the LEADER Trial.

    abstract:OBJECTIVE:Diabetes-related foot ulcers (DFUs) and their sequelae result in large patient and societal burdens. Long-term data determining the efficacy of individual glucose-lowering agents on DFUs are lacking. Using existing data from the Liraglutide Effect and Action in Diabetes: Evaluation of Cardiovascular Outcome R...

    journal_title:Diabetes care

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.2337/dc18-1094

    authors: Dhatariya K,Bain SC,Buse JB,Simpson R,Tarnow L,Kaltoft MS,Stellfeld M,Tornøe K,Pratley RE,LEADER Publication Committee on behalf of the LEADER Trial Investigators.

    更新日期:2018-10-01 00:00:00

  • Increased Liver Fatty Acid Uptake Is Partly Reversed and Liver Fat Content Normalized After Bariatric Surgery.

    abstract:OBJECTIVE:Changes in liver fatty acid metabolism are important in understanding the mechanisms of diabetes remission and metabolic changes after bariatric surgery. RESEARCH DESIGN AND METHODS:Liver fatty acid uptake (LFU), blood flow, and fat content (LFC) were measured in 25 obese subjects before bariatric surgery an...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章

    doi:10.2337/dc17-0738

    authors: Immonen H,Hannukainen JC,Kudomi N,Pihlajamäki J,Saunavaara V,Laine J,Salminen P,Lehtimäki T,Pham T,Iozzo P,Nuutila P

    更新日期:2018-02-01 00:00:00

  • Measurement of health status in diabetic patients. Diabetes impact measurement scales.

    abstract:OBJECTIVE:To develop an instrument to measure health status in adult insulin-dependent (type I) and non-insulin-dependent (type II) diabetic patients. RESEARCH DESIGN AND METHODS:Correlative study to examine psychometric properties of the questionnaire. Test-retest reliability, item-scale correlations, principal-compo...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.15.4.469

    authors: Hammond GS,Aoki TT

    更新日期:1992-04-01 00:00:00

  • Insulin absorption, glucose homeostasis, and lipolysis in IDDM during mental stress.

    abstract:OBJECTIVE:To study the effects of mental stress on the absorption kinetics of insulin and on glucose homeostasis and lipolysis in insulin-dependent diabetes mellitus (IDDM). RESEARCH DESIGN AND METHODS:Nine IDDM patients were exposed to the Stroop color word conflict test (CWT) during 40 min after injection of 125I-la...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.14.11.1006

    authors: Fernqvist-Forbes E,Linde B

    更新日期:1991-11-01 00:00:00

  • Remissions of diabetes mellitus after weight reduction by jejunoileal bypass.

    abstract::Limited weight loss following jejunoileal bypass in 24 diabetic persons who were still distinctly overweight five to ten months after a mean weight decrease of 78 lbs. was accompanied by a return of normal fasting glucose and insulin levels, normal insulin responses, and a decrease in glucose intolerance. The glucose ...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.1.3.158

    authors: Ahmad U,Danowski TS,Nolan S,Stephan T,Sunder JH,Bahl VK

    更新日期:1978-05-01 00:00:00

  • Plasma 25-hydroxyvitamin D and progression to diabetes in patients at risk for diabetes: an ancillary analysis in the Diabetes Prevention Program.

    abstract:OBJECTIVE:To investigate the association between vitamin D status, assessed by plasma 25-hydroxyvitamin D, and risk of incident diabetes. RESEARCH DESIGN AND METHODS:Prospective observational study with a mean follow-up of 2.7 years in the Diabetes Prevention Program (DPP), a multicenter trial comparing different stra...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc11-1795

    authors: Pittas AG,Nelson J,Mitri J,Hillmann W,Garganta C,Nathan DM,Hu FB,Dawson-Hughes B,Diabetes Prevention Program Research Group.

