Abstract
ABSTRACT
Introduction The diabetes mellitus (DM) epidemic is a
major public health concern globally, with the highestburden in low-income and middle-income countries
(LMICs). Diabetic retinopathy (DR) is a microvascular
complication of diabetes, and if left untreated can lead to
visual impairment and blindness. Epidemiological studies
suggest that the incidence of sight-threatening DR is
decreasing in high-income countries due to improved
treatments and management of DM; however, these trends
are not replicated in LMICs. In this paper, we outline a
scoping review protocol that aims to identify which LMICs
have included DR in their national DM, non-communicable
disease or prevention of blindness plans. The scoping
review also aims to assess gaps when implementing
national DR screening programmes in LMICs.
Methods and analysis This scoping review will follow the
Arksey and O’Malley (2005) methodology and the Preferred
Reporting Items for Systematic Review and Meta-Analysis
extension for Scoping Review guidelines. A comprehensive
search of peer-reviewed and grey literature will be conducted
from October 1989 (St. Vincent Declaration) to February
2020. Studies will be identified from electronic databases;
Medline, Embase and CENTRAL (Cochrane Library). To
identify further relevant articles, a hand search will be
conducted using the reference lists of included studies. Two
reviewers will independently screen records for relevant data
and disagreements about eligibility will be resolved through
consensus or arbitration by a third reviewer. A quantitative
analysis will be performed to highlight key findings and
thematic analysis will be used to identify emerging themes
and subthemes from included studies. The key themes will
highlight countries progress in terms of national-level DR
service planning and screening implementation.
Ethics and dissemination No ethical approval is
required because the scoping review methodology aims to
synthesise information from publicly available resources.
The results will be disseminated through conference
presentations and peer-reviewed publication.
Original language | English |
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Article number | e038647 |
Number of pages | 5 |
Journal | BMJ Open |
Volume | 10 |
Publication status | Published - 18 Sept 2020 |
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Dive into the research topics of 'Inclusion of Diabetic Retinopathy Screening Strategies in National Level Diabetes Care 1 Planning in Low and Middle-Income Settings: Protocol for a Scoping Review'. Together they form a unique fingerprint.Student theses
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Building capacity for diabetic eye screening and management in low-middle income countries: A mixed-methods approach
Curran, K. (Author), Congdon, N. (Supervisor), Peto, T. (Supervisor) & Lohfeld, L. (Supervisor), Jul 2021Student thesis: Doctoral Thesis › Doctor of Philosophy
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