Table 2

DFE follow-up and longitudinal utilization univariable analysis by patient characteristics

VariableValuesnAdherence to initial follow-upNumber of DFEs per year over entire follow-up period
 n (%)p ValueMean
(95% CI)
p Value
SeveritySevere393257 (65.39) <0.0001 1.45 (1.34 to 1.58) <0.0001
Moderate10747 (43.93)0.54 (0.42 to 0.71)
 Mild1468515 (35.08)0.39 (0.36 to 0.43)
GenderF1077432 (40.11)0.130.58 (0.54 to 0.64)0.16
M890387 (43.48)0.64 (0.58 to 0.70)
Age<651369541 (39.52) 0.0043 0.61 (0.57 to 0.66)0.70
≥ 65599278 (46.41)0.60 (0.53 to 0.67)
Ethnicity/raceAfrican-American1321538 (40.73)0.580.57 (0.53 to 0.62) 0.0047
Asian7636 (47.37)0.93 (0.72 to 1.19)
Caucasian391164 (41.94)0.59 (0.51 to 0.68)
Latino/Hispanic13962 (44.6)0.69 (0.55 to 0.86)
BCVA in worse eyeNormal vision (20/60 or better)1369455 (33.24) <0.0001 0.44 (0.40 to 0.48) <0.0001
Visual impairment (20/70 or worse)537339 (63.13)1.05 (0.96 to 1.15)
HbA1c in chartYes482244 (50.62) <0.0001 0.90 (0.82 to 1.00) <0.0001
No1486575 (38.69)0.51 (0.48 to 0.56)
Blood sugar in chartYes1350612 (45.33) <0.0001 0.70 (0.65 to 0.75) <0.0001
No618207 (33.5)0.42 (0.36 to 0.48)
Wears glassesYes1257500 (39.78)0.110.54 (0.5 to 0.59) 0.0001
No675294 (43.56)0.7 (0.64 to 0.78)
Current smoking statusYes406117 (28.82) <0.0001 0.4 (0.33 to 0.47) <0.0001
No1537697 (45.35)0.67 (0.63 to 0.72)
InsuranceNo insurance340147 (43.24) 0.0008 0.69 (0.6 to 0.8) 0.0095
Medicaid555199 (35.86)0.52 (0.45 to 0.59)
Medicare413204 (49.39)0.66 (0.58 to 0.75)
Medicaid+Medicare4014 (35)0.4 (0.23 to 0.71)
Private/other/vision620255 (41.13)0.62 (0.55 to 0.69)
Neighborhood deprivation index1 (low SES)1375561 (40.8)0.270.58 (0.54 to 0.63) 0.0057
2345146 (42.32)0.75 (0.65 to 0.85)
313868 (49.28)0.49 (0.38 to 0.64)
4 (high SES)11044 (40)0.62 (0.47 to 0.81)
Medications (insulin)Yes571280 (49.04) <0.0001 0.75 (0.68 to 0.83) <0.0001
No1397539 (38.58)0.55 (0.51 to 0.59)
Medications (diabetes)Yes1507624 (41.41)0.730.59 (0.55 to 0.64)0.13
No461195 (42.3)0.66 (0.58 to 0.75)
Medications (hypertension)Yes1230522 (42.44)0.340.60 (0.55 to 0.65)0.54
No738297 (40.24)0.62 (0.56 to 0.69)
Medications (hyperlipidemia)Yes742322 (43.4)0.210.56 (0.5 to 0.62) 0.047
No1226497 (40.54)0.64 (0.59 to 0.69)
Medications (mental health)Yes24283 (34.30) 0.013 0.41 (0.33 to 0.51) <0.0001
No1666712 (42.74)0.64 (0.60 to 0.68)
Driving distance0–5 miles665278 (41.8)0.400.52 (0.47 to 0.59) 0.0066
5–25 miles1116455 (40.77)0.66 (0.6 to 0.71)
≥25 miles18786 (45.99)0.62 (0.51 to 0.76)
CataractYes321168 (52.34) <0.0001 0.67 (0.57 to 0.78)0.21
No1647651 (39.53)0.60 (0.56 to 0.64)
GlaucomaYes19298 (51.04) 0.0053 0.68 (0.56 to 0.82)0.26
No1776721 (40.6)0.60 (0.56 to 0.64)
Non-diabetic retinal diseaseYes203156 (76.85) <0.0001 1.46 (1.3 to 1.64) <0.0001
No1765663 (37.56)0.5 (0.47 to 0.54)
Other ocular comorbidityYes1222568 (46.48) <0.0001 0.71 (0.65 to 0.76) <0.0001
No746251 (33.65)0.46 (0.41 to 0.51)
  • Bold indicates p values that reach significance.

  • DFE, dilated fundus exam; BCVA, best-corrected visual acuity; HbA1c,hemoglobin A1c; SES, socioeconomic status.