Patient-reported reasons for delay in diagnosis of age-related macular degeneration: a national survey

Parfitt, Alice; Boxell, Emily; Amoaku, Winfried M; Bradley, Clare

Abstract

© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. Objectives To investigate whether people with age-related macular degeneration (AMD) are able to self-detect symptoms and, if so, what symptoms they experience, from whom they first seek help, whether help is sought within the 1 week recommended by the Royal College of Ophthalmologists' guidelines and reasons for any delay. Methods and analysis A retrospective, cross-sectional survey design. Postal surveys were sent to 4000 members of the UK Macular Society. Inclusion criteria were participants aged >50 years at diagnosis of AMD with diagnosis after August 2008; criteria were met by 621 respondents. The main outcome was reasons for delays in diagnosis for wet AMD. Data were analysed using χ 2 and conventional content analysis. Results Only one third (n=199; 32%) of respondents were able to self-detect symptoms. In line with national guidance, over half (n=131; 64%) of those self-detecting symptoms sought help promptly. For those whose initial diagnosis was delayed more than 1 week, 27% had potentially treatable wet AMD requiring urgent treatment to prevent vision loss. Reasons for delay reflected individual & service-related issues, including AMD not being detected in the initial consultation, and individuals not perceiving the urgency for symptom investigation. Conclusion In practice most patients sought help within 1 week; however, potentially sight-damaging delays occurred from symptom onset to diagnosis. Suggestions for reducing delay include increasing population awareness of AMD symptoms, the need for urgent detection and close monitoring for AMD and signposting patients to appropriate support services to ensure prompt detection of any future signs of wet AMD.

Citation

Parfitt, A., Boxell, E., Amoaku, W. M., & Bradley, C. (2019). Patient-reported reasons for delay in diagnosis of age-related macular degeneration: a national survey. BMJ Open Ophthalmology, 4(1), Article e000276. https://doi.org/10.1136/bmjophth-2019-000276

• Journal Article Type: Article
• Acceptance Date: Sep 9, 2019
• Online Publication Date: Oct 30, 2019
• Publication Date: 2019-10
• Deposit Date: Oct 31, 2019
• Publicly Available Date: Oct 31, 2019
• Journal: BMJ Open Ophthalmology
• Print ISSN: 2397-3269
• Electronic ISSN: 2397-3269
• Publisher: BMJ Publishing Group
• Peer Reviewed: Peer Reviewed
• Volume: 4
• Issue: 1
• Article Number: e000276
• DOI: https://doi.org/10.1136/bmjophth-2019-000276
• Public URL: https://nottingham-repository.worktribe.com/output/3000155
• Publisher URL: https://bmjophth.bmj.com/content/4/1/e000276
• Contract Date: Oct 31, 2019