AIM: To evaluate the diagnostic concordance in retinography interpretation between primary care and eye care practitioners and assess the soundness index of a @entity6 retinography screening programme during its implementation stage. MATERIAL AND METHODS: Descriptive, observational study was conducted on a sample of 243 @entity1 with @entity6 (type 1 and 2) over age 14, in 2 urban health care centers, gathered in an opportunistic manner between the dates of 21/07/2011 and 26/01/2012. A 45   digital bilateral retinography, intraocular pressure and visual acuity were obtained from each @entity1 . The primary care practitioners prepared a report for each @entity1 , which was telematically sent to the eye care doctor within the corresponding retinographies. A new diagnostic report was prepared then by the eye care doctor after revising the images. The lack of retinographies and/or reports were considered both as losses. The diagnostic concordance between the observers and the validity and reliability from the screening programme were estimated. RESULTS: The kappa value obtained was 0.62 (95% CI 0.42-0.82) and 0.89 PABAK. The following validity indexes were obtained: Sensitivity 68.8%, specificity 96.5%, positive and negative predictive values: 61.1 and 97.5%, respectively. A percentage of 57.2 of the @entity1 were not observed any pathology requiring referral to a eye care doctor. CONCLUSIONS: The concordance value obtained varied between considerable and almost perfect, depending on the index used for the analysis (kappa/PABAK, respectively). It's worth highlighting that carrying out retinographies in the primary care centers enhances @entity1 -treatment capacity of the primary care doctors and the @entity1 accessibility to screening.

[ XXXX screening programme in primary health care. Diagnostic concordance between family and eye care practitioners].

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetic', 'diabetes mellitus']
@entity6 :: (MESH:D003920,Disease) :: ['Diabetic retinopathy']
