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Master Thesis

Étude des obstacles au dépistage de la rétinopathie diabétique selon le niveau de précarité

Abstract : Objective. - Deprivation generates an increased incidence of diabetes and its complications, as well as a lower recourse to screening. Now screening for diabetic retinopathy (DR) is insufficient in France. This work aimed at studying, among a population living in urban renewal zones (ZUS), the hindrances to DR screening and their links with the level of deprivation as assessed by the EPICES score. Research design and methods. - This descriptive study has been based on the patients with diabetes of 17 general practitioners working within a radius of 1 km centered on a ZUS. In a first retrospective stage, data transmitted by the health insurance have been analyzed. Then in the second stage, a questionnaire has been filled in for one fifth of this population. Results. - Compared with all the French patients with diabetes, the 434 selected ones were more frequently women (a sex ratio of 0,69 versus 1,1), with less regular visits to ophthalmologists (27% of annual visits against 50% on national level), they had an older diabetes, a better glycemic supervision and a less frequently high BMI. The main hindrances to DR screening were the wait to get an ophthalmoscopy, the cost of the visit and a lack of information. Deprivation was in keeping with the first two hindrances mentioned, and with insufficient ophthalmologic supervision. Conclusion. - Joining the DR screening is limited by the wait and the cost of visits to the ophthalmologists, as well as by a lack of information. What is more, it is closely linked to the level of deprivation of patients.
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Master Thesis
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Submitted on : Monday, July 1, 2013 - 11:53:27 AM
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  • HAL Id : dumas-00839969, version 1


Céline Verdet. Étude des obstacles au dépistage de la rétinopathie diabétique selon le niveau de précarité. Médecine humaine et pathologie. 2013. ⟨dumas-00839969⟩



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