Eye and foot checks in patients with diabetes on haemodialysis: Are they done,and who does them?

来源 :World Journal of Diabetes | 被引量 : 0次 | 上传用户:liongliong442
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AIM To determine if retinal and foot checks are carried out on patients with diabetes receiving haemodialysis.METHODS Eighty-four patients with diabetes receiving haemodialysis were asked if they recalled having eye and foot screening in the last year, and if so, by whom was the check done.RESULTS Seventy-seven(91.7%) patients recalled having an eye check in the preceding 12 mo. Of these, 52(67.5%) did so in an ophthalmology clinic, 17(22%) in retinal screening, three(3.9%) in an optician clinic. Three patients(3.9%) went to both ophthalmology and retinal screening, and two (2.6%) attended an ophthalmology and optician. Seventy (83.3%) patients recalled having a foot check in the preceding 12 mo. Of these, 33 (47.1%) were done by practice nurse, 14 (20%) by a diabetes nurse, 11 (15.7%) by a general practitioner, eight (11.4%) by a chiropodist, and four (5.7%) were each checked by renal nurse, diabetes consultant, junior doctor, or unknown person at a foot clinic.CONCLUSION Most patients with diabetes on haemodialysis are able to recall having an eye check in the last year, although 8.3% could not. A significant proportion of patients could not recall having a foot check (16.7%) in the last year. This baseline audit suggests that an improvement in the rate of foot screening is important to achieve in patients with diabetes on haemodialysis in our unit. AIM To determine if retinal and foot checks are carried out on patients with diabetes receiving hamodialysis. METHODS Eighty-four patients with diabetes receiving haemodialysis were asked if they recalled having eye and foot screening in the last year, and if so, by whom was the Of these, 52 (67.5%) did so in an opthalmology clinic, 17 (22%) in retinal screening, three (3.9 Three patients (3.9%) went to both ophthalmology and retinal screening, and two (2.6%) attended an ophthalmology and optician. Seventy (83.3%) patients recalled having a foot check in the previous 12 mo. (15.4%) by a general practitioner, eight (11.4%) by a chiropodist, and four (5.7%) were each checked by renal nurse, diabetes consultant, junior doctor, or unknown person at a foot clinic .CONCLUSION Most patient s with diabetes on haemodialysis are able to recall having an eye check in the last year, although 8.3% could not. A significant proportion of patients could recall without a foot check (16.7%) in the last year. This baseline audit suggests that an improvement in the rate of foot screening is important to achieve in patients with diabetes on haemodialysis in our unit.
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