Evaluation of Diabetic Retinal Screening and Factors for Ophthalmology Referral in a Telemedicine Network

JAMA Ophthalmology
Pooja D JaniSeema Garg

Abstract

Retinal telescreening for evaluation of diabetic retinopathy (DR) in the primary care setting may be useful in reaching rural and underserved patients. To evaluate telemedicine retinal screenings for patients with type 1 or 2 diabetes and identify factors for ophthalmology referral in the North Carolina Diabetic Retinopathy Telemedicine Network. A preimplementation and postimplementation evaluation was conducted from January 6, 2014, to November 1, 2015, at 5 primary care clinics serving rural and underserved populations in North Carolina among 1787 adult patients with type 1 or 2 diabetes who received primary care at the clinics and obtained retinal telescreening to determine the presence and severity of DR. A total of 1661 patients with complete data were included in the statistical analysis. Nonmydriatic fundus photography with remote interpretation by an expert. Number of patients recruited, level of detected DR, change in rates of screening, rate of ophthalmology referral, percentage of completed referrals, and patient characteristics associated with varying levels of DR. Of the 1661 patients (1041 women and 620 men; mean [SD] age, 55.4 [12.7] years), 1323 patients (79.7%) had no DR, 183 patients (11.0%) had DR without a n...Continue Reading

Citations

Mar 9, 2018·Spinal Cord·I IrgensM Alexander
Aug 29, 2018·JAAPA : Official Journal of the American Academy of Physician Assistants·Joanne DeTore, Denise Rizzolo
Nov 28, 2018·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Xinxiao GaoJay Federman
Aug 30, 2019·Journal of Racial and Ethnic Health Disparities·Elizabeth Fairless, Kristen Nwanyanwu
Jun 17, 2020·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Kristen StebbinsEdward Chaum
Jun 25, 2020·BMJ Open Diabetes Research & Care·George BresnickElin Rønby Pedersen
Sep 3, 2020·Journal of Telemedicine and Telecare·Caroline Vloka, Evan Waman
Nov 23, 2019·Ophthalmic Surgery, Lasers & Imaging Retina·Jose Agustin MartinezShelley Day Ghafoori
Jul 14, 2020·Journal of Ophthalmology·Shu-I PaoGen-Min Lin
Nov 21, 2020·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Yao LiuMaureen A Smith
Dec 18, 2020·Current Opinion in Endocrinology, Diabetes, and Obesity·Tejaswi Kompala, Aaron B Neinstein
Jan 14, 2021·Clinical & Experimental Ophthalmology·Michael J GaleChristina J Flaxel
Jan 24, 2021·BMJ Health & Care Informatics·Swan KangDaniel Ezra
Jan 22, 2021·Diabetes Therapy : Research, Treatment and Education of Diabetes and Related Disorders·Felix AbererJulia K Mader
Sep 27, 2020·Journal français d'ophtalmologie·V BonF Mouriaux
May 1, 2021·The Medical Clinics of North America·Hong-Gam Le, Akbar Shakoor
Jun 11, 2021·Translational Vision Science & Technology·Jeffrey R WillisJ Jill Hopkins
Jul 1, 2021·International Journal of Telemedicine and Applications·Raffaele NuzziAlessandro Rossi
Oct 31, 2020·Journal français d'ophtalmologie·V BonF Mouriaux

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