Feasibility of using the TOSCA telescreening procedures for diabetic retinopathy

Diabetic Medicine : a Journal of the British Diabetic Association
S LuzioE Kohner

Abstract

The TOSCA project was set up to establish a tele-ophthalmology service to screen for diabetic retinopathy (DR) in Europe. The aim of this study was to determine the feasibility of establishing telemedicine-based digital screening for detecting DR and to evaluate the satisfaction of both patients and healthcare professionals with the screening procedures used within the TOSCA project. The study was a non-randomized, multicentre study carried out in four different countries over a period of 3 months. Patients (n = 390) with diabetes aged > 12 years were included. Two digital retinal images per eye (macular and nasal) were taken and exported to a central server. Patients were asked to complete a questionnaire to assess satisfaction. Accredited graders carried out grading remotely and the results were reported back to the referring centre. Previously graded patient data chosen randomly to represent examples of both DR and no DR were also sent anonymously to the grading centre at a frequency of approximately every 10 patients. Most (99%) of the images were assessable enabling a retinopathy grade to be assigned to the patient. Patients found the retinal photography procedures acceptable; only 6% in one centre would not recommend the ...Continue Reading

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Citations

Oct 18, 2006·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Pradeep G PaulTarun Sharma
Aug 25, 2009·Indian Journal of Ophthalmology·Malay VermaRavindra E Mohan
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Jun 24, 2016·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Nita G ValikodathMaria A Woodward
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