Share & correlation of data between the South-East Anglia Diabetic Retinopathy Screening Services (SEA-DRSS) & Addenbrooke’s University Hospital Diabetic Retinopathy Service (AUH-DRS)

Purpose The SEA-DRSS refer mainly to AUH-DRS. To better monitor outcomes, a database of referrals was created aimed to establish a network between SEA-DRSS &AUH-DRS to share &correlate data. 1. To assess referrals from SEA-DRSS to AUH-DRS &once assessed to monitor outcomes. 2. Are NICE referral guidelines being met &to predict impact on AUH-DRS. Methods Prospective data of referrals &review of 50 patients in database from July–September 2009. All referral data recorded &at hospital assessment: visual acuities, ocular &systemic co-morbidity, BP, HBA1c, grading according to DRS & EDTRS, outcomes for treatment &follow-up. Results Data were collected for 46 patients with 3(6%) non-attendance. Male:female=1.2: 1 DMType1:Type2=1:8 Mean age 26yrs DM Type1; 64yrs for DM Type2. 9.6w between referral &assessment. Meeting NICE guidelines &DR progression due to delay will be discussed. Correlation of VA &grading data between SEA-DRSS &AUH-DRS will be compared by statistical analysis taking contributing factors for DR like BP &HBA1c into account. Laser required by 16% with treatment &frequency will be discussed. Of 16(32%) referred for cataracts 50% were listed for surgery. 92% required follow-up &we plan to elaborate on the impact on AUH-DRS. Conclusion Increased demand is generated by referrals. Though few required laser, there is significant follow-up required. Efficient &accurate DRSS-referrals need to be matched in assessment by excellent hospital-DRS with capacity to provide laser/surgical treatments &follow-up. Prospective review of referrals &outcomes is required for future planning &cost-structuring of AUH-DRS.