Preoperative fundus examination in patients with diabetes scheduled for surgery
Abstract This study aimed to show the proportion of fundus examinations in patients with diabetes who were scheduled for surgery. We retrospectively analyzed 455 consecutive patients with diabetes admitted for surgery. Just 49% had fundus examinations before hospitalization. The decision tree analys...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-08-01
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| Series: | Journal of Diabetes Investigation |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/jdi.13482 |
| _version_ | 1818883021921583104 |
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| author | Hirotaka Watanabe Mitsuyoshi Takahara Naoto Katakami Taka‐aki Matsuoka Iichiro Shimomura |
| author_facet | Hirotaka Watanabe Mitsuyoshi Takahara Naoto Katakami Taka‐aki Matsuoka Iichiro Shimomura |
| author_sort | Hirotaka Watanabe |
| collection | DOAJ |
| description | Abstract This study aimed to show the proportion of fundus examinations in patients with diabetes who were scheduled for surgery. We retrospectively analyzed 455 consecutive patients with diabetes admitted for surgery. Just 49% had fundus examinations before hospitalization. The decision tree analysis showed that the type of family doctor was the first split associated with fundus examination; patients treated by a diabetes specialist were more likely to receive the examination. In this subgroup, glycated hemoglobin levels ≥8.0% and age ≥71 years were associated with a lower proportion of receiving the examination. In patients whose family doctor was not a diabetes specialist, glycated hemoglobin levels <7.2% and body mass index <27.4 kg/m2 without severe comorbidities were associated with a higher proportion of receiving the examination. In conclusion, half of patients scheduled for surgery did not receive fundus examinations. A high‐risk population for not receiving the examination varied with the consultation setting. |
| first_indexed | 2024-12-19T15:27:02Z |
| format | Article |
| id | doaj.art-0b718044616d42f987b8a3805c253270 |
| institution | Directory Open Access Journal |
| issn | 2040-1116 2040-1124 |
| language | English |
| last_indexed | 2024-12-19T15:27:02Z |
| publishDate | 2021-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Investigation |
| spelling | doaj.art-0b718044616d42f987b8a3805c2532702022-12-21T20:15:51ZengWileyJournal of Diabetes Investigation2040-11162040-11242021-08-011281508151110.1111/jdi.13482Preoperative fundus examination in patients with diabetes scheduled for surgeryHirotaka Watanabe0Mitsuyoshi Takahara1Naoto Katakami2Taka‐aki Matsuoka3Iichiro Shimomura4Department of Metabolic Medicine Osaka University Graduate School of Medicine Suita City Osaka JapanDepartment of Diabetes Care Medicine Osaka University Graduate School of Medicine Suita City Osaka JapanDepartment of Atherosclerosis and Metabolism Osaka University Graduate School of Medicine Suita City Osaka JapanDepartment of Metabolic Medicine Osaka University Graduate School of Medicine Suita City Osaka JapanDepartment of Metabolic Medicine Osaka University Graduate School of Medicine Suita City Osaka JapanAbstract This study aimed to show the proportion of fundus examinations in patients with diabetes who were scheduled for surgery. We retrospectively analyzed 455 consecutive patients with diabetes admitted for surgery. Just 49% had fundus examinations before hospitalization. The decision tree analysis showed that the type of family doctor was the first split associated with fundus examination; patients treated by a diabetes specialist were more likely to receive the examination. In this subgroup, glycated hemoglobin levels ≥8.0% and age ≥71 years were associated with a lower proportion of receiving the examination. In patients whose family doctor was not a diabetes specialist, glycated hemoglobin levels <7.2% and body mass index <27.4 kg/m2 without severe comorbidities were associated with a higher proportion of receiving the examination. In conclusion, half of patients scheduled for surgery did not receive fundus examinations. A high‐risk population for not receiving the examination varied with the consultation setting.https://doi.org/10.1111/jdi.13482Preoperative fundus examinationSurgeryType of family doctor |
| spellingShingle | Hirotaka Watanabe Mitsuyoshi Takahara Naoto Katakami Taka‐aki Matsuoka Iichiro Shimomura Preoperative fundus examination in patients with diabetes scheduled for surgery Journal of Diabetes Investigation Preoperative fundus examination Surgery Type of family doctor |
| title | Preoperative fundus examination in patients with diabetes scheduled for surgery |
| title_full | Preoperative fundus examination in patients with diabetes scheduled for surgery |
| title_fullStr | Preoperative fundus examination in patients with diabetes scheduled for surgery |
| title_full_unstemmed | Preoperative fundus examination in patients with diabetes scheduled for surgery |
| title_short | Preoperative fundus examination in patients with diabetes scheduled for surgery |
| title_sort | preoperative fundus examination in patients with diabetes scheduled for surgery |
| topic | Preoperative fundus examination Surgery Type of family doctor |
| url | https://doi.org/10.1111/jdi.13482 |
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