{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T23:47:01Z","timestamp":1782172021754,"version":"3.54.5"},"reference-count":0,"publisher":"Pasifika Medical Association Group","issue":"1637","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["NZMJ"],"abstract":"<jats:p>aim: The aim of this study was to quantify interrupted care (delayed care and complete loss to follow-up) across the diabetes eye care pathway among people aged \u226515 years in Auckland, New Zealand, and assess disparities by age, sex, ethnicity, deprivation and diabetes duration.\nmethod: We analysed data from people engaged with diabetes retinal screening in Auckland between 1 January 2008 and 31 December 2019. Follow-up continued from first appointment until death or study end. Delayed care and complete loss to follow-up were assessed at retinal screening, when referred from screening to ophthalmology with referrable diabetic retinopathy (R3 or worse), and at ophthalmology review. \nresults: Almost one-third of people experienced delays in retinal screening care beyond 24 months (n=4,471\/14,708; 30.4%) and one-fifth were completely lost to follow-up (n=2,970\/14,708; 20.2%). Similar proportions were observed for a delay beyond 6 months when referred from retinal screening to ophthalmology with referrable retinopathy (n=648\/1,909; 33.9%) and a delay beyond 12 months between ophthalmology review (n=366\/1,136; 32.2%) or complete loss to follow-up from these two stages (n=433\/1,909; 22.7% and n=188\/1,136; 16.5% respectively). Younger adults were more likely to experience complete loss to follow-up from retinal screening and ophthalmology review compared to people aged 50\u201359 years; compared to NZ Europeans, all other ethnicity groups were more likely to be lost to follow-up from retinal screening, with M\u0101ori and Pacific peoples experiencing the greatest disparity. \nconclusion: Loss to follow-up and delayed care were common across all stages of the diabetes care pathway assessed, with disparities by age and ethnicity.<\/jats:p>","DOI":"10.26635\/6965.7237","type":"journal-article","created":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T22:57:37Z","timestamp":1782169057000},"page":"14-35","source":"Crossref","is-referenced-by-count":0,"title":["Interrupted diabetes eye care in Te Toka Tumai Auckland 2008\u20132019: analysis of routinely collected health-facility data"],"prefix":"10.26635","volume":"139","author":[{"given":"Pushkar","family":"Silwal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Pirouzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arier","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Squirrell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justine","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matire","family":"Harwood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corina","family":"Grey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rinki","family":"Murphy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"Ramke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11177","published-online":{"date-parts":[[2026,6,26]]},"container-title":["New Zealand Medical Journal"],"original-title":[],"deposited":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T22:57:38Z","timestamp":1782169058000},"score":1,"resource":{"primary":{"URL":"https:\/\/nzmj.org.nz\/journal\/vol-139-no-1637\/interrupted-diabetes-eye-care-in-te-toka-tumai-auckland-2008-2019-analysis-of-routinely-collected-health-facility-data"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,26]]},"references-count":0,"journal-issue":{"issue":"1637","published-online":{"date-parts":[[2026,6,26]]}},"URL":"https:\/\/doi.org\/10.26635\/6965.7237","relation":{},"ISSN":["1175-8716"],"issn-type":[{"value":"1175-8716","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,26]]}}}