{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T15:24:09Z","timestamp":1776525849517,"version":"3.51.2"},"reference-count":46,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,1,30]],"date-time":"2025-01-30T00:00:00Z","timestamp":1738195200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["JP23K24585"],"award-info":[{"award-number":["JP23K24585"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["dom-pubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Obesity Metabolism"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study aimed to assess the relationship between individuals' recognition of ophthalmology consultation recommendations, their knowledge of the recommended frequency of diabetic retinopathy screening, and the likelihood of undergoing fundus examinations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional secondary analysis linked claims and health checkup data to a questionnaire survey. Questionnaires were distributed to randomly sampled National Health Insurance beneficiaries in Tsukuba City, using data from claims and health checkups. Weighting was applied based on sample extraction and response rates. We calculated the proportions of fundus examinations and knowledge of screening frequency according to the recognition of ophthalmology consultation recommendations. The association between visits to medical facilities with diabetes specialists and diabetic retinopathy screening was also examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 290 participants, 47.6% recognized ophthalmology consultation recommendations. Those who recognized these recommendations had better knowledge of the screening frequency (93.4% vs. 49.6%) and were more likely to undergo fundus examinations (72.9% vs. 30.1%; adjusted risk ratio 2.36; 95% CI, 1.65\u20133.38). Participants who visited medical facilities with diabetes specialists were more likely to recognize recommendations, have knowledge of screening frequency, and undergo fundus examinations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Recognition of ophthalmology consultation recommendations was associated with better knowledge of screening frequency and higher participation in fundus examinations. Increasing awareness through healthcare provider recommendations may improve diabetic retinopathy screening rates, highlighting the need for targeted interventions to promote eye care among individuals with diabetes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.16164","type":"journal-article","created":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T00:00:25Z","timestamp":1738281625000},"page":"1762-1772","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Recognition of ophthalmology consultation and fundus examination among individuals with diabetes in Japan: A cross\u2010sectional study using claims\u2010questionnaire linked data"],"prefix":"10.1111","volume":"27","author":[{"given":"Kouko","family":"Yamamoto","sequence":"first","affiliation":[{"name":"Department of Health Services Research, Graduate School of Comprehensive Human Sciences University of Tsukuba  Tsukuba, Ibaraki Japan"},{"name":"Department of Health Services Research, Institute of Medicine University of Tsukuba  Tsukuba, Ibaraki Japan"},{"name":"Diabetes and Metabolism Information Center, Research Institute National Center for Global Health and Medicine  Shinjuku\u2010Ku, Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noriko","family":"Ihana\u2010Sugiyama","sequence":"additional","affiliation":[{"name":"Diabetes and Metabolism Information Center, Research Institute National Center for Global Health and Medicine  Shinjuku\u2010Ku, Tokyo Japan"},{"name":"Department of Diabetes, Endocrinology, and Metabolism National Center for Global and Medicine Hospital  Shinjuku\u2010Ku, Tokyo Japan"},{"name":"Health Services Research and Development Center University of Tsukuba  Tsukuba, Ibaraki 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University of Tsukuba  Tsukuba, Ibaraki Japan"},{"name":"Department of Health Services Research, Institute of Medicine University of Tsukuba  Tsukuba, Ibaraki Japan"},{"name":"Diabetes and Metabolism Information Center, Research Institute National Center for Global Health and Medicine  Shinjuku\u2010Ku, Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akiko","family":"Wakui\u2010Kimura","sequence":"additional","affiliation":[{"name":"Diabetes and Metabolism Information Center, Research Institute National Center for Global Health and Medicine  Shinjuku\u2010Ku, Tokyo Japan"},{"name":"Health Services Research and Development Center University of Tsukuba  Tsukuba, Ibaraki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenjiro","family":"Imai","sequence":"additional","affiliation":[{"name":"Diabetes and Metabolism Information Center, Research Institute National Center for Global Health and Medicine  Shinjuku\u2010Ku, Tokyo 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