Self-Reported Awareness of Retinopathy Severity in Diabetic Patients

Yaqoob Qaseem,1 Sahej Samra,1 Olga German,1 Elizabeth Gray,2 Manjot K Gill1 1Department of Ophthalmology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; 2Biostatistics Collaboration Center, Feinberg School of Medicine, Northwestern University, Chicago, IL, USACorrespondence:...

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Autores principales:	Qaseem Y, Samra S, German O, Gray E, Gill MK
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	diabetic retinopathy diabetes survey severity perception awareness understanding anti-vegf barriers screening accuracy self-report Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/1cb8ea622b6441439a14436eaee61c45
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spelling	oai:doaj.org-article:1cb8ea622b6441439a14436eaee61c452021-12-02T08:06:14ZSelf-Reported Awareness of Retinopathy Severity in Diabetic Patients1177-5483https://doaj.org/article/1cb8ea622b6441439a14436eaee61c452020-09-01T00:00:00Zhttps://www.dovepress.com/self-reported-awareness-of-retinopathy-severity-in-diabetic-patients-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Yaqoob Qaseem,1 Sahej Samra,1 Olga German,1 Elizabeth Gray,2 Manjot K Gill1 1Department of Ophthalmology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; 2Biostatistics Collaboration Center, Feinberg School of Medicine, Northwestern University, Chicago, IL, USACorrespondence: Manjot K GillDepartment of Ophthalmology, Feinberg School of Medicine, Northwestern University, Suite 440, 645 N Michigan Avenue, Chicago, IL 60611, USATel +1 312-908-8152Email mgill@nm.orgBackground: Diabetic retinopathy (DR) may be asymptomatic in both mild and advanced stages. A patient’s accurate perception of their DR severity may therefore be critical for effective self-management behaviors and understanding the need for timely intervention and follow-up.Purpose: To evaluate the relationship between self-reported and actual retinopathy severity in diabetic patients.Methods: This study was a single-center cross-sectional survey. Diabetic patients identified by enterprise data warehouse were sent an online questionnaire where they were asked to self-assess for presence of DR and grade their severity. Actual DR grading was determined via chart review. The primary outcome measures were patient-assessed DR severity and agreement with actual DR severity.Results: Of 3208 invitations sent, 324 (10%) patients responded and 319 responses were analyzed. The data showed that 39 of 253 (15%) with no DR, 26 of 40 (65%) with mild/moderate DR, and 24 of 26 (92%) with severe DR believed they had DR (p< 0.001). Of those with no DR, 214 of 253 (85%) accurately assessed absence of DR. Of those with mild/moderate DR, 25 of 40 (63%) accurately assessed their severity, 14 of 40 (35%) believed they had no DR, and 1 of 40 (3%) believed they had severe DR. In patients with severe DR, 9 of 26 (35%) correctly assessed their severity, 15 of 26 (58%) believed they had mild/moderate DR, and 2 of 26 (8%) believed they had no DR.Conclusion: Patients with severe DR were the most likely to report presence of DR, but often underestimated their disease severity. Many with mild/moderate DR did not realize they had DR. This consistent underestimation of severity across all a significant barrier to timely follow-up and treatment necessary to prevent future visual impairment.Keywords: diabetic retinopathy, diabetes, survey, severity, perception, awareness, understanding, anti-VEGF, barriers, screening, accuracy, self-reportQaseem YSamra SGerman OGray EGill MKDove Medical Pressarticlediabetic retinopathydiabetessurveyseverityperceptionawarenessunderstandinganti-vegfbarriersscreeningaccuracyself-reportOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 2855-2863 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	diabetic retinopathy diabetes survey severity perception awareness understanding anti-vegf barriers screening accuracy self-report Ophthalmology RE1-994
spellingShingle	diabetic retinopathy diabetes survey severity perception awareness understanding anti-vegf barriers screening accuracy self-report Ophthalmology RE1-994 Qaseem Y Samra S German O Gray E Gill MK Self-Reported Awareness of Retinopathy Severity in Diabetic Patients
description	Yaqoob Qaseem,1 Sahej Samra,1 Olga German,1 Elizabeth Gray,2 Manjot K Gill1 1Department of Ophthalmology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; 2Biostatistics Collaboration Center, Feinberg School of Medicine, Northwestern University, Chicago, IL, USACorrespondence: Manjot K GillDepartment of Ophthalmology, Feinberg School of Medicine, Northwestern University, Suite 440, 645 N Michigan Avenue, Chicago, IL 60611, USATel +1 312-908-8152Email mgill@nm.orgBackground: Diabetic retinopathy (DR) may be asymptomatic in both mild and advanced stages. A patient’s accurate perception of their DR severity may therefore be critical for effective self-management behaviors and understanding the need for timely intervention and follow-up.Purpose: To evaluate the relationship between self-reported and actual retinopathy severity in diabetic patients.Methods: This study was a single-center cross-sectional survey. Diabetic patients identified by enterprise data warehouse were sent an online questionnaire where they were asked to self-assess for presence of DR and grade their severity. Actual DR grading was determined via chart review. The primary outcome measures were patient-assessed DR severity and agreement with actual DR severity.Results: Of 3208 invitations sent, 324 (10%) patients responded and 319 responses were analyzed. The data showed that 39 of 253 (15%) with no DR, 26 of 40 (65%) with mild/moderate DR, and 24 of 26 (92%) with severe DR believed they had DR (p< 0.001). Of those with no DR, 214 of 253 (85%) accurately assessed absence of DR. Of those with mild/moderate DR, 25 of 40 (63%) accurately assessed their severity, 14 of 40 (35%) believed they had no DR, and 1 of 40 (3%) believed they had severe DR. In patients with severe DR, 9 of 26 (35%) correctly assessed their severity, 15 of 26 (58%) believed they had mild/moderate DR, and 2 of 26 (8%) believed they had no DR.Conclusion: Patients with severe DR were the most likely to report presence of DR, but often underestimated their disease severity. Many with mild/moderate DR did not realize they had DR. This consistent underestimation of severity across all a significant barrier to timely follow-up and treatment necessary to prevent future visual impairment.Keywords: diabetic retinopathy, diabetes, survey, severity, perception, awareness, understanding, anti-VEGF, barriers, screening, accuracy, self-report
format	article
author	Qaseem Y Samra S German O Gray E Gill MK
author_facet	Qaseem Y Samra S German O Gray E Gill MK
author_sort	Qaseem Y
title	Self-Reported Awareness of Retinopathy Severity in Diabetic Patients
title_short	Self-Reported Awareness of Retinopathy Severity in Diabetic Patients
title_full	Self-Reported Awareness of Retinopathy Severity in Diabetic Patients
title_fullStr	Self-Reported Awareness of Retinopathy Severity in Diabetic Patients
title_full_unstemmed	Self-Reported Awareness of Retinopathy Severity in Diabetic Patients
title_sort	self-reported awareness of retinopathy severity in diabetic patients
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/1cb8ea622b6441439a14436eaee61c45
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_version_	1718398649336070144

Self-Reported Awareness of Retinopathy Severity in Diabetic Patients

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