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Trends in the use of eye care services in adults treated for diabetes between 2008 and 2017 in France: A nationwide study

Ophthalmic Research Jan 31, 2020

Cougnard-Grégoire A, Korobelnik JF, Delyfer MN, et al. - Researchers aimed at reporting the use of eye care services among adults managed for diabetes from 2008 to 2017 in the French population. the French national health insurance database provided data of adults treated for diabetes. Using reimbursement codes, they extracted data regarding visits to ophthalmologists, eye examination procedures and medical treatments. From 2008 to 2017, they performed cross-sectional analyses of eye care claims each year. Among participants, less than 50% reported undergoing an annual eye examination (2008: 44.7%; 2017: 47.9%), and there were less than two-thirds who underwent a biennial eye examination (2008-2009: 62.6%; 2016-2017: 66.4%). From 2008 to 2017, a steady and marked increase in the yearly use of optical coherence tomography examinations from 2.7% to 16.2% was observed, while there was a decrease in the use of fluorescein and indocyanine green angiographies from 2.4% to 0.9%. In the same period, increase in the yearly rate of intravitreal injection occurred from 0.3% to 1.5%, and decrease in the use of laser photocoagulation occurred progressively from 2008 to 2014 (1.3% vs 0.7%) but there was a slight increase from 2015 to 2017 (0.8% vs 1.0%). They recommend implementing strategies to increase compliance with eye care recommendations in order to promote early detection and management of diabetic eye complications.
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