Nurse-led diabetic retinopathy screening: a pilot study to evaluate a new approach to vision care for Canadian Aboriginal peoples
Diabetic retinopathy is the most common cause of new cases of blindness and is pandemic among Aboriginal people around the world. To reduce health inequities, accessible vision screening among these high-risk populations is essential. To assess cardio-metabolic co-morbidities associated with type 2...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2018-01-01
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| Series: | International Journal of Circumpolar Health |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/22423982.2017.1422670 |
| _version_ | 1811335059855114240 |
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| author | Shelley Spurr Carol Bullin Jill Bally Krista Trinder Shahab Khan |
| author_facet | Shelley Spurr Carol Bullin Jill Bally Krista Trinder Shahab Khan |
| author_sort | Shelley Spurr |
| collection | DOAJ |
| description | Diabetic retinopathy is the most common cause of new cases of blindness and is pandemic among Aboriginal people around the world. To reduce health inequities, accessible vision screening among these high-risk populations is essential. To assess cardio-metabolic co-morbidities associated with type 2 diabetes and the use of a portable fundus camera as a novel approach for convenient, earlier and more accessible vision screening for Aboriginal peoples living with type 2 diabetes in northern and remote Canadian communities. This quantitative pilot study screened participants diagnosed with type 2 diabetes for commonly associated cardio-metabolic co-morbidities using anthropometrical measurements, blood pressure and a A1c (HbA1c) blood glucose test, followed by vision exams conducted first by a trained nurse and then by an ophthalmologist to screen for signs of retinopathy using fundus photography. Large numbers of the participants presented with overweight/obese (84.8%), pre-hypertension/hypertension (69.7%) and an elevated A1C (78.8%). Inter-rater reliability demonstrated substantial agreement between vision exam judgements made by the nurse and ophthalmologist (k = .67). Nurse-led vision screening in remote or northern communities can improve the standard of care by extending access to health services, lowering the costs to families by reducing travel expenses and preventing vision loss in a family member. |
| first_indexed | 2024-04-13T17:18:24Z |
| format | Article |
| id | doaj.art-51d606c1bbd24b55baa6b8f90f6f6879 |
| institution | Directory Open Access Journal |
| issn | 2242-3982 |
| language | English |
| last_indexed | 2024-04-13T17:18:24Z |
| publishDate | 2018-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | International Journal of Circumpolar Health |
| spelling | doaj.art-51d606c1bbd24b55baa6b8f90f6f68792022-12-22T02:38:04ZengTaylor & Francis GroupInternational Journal of Circumpolar Health2242-39822018-01-0177110.1080/22423982.2017.14226701422670Nurse-led diabetic retinopathy screening: a pilot study to evaluate a new approach to vision care for Canadian Aboriginal peoplesShelley Spurr0Carol Bullin1Jill Bally2Krista Trinder3Shahab Khan4University of SaskatchewanUniversity of SaskatchewanUniversity of SaskatchewanUniversity of SaskatchewanPrince Albert, CanadaDiabetic retinopathy is the most common cause of new cases of blindness and is pandemic among Aboriginal people around the world. To reduce health inequities, accessible vision screening among these high-risk populations is essential. To assess cardio-metabolic co-morbidities associated with type 2 diabetes and the use of a portable fundus camera as a novel approach for convenient, earlier and more accessible vision screening for Aboriginal peoples living with type 2 diabetes in northern and remote Canadian communities. This quantitative pilot study screened participants diagnosed with type 2 diabetes for commonly associated cardio-metabolic co-morbidities using anthropometrical measurements, blood pressure and a A1c (HbA1c) blood glucose test, followed by vision exams conducted first by a trained nurse and then by an ophthalmologist to screen for signs of retinopathy using fundus photography. Large numbers of the participants presented with overweight/obese (84.8%), pre-hypertension/hypertension (69.7%) and an elevated A1C (78.8%). Inter-rater reliability demonstrated substantial agreement between vision exam judgements made by the nurse and ophthalmologist (k = .67). Nurse-led vision screening in remote or northern communities can improve the standard of care by extending access to health services, lowering the costs to families by reducing travel expenses and preventing vision loss in a family member.http://dx.doi.org/10.1080/22423982.2017.1422670Aboriginaltype 2 diabetesretinopathynurse-led vision careCanadian |
| spellingShingle | Shelley Spurr Carol Bullin Jill Bally Krista Trinder Shahab Khan Nurse-led diabetic retinopathy screening: a pilot study to evaluate a new approach to vision care for Canadian Aboriginal peoples International Journal of Circumpolar Health Aboriginal type 2 diabetes retinopathy nurse-led vision care Canadian |
| title | Nurse-led diabetic retinopathy screening: a pilot study to evaluate a new approach to vision care for Canadian Aboriginal peoples |
| title_full | Nurse-led diabetic retinopathy screening: a pilot study to evaluate a new approach to vision care for Canadian Aboriginal peoples |
| title_fullStr | Nurse-led diabetic retinopathy screening: a pilot study to evaluate a new approach to vision care for Canadian Aboriginal peoples |
| title_full_unstemmed | Nurse-led diabetic retinopathy screening: a pilot study to evaluate a new approach to vision care for Canadian Aboriginal peoples |
| title_short | Nurse-led diabetic retinopathy screening: a pilot study to evaluate a new approach to vision care for Canadian Aboriginal peoples |
| title_sort | nurse led diabetic retinopathy screening a pilot study to evaluate a new approach to vision care for canadian aboriginal peoples |
| topic | Aboriginal type 2 diabetes retinopathy nurse-led vision care Canadian |
| url | http://dx.doi.org/10.1080/22423982.2017.1422670 |
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