    更新日期:2012-03-01 00:00:00

  • Glycosylated hemoglobin in relation to rapid fluctuations in blood glucose in children with insulin-dependent diabetes: a comparison of methods with and without prior dialysis.

    abstract::To evaluate the importance of dialysis in the determination of glycosylated hemoglobin (HbA1), we studied blood glucose and HbA1 in 38 insulin-dependent diabetic children during a morning fast and again 6 h postprandially. We used two methods to determine glycosylated hemoglobin: (1) the conventional macrocolumn metho...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.4.5.551

    authors: Ditzel J,Kjaergaard JJ,Kawahara R,Ostergaard GZ,Mourits-Andersen T

    更新日期:1981-09-01 00:00:00

  • Risk of Cardiovascular Disease and Death in Individuals With Prediabetes Defined by Different Criteria: The Whitehall II Study.

    abstract:OBJECTIVE:We compared the risk of cardiovascular disease (CVD) and all-cause mortality in subgroups of prediabetes defined by fasting plasma glucose (FPG), 2-h plasma glucose (2hPG), or HbA1c. RESEARCH DESIGN AND METHODS:In the Whitehall II cohort, 5,427 participants aged 50-79 years and without diabetes were followed...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc17-2530

    authors: Vistisen D,Witte DR,Brunner EJ,Kivimäki M,Tabák A,Jørgensen ME,Færch K

    更新日期:2018-04-01 00:00:00

  • Increased foot pressures after great toe amputation in diabetes.

    abstract:OBJECTIVE:To compare peak pressures on the sole of the foot in non-insulin-dependent diabetic patients with isolated, unilateral amputations of the great toe and first metatarsal with the patients' contralateral, intact foot. RESEARCH DESIGN AND METHODS:Eleven patients with a unilateral great toe and partial first met...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.18.11.1460

    authors: Lavery LA,Lavery DC,Quebedeax-Farnham TL

    更新日期:1995-11-01 00:00:00

  • Inhaled Technosphere Insulin Versus Inhaled Technosphere Placebo in Insulin-Naïve Subjects With Type 2 Diabetes Inadequately Controlled on Oral Antidiabetes Agents.

    abstract:OBJECTIVE:To investigate the efficacy and safety of prandial Technosphere inhaled insulin (TI), an inhaled insulin with a distinct time action profile, in insulin-naïve type 2 diabetes (T2D) inadequately controlled on oral antidiabetes agents (OADs). RESEARCH DESIGN AND METHODS:Subjects with T2D with HbA1c levels ≥7.5...

    journal_title:Diabetes care

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.2337/dc15-0629

    authors: Rosenstock J,Franco D,Korpachev V,Shumel B,Ma Y,Baughman R,Amin N,McGill JB,Affinity 2 Study Group.

    更新日期:2015-12-01 00:00:00

  • Glycemic control, atherosclerosis, and risk factors for cardiovascular disease in individuals with diabetes: the atherosclerosis risk in communities study.

    abstract:OBJECTIVE:Glycemic control (HbA(1c) [A1C]) is strongly associated with microvascular disease in individuals with diabetes, but its relation to macrovascular disease and atherosclerosis is less clear. This study examines the relationship between A1C, carotid intima-media thickness (IMT), and traditional cardiovascular r...

    journal_title:Diabetes care

    pub_type: 杂志文章,多中心研究

    doi:10.2337/diacare.28.8.1965

    authors: Selvin E,Coresh J,Golden SH,Boland LL,Brancati FL,Steffes MW,Atherosclerosis risk in communities study.

    更新日期:2005-08-01 00:00:00

  • Self-monitored blood glucose: the essential biofeedback signal in the diabetic patient's effort to achieve normoglycemia.

    abstract::Seventeen pregnant diabetic women participated in a special outpatient program during which they learned to self-monitor blood glucose (BG) and to vary insulin dosage on the basis of the results. The Ames Eyetone reflectance meter and the Boehringer Reflomat were used for BG analysis. BG was self-monitored at least tw...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.3.1.163

    authors: Irsigler K,Bali-Taubald C

    更新日期:1980-01-01 00:00:00

  • Motor vehicle accidents and IDDM.

    abstract::A case-control study examining the 1-yr motor vehicle accident experiences of 158 insulin-dependent diabetes mellitus (IDDM) cases and 158 nondiabetic siblings was undertaken to evaluate the risk of motor vehicle accidents among drivers with IDDM. In multivariate analyses the overall accident risk of the cases and con...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.11.9.701

    authors: Songer TJ,LaPorte RE,Dorman JS,Orchard TJ,Cruickshanks KJ,Becker DJ,Drash AL

    更新日期:1988-10-01 00:00:00

  • High prevalence of glucose abnormalities in patients with hepatitis C virus infection: a multivariate analysis considering the liver injury.

