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...
Published in: | International Journal of Circumpolar Health |
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2018
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Online Access: | https://doi.org/10.1080/22423982.2017.1422670 https://doaj.org/article/51d606c1bbd24b55baa6b8f90f6f6879 |
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ftdoajarticles:oai:doaj.org/article:51d606c1bbd24b55baa6b8f90f6f6879 2023-05-15T15:08:26+02:00 Nurse-led diabetic retinopathy screening: a pilot study to evaluate a new approach to vision care for Canadian Aboriginal peoples Shelley Spurr Carol Bullin Jill Bally Krista Trinder Shahab Khan 2018-01-01T00:00:00Z https://doi.org/10.1080/22423982.2017.1422670 https://doaj.org/article/51d606c1bbd24b55baa6b8f90f6f6879 EN eng Taylor & Francis Group http://dx.doi.org/10.1080/22423982.2017.1422670 https://doaj.org/toc/2242-3982 2242-3982 doi:10.1080/22423982.2017.1422670 https://doaj.org/article/51d606c1bbd24b55baa6b8f90f6f6879 International Journal of Circumpolar Health, Vol 77, Iss 1 (2018) Aboriginal type 2 diabetes retinopathy nurse-led vision care Canadian Arctic medicine. Tropical medicine RC955-962 article 2018 ftdoajarticles https://doi.org/10.1080/22423982.2017.1422670 2022-12-30T23:05:04Z 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. Article in Journal/Newspaper Arctic Circumpolar Health International Journal of Circumpolar Health Directory of Open Access Journals: DOAJ Articles Arctic International Journal of Circumpolar Health 77 1 1422670 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Aboriginal type 2 diabetes retinopathy nurse-led vision care Canadian Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Aboriginal type 2 diabetes retinopathy nurse-led vision care Canadian Arctic medicine. Tropical medicine RC955-962 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 |
topic_facet |
Aboriginal type 2 diabetes retinopathy nurse-led vision care Canadian Arctic medicine. Tropical medicine RC955-962 |
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. |
format |
Article in Journal/Newspaper |
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 |
title |
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_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_sort |
nurse-led diabetic retinopathy screening: a pilot study to evaluate a new approach to vision care for canadian aboriginal peoples |
publisher |
Taylor & Francis Group |
publishDate |
2018 |
url |
https://doi.org/10.1080/22423982.2017.1422670 https://doaj.org/article/51d606c1bbd24b55baa6b8f90f6f6879 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic Circumpolar Health International Journal of Circumpolar Health |
genre_facet |
Arctic Circumpolar Health International Journal of Circumpolar Health |
op_source |
International Journal of Circumpolar Health, Vol 77, Iss 1 (2018) |
op_relation |
http://dx.doi.org/10.1080/22423982.2017.1422670 https://doaj.org/toc/2242-3982 2242-3982 doi:10.1080/22423982.2017.1422670 https://doaj.org/article/51d606c1bbd24b55baa6b8f90f6f6879 |
op_doi |
https://doi.org/10.1080/22423982.2017.1422670 |
container_title |
International Journal of Circumpolar Health |
container_volume |
77 |
container_issue |
1 |
container_start_page |
1422670 |
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1766339796530102272 |