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Eyes: Diseases

Answer

Information is not available in the format requested. The following table shows finished consultant episodes (FCEs) with a named primary or secondary diagnosis of diabetic retinopathy, glaucoma, cataracts and macular degeneration for Plymouth Teaching Primary Care Trust (PCT) and Devon PCT of residence for 2011-12.

Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector
	5QQ: Devon PCT	5F1: Plymouth Teaching PCT
Diabetic retinopathy	1,255	484
Glaucoma	2,975	858
Cataracts	7,765	2,110
Macular degeneration	2,606	870
Notes: 1. Finished Consultant Episode (FCE) A finished consultant episode (FCE) is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year. 2. Number of episodes in which the patient had a (named) primary or secondary diagnosis The number of episodes where this diagnosis was recorded in any of the 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) primary and secondary diagnosis fields in a Hospital Episode Statistics (HES) record. Each episode is only counted once, even if the diagnosis is recorded in more than one diagnosis field of the record. 3. Diabetic Retinopathy CD-10 codes used to identify diabetic retinopathy. Each of the following codes must be immediately followed by H36.0 (H36.0 A Diabetic retinopathy): E10.3 D Insulin-dependent diabetes mellitus with ophthalmic complications E11.3 D Non-insulin-dependent diabetes mellitus with ophthalmic complications E12.3 D Malnutrition-related diabetes mellitus with ophthalmic complications E13.3 D Other specified diabetes mellitus with ophthalmic complications E14.3 D Unspecified diabetes mellitus with ophthalmic complications Additional Information: In 2009-10, the National Diabetes Audit reported a Diabetic Retinopathy Treatment prevalence rate of 0.42% against the 1,929,985 registrations received from primary and secondary care. Participation in the National Diabetes Audit (NDA), which audits diabetes registrations in primary and secondary care, is not mandatory ie the NDA does not have 100% coverage or participation. In 2009-10 the Quality Outcomes Framework (QOF) had 2,338,813 registered diabetics, QOF data only contains patients aged 17 years and over with diabetes mellitus and does not contain the clinical information needed to answer this PQ. 4. Glaucoma ICD-10 codes used to identify glaucoma: H40.—Glaucoma Q15.0 Congenital glaucoma H40.2 Primary angle-closure glaucoma H40.1 Primary open-angle glaucoma In order to be included, the following set of codes must be immediately followed by H42.8 (Glaucoma in other diseases classified elsewhere) A18.5D Tuberculosis of eye A52.7D Other symptomatic late syphilis B73.XD Onchocerciasis Q13.1D Absence of iris In order to be included, the following set of codes must be immediately followed by H42.0 (Glaucoma in endocrine, nutritional and metabolic diseases) E34.9D Endocrine disorder, unspecified E72.0D Disorders of amino-acid transport E85.—D Amyloidosis E88.9D Metabolic disorder, unspecified 5. Cataracts ICD-10 codes used to identify cataracts: H25.—Senile cataract H26.—Other cataract H28.0A Diabetic cataract (must be preceded by one of the following codes E10.3, E11.3, E12.3, E13.3 or E14.3 in order to be included). In order to be included, the following two codes should only appear in a secondary diagnosis position: H28.1A Cataract in other endocrine, nutritional and metabolic diseases H28.2A Cataract in other diseases classified elsewhere 6. Macular Degeneration It is not possible to identify age-related macular degeneration using HES data. The ICD-10 code used to identify macular degeneration is: H35.3 Degeneration of macula and posterior pole 7. PCT of residence The primary care trust (PCT) containing the patient's normal home address. This does not necessarily reflect where the patient was treated as they may have travelled to another strategic health authority/PCT for treatment. Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre

Secondary information

Type

Written question

Reference

130361; 554 cc500-2W

Session

2012-13

Subjects

Devon Diseases Eyes South West

Contains statistics

Yes

Link

View this Written question on www.publications.parliament.uk