    abstract:OBJECTIVE:The aim of this study was to compare the prevalence of both impaired fasting glucose (IFG) and diabetes between hepatitis C virus (HCV)-infected patients and patients with other liver diseases but anti-HCV-, taking into account the degree of liver damage. RESEARCH DESIGN AND METHODS:A total of 642 consecutiv...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.27.5.1171

    authors: Lecube A,Hernández C,Genescà J,Esteban JI,Jardí R,Simó R

    更新日期:2004-05-01 00:00:00

  • Effect of aldose reductase inhibitor (tolrestat) on urinary albumin excretion rate and glomerular filtration rate in IDDM subjects with nephropathy.

    abstract:OBJECTIVE:To explore the possible link between diabetic nephropathy and the enhanced activity of the polyol pathway, known to occur in IDDM subjects. RESEARCH DESIGN AND METHODS:We studied the effects of the aldose reductase inhibitor tolrestat (200 mg/day) on urinary albumin excretion rate and glomerular filtration r...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章

    doi:10.2337/diacare.16.5.789

    authors: Passariello N,Sepe J,Marrazzo G,De Cicco A,Peluso A,Pisano MC,Sgambato S,Tesauro P,D'Onofrio F

    更新日期:1993-05-01 00:00:00

  • Pharmacist interventions to improve cardiovascular disease risk factors in diabetes: a systematic review and meta-analysis of randomized controlled trials.

    abstract:OBJECTIVE:This systematic review and meta-analysis of randomized controlled trials (RCTs) assesses the effect of pharmacist care on cardiovascular disease (CVD) risk factors among outpatients with diabetes. RESEARCH DESIGN AND METHODS:MEDLINE, EMBASE, CINAHL, and the Cochrane Central Register of Controlled Trials were...

    journal_title:Diabetes care

    pub_type: 杂志文章,meta分析,评审

    doi:10.2337/dc12-0369

    authors: Santschi V,Chiolero A,Paradis G,Colosimo AL,Burnand B

    更新日期:2012-12-01 00:00:00

  • Neurophysiological evidence for altered higher brain functions in NIDDM.

    abstract:OBJECTIVE:To investigate neurophysiological alterations of higher brain function in patients with NIDDM. RESEARCH DESIGN AND METHODS:Auditory P300 event-related potentials were recorded in 60 NIDDM patients who had no evidence of stroke, dementia, or any other neurological illnesses. The P300 wave latencies in diabeti...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.19.4.360

    authors: Kurita A,Katayama K,Mochio S

    更新日期:1996-04-01 00:00:00

  • Heterogeneous Contribution of Insulin Sensitivity and Secretion Defects to Gestational Diabetes Mellitus.

    abstract:OBJECTIVE:To characterize physiologic subtypes of gestational diabetes mellitus (GDM). RESEARCH DESIGN AND METHODS:Insulin sensitivity and secretion were estimated in 809 women at 24-30 weeks' gestation, using oral glucose tolerance test-based indices. In women with GDM (8.3%), defects in insulin sensitivity or secret...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc15-2672

    authors: Powe CE,Allard C,Battista MC,Doyon M,Bouchard L,Ecker JL,Perron P,Florez JC,Thadhani R,Hivert MF

    更新日期:2016-06-01 00:00:00

  • Bacille Calmette-Guérin vaccination and incidence of IDDM in Montreal, Canada.

    abstract:OBJECTIVE:To describe the association between Bacille Calmette-Guérin (BCG) vaccination and IDDM development in two different case-control series (A and B) in Montreal. RESEARCH DESIGN AND METHODS:Case-control series A comprised 93 IDDM cases and 2,903 control subjects who participated in a community-based tuberculin ...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.20.5.767

    authors: Parent ME,Siemiatycki J,Menzies R,Fritschi L,Colle E

    更新日期:1997-05-01 00:00:00

  • Metabolic Factors, Lifestyle Habits, and Possible Polyneuropathy in Early Type 2 Diabetes: A Nationwide Study of 5,249 Patients in the Danish Centre for Strategic Research in Type 2 Diabetes (DD2) Cohort.

    abstract:OBJECTIVE:To investigate the association of metabolic and lifestyle factors with possible diabetic polyneuropathy (DPN) and neuropathic pain in patients with early type 2 diabetes. RESEARCH DESIGN AND METHODS:We thoroughly characterized 6,726 patients with recently diagnosed diabetes. After a median of 2.8 years, we s...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc19-2277

    authors: Christensen DH,Knudsen ST,Gylfadottir SS,Christensen LB,Nielsen JS,Beck-Nielsen H,Sørensen HT,Andersen H,Callaghan BC,Feldman EL,Finnerup NB,Jensen TS,Thomsen RW

    更新日期:2020-06-01 00:00:00