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Proliferative diabetic retinopathy referrals from diabetic retinopathy screening service Wales (DRSSW) - role of fast track referral system

Poster Details

First Author: S.Gudsoorkar UK

Co Author(s):    S. Hale                  0   0 0   0 0   0 0   0 0

Abstract Details


The previous audits of proliferative diabetic retinopathy(R3) referrals from DRSSW showed that only 12% (2007 ) and 18%(2009) of these referrals were seen in the diabetic retinopathy clinics within 2 weeks in comparision to a minimum of 60% as per NSC criteria. A robust fast track referral system was introduced to improve these figures and prevent the delay in treating this vision threatening problem. This retrospective audit was done to confirm that the changes implemented were effective meeting the standards


University Hospital of Wales ,Cardiff


A retrospective audit with the data of all patients referred with possible proliferative diabetic retinopathy obtained from DRSSW referral database. Further information regarding date and mode of referral , date of clinic appointment , diagnosis , date of laser treatment if necessary were obtained from the clinical portal of Cardiff and Vale Local Health Board


76.3% patients were offered appointments within 2 weeks and 84.2% within 4 weeks meeting the NSC criteria of 60% < 2weeks and 80% <4 weeks. The standards for timescales for Screening to laser (82.4% <6 weeks) and listing to laser (94%< 2 weeks) were also met.


Implementation of a robust fast track referral system was effective in NSC meeting the criteria and successfully closing the audit loop.

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