Preoperative fundus examination in patients with diabetes scheduled for surgery

• Published in: Journal of diabetes investigation Vol. 12; no. 8; pp. 1508 - 1511
• Main Authors: Watanabe, Hirotaka, Takahara, Mitsuyoshi, Katakami, Naoto, Matsuoka, Taka‐aki, Shimomura, Iichiro
• Format: Journal Article
• Language: English
• Published: Japan John Wiley & Sons, Inc 01.08.2021; John Wiley and Sons Inc; Wiley
• Subjects: Age; Age Factors; Aged; Aged, 80 and over; Body Mass Index; Clinical medicine; Decision Trees; Diabetes; Diabetes mellitus; Diabetes Mellitus - diagnosis; Diabetic Retinopathy - complications; Female; Fundus Oculi; General Surgery; Glycated Hemoglobin A - analysis; Hemoglobin; Hospitalization; Humans; Male; Medical personnel; Middle Aged; Patients; Population; Preoperative Care - methods; Preoperative fundus examination; Retrospective Studies; Short Report; Surgery; Type of family doctor; Variables; Japan; Type of family doctor; Preoperative fundus examination; Surgery
• ISSN: 2040-1116; 2040-1124
• DOI: 10.1111/jdi.13482

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. We investigated the proportion of fundus examinations in patients with diabetes scheduled for surgery. Only approximately half of these patients had fundus examination. Clinical variables associated with receiving the examination were not identical between diabetes specialists and non‐specialists.