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Table 4 shows the risk factor profile by retinal screening grade.
Patient records included patient sex, date of diagnosis of diabetes, type of diabetes, screening dates, and latest screening grade.
However these recommendations were predominantly consensus-driven, due to insufficient evidence of direct benefits from screening (Grade D) [ 14, 15].
We also tabulated the proportion with each screening grade that comprises STDR and the proportion with STDR by age, sex, ethnicity, and deprivation.
Data for second or later screens were grouped according to their first-ever screening grade (mild nonproliferative retinopathy or no retinopathy) after excluding participants with STDR at the first screen.
Appointment records specified the date and time of the appointment, the patient's age at the appointment, whether or not the appointment was cancelled and the reason for cancellation, and the screening grade given as an outcome of the appointment.
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All subjects underwent a screening graded treadmill test to exclude those with asymptomatic coronary artery disease.
The R-grade distributions at baseline in the model were taken from the first screening grades on record for each type 2 diabetic patient in the Royal Devon and Exeter data.
From a public health perspective, this study illustrated the initiative to implement the Reference Framework for Hypertension Care into action to screen grade 1 hypertensive subjects in primary care settings in Hong Kong where the prevalence of hypertension is increasing.
A logistic regression model was used to evaluate whether the year of first-ever screen, or grade at first-ever screen, affected the linear trend between screening year and frequency of STDR among participants attending for a second or subsequent screen (adjusting for age-group, sex, ethnicity, deprivation, and duration of diabetes and using one episode per participant per year).
It gave lung cancer screening a grade of B, on a par with mammography.
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