![]() Primary care professionals documented a fundoscopic examination for 93 patients (12.1%) all results were documented as normal. RESULTS: Among the 767 adult patients with diabetes included in the analysis, 387 (50.5%) were female, and the median age was 64 years (IQR, 54-71 years). The PCP examination results were compared with diagnoses made by eye care professionals to assess the sensitivity and accuracy of the findings from PCP examinations. Univariate and multivariable logistic regression analyses were performed to identify patient, clinician, and clinic factors associated with PCPs performing fundoscopy at least once in the calendar year. ![]() MAIN OUTCOMES AND MEASURES: The frequency of PCPs performing fundoscopy at least once in the calendar year for patients with diabetes. EXPOSURE: Fundoscopic examination by PCPs. Data analysis was performed from January 2021 to May 2022. Data from 2001 encounters were abstracted from the electronic health record for a random sample of 767 patients. From a single-institution primary care network of 28 clinics, 7449 adult patients with diabetes seen at least once in the primary care network in 2019 were eligible for this study. DESIGN, SETTING, AND PARTICIPANTS: A retrospective cohort study was performed using random sampling and manual review of electronic health records of PCP fundoscopic examination documentation compared with documentation of an examination performed by an eye care professional (ophthalmologist or optometrist) within 2 years before or after primary care encounters. OBJECTIVES: To assess the practice patterns of fundoscopic examination for DR screening in a large primary care network and to evaluate the sensitivity and accuracy of PCP fundoscopy for detecting DR. ![]() Data on current DR screening practice patterns in primary care are needed to inform screening strategies. ![]() IMPORTANCE: Primary care professionals (PCPs) have a central role in screening for diabetic retinopathy (DR), especially in settings where access to specialty eye care is limited. ![]()
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