scholarly journals The diagnostic accuracy of single- and five-field fundus photography in diabetic retinopathy screening by primary care physicians

2018 ◽  
Vol 66 (1) ◽  
pp. 94 ◽  
Author(s):  
Parinya Srihatrai ◽  
Thanita Hlowchitsieng
Keyword(s):  
Primary Care ◽  
Diabetic Retinopathy ◽  
Diagnostic Accuracy ◽  
Primary Care Physicians ◽  
Fundus Photography ◽  
Diabetic Retinopathy Screening ◽  
Retinopathy Screening

Mailed letter versus phone call to increase diabetic retinopathy screening engagement by patients in a team-based primary care practice: a prospective, single-masked, randomized trial.

2021 ◽  
Author(s):  
Vess Stamenova ◽  
Megan Nguyen ◽  
Nike Onabajo ◽  
Rebecca Merritt ◽  
Olivera Sutakovic ◽  
...  
Keyword(s):  
Primary Care ◽  
Diabetic Retinopathy ◽  
Usual Care ◽  
Patient Engagement ◽  
Primary Care Practice ◽  
Phone Call ◽  
Care Practice ◽  
Diabetic Retinopathy Screening ◽  
Engagement Strategies ◽  
Retinopathy Screening

Abstract Background: Diabetic retinopathy is the leading cause of blindness among adults, but vision loss is preventable through regular screening. Urban areas in Canada have large numbers of unscreened individuals and teleophthalmology programs have been used to improve access and uptake of screening. The purpose of this study was to test different patient engagement approaches to expand teleophthalmology program to team-based primary care clinic in the city of Toronto, Canada.Methods: A teleophthalmology program was set up in a large urban academic team-based primary care practice. Patients over 18 years of age, with type 1 or type 2 diabetes were randomized to one of four engagement strategies: a phone call, a letter, a letter plus phone call, or usual care. Outreach was conducted by administrative staff within the clinic. The primary outcome was booking an appointment for diabetic retinopathy screening through a teleophthalmology program at the time of the call or within one week for the mail intervention. Results: A total of 23 patients in the phone, 28 in the mail, 32 in the mail and phone, and 27 in the control (usual care) were included in the analysis. After the intervention, 88% of patients in the phone intervention, 11% of patients in the mail group, and 100% in the mail and phone group booked an appointment with the teleophthalmology program compared to 0% in the control group. Phoning patients positively predicted patients booking a teleophthalmology appointment (p< .0001), while sending a letter had no effect. Conclusions: Patient engagement to book diabetic retinopathy screening via teleophthalmology in an urban academic team-based primary care practice using telephone calls was much more effective than letters or usual care. Practices that have access to a local DR screening programs and have the required resources to undertake such engagement strategies should consider using them as a means in improving their DR screening rates.

Cost-Effectiveness Analysis of Non-Mydriatic Ultrawide- Field Fundus Photography versus Pharmacological Pupil Dilatation in Diabetic Retinopathy Screening Program

2021 ◽  
Vol 104 (5) ◽  
pp. 818-824
Keyword(s):  
Diabetic Retinopathy ◽  
Cost Effectiveness ◽  
Screening Program ◽  
Cost Effective ◽  
Cost Effectiveness Analysis ◽  
Fundus Photography ◽  
Diabetic Retinopathy Screening ◽  
Effectiveness Analysis ◽  
The Cost ◽  
Retinopathy Screening

Background: Diabetic retinopathy (DR) causes blindness of the population in many countries worldwide. Early detection and treatment of this disease via a DR screening program is the best way to secure the vision. An annual screening program using pharmacological pupil dilatation becomes the standard method. Recently, non-mydriatic ultrawide-field fundus photography (UWF) has been proposed as a choice for DR screening. However, there was no cost-effectiveness study between the standard DR screening and this UWF approach. Objective: To compare the cost-effectiveness between UWF and pharmacological pupil dilatation in terms of hospital and societal perspectives. Materials and Methods: Patients with type 2 diabetes mellitus that visited the ophthalmology clinic at Chulabhorn Hospital for DR screening were randomized using simple randomization method. The patients were interviewed by a trained interviewer for general and economic information. The clinical characteristics of DR and staging were recorded. Direct medical costs, direct non-medical costs, and informal care costs due to DR screening were recorded. Cost analyses were calculated for the hospital and societal perspectives. Results: The present study presented the cost-effectiveness analyses of UWF versus pharmacological pupil dilatation. Cost-effectiveness analysis from the hospital perspective showed the incremental cost-effectiveness ratio (ICER) of UWF to be –13.87. UWF was a cost-effective mean in DR screening in the societal perspective when compared with pharmacologically pupil dilatation with the ICER of 76.46, under the threshold of willingness to pay. Conclusion: The UWF was a cost-effective mean in DR screening. It can reduce screening duration and bypass post-screening blurred vision. The results suggested that UWF could be a viable option for DR screening. Keywords: Diabetic retinopathy, Diabetic retinopathy screening, Non-mydriatic ultrawide-field fundus photography, Cost-effectiveness analysis

A Web-based Telemedicine System for Diabetic Retinopathy Screening Using Digital Fundus Photography

2006 ◽  
Vol 12 (1) ◽  
pp. 50-57 ◽  
Author(s):  
Jack C. Wei ◽  
Daniel J. Valentino ◽  
Douglas S. Bell ◽  
Richard S. Baker
Keyword(s):  
Diabetic Retinopathy ◽  
Fundus Photography ◽  
Telemedicine System ◽  
Web Based ◽  
Diabetic Retinopathy Screening ◽  
Retinopathy Screening

scholarly journals Single-Field Non-Mydriatic Fundus Photography for Diabetic Retinopathy Screening: A Systematic Review and Meta-Analysis

2019 ◽  
Vol 62 (2) ◽  
pp. 61-67
Author(s):  
Jiying Hu ◽  
Ruiting Chen ◽  
Ying Lu ◽  
Xiaoyan Dou ◽  
Baikang Ye ◽  
...  
Keyword(s):  
Systematic Review ◽  
Diabetic Retinopathy ◽  
Meta Analysis ◽  
Fundus Photography ◽  
Diabetic Retinopathy Screening ◽  
Single Field ◽  
Retinopathy Screening

scholarly journals Correction to: Diabetic retinopathy screening in urban primary care setting with a handheld smartphone-based retinal camera

2020 ◽  
Author(s):  
Márcia Silva Queiroz ◽  
Jacira Xavier de Carvalho ◽  
Silvia Ferreira Bortoto ◽  
Mozania Reis de Matos ◽  
Cristiane das Graças Dias Cavalcante ◽  
...  
Keyword(s):  
Primary Care ◽  
Diabetic Retinopathy ◽  
Care Setting ◽  
Primary Care Setting ◽  
Diabetic Retinopathy Screening ◽  
Retinopathy Screening

Single-field fundus photography for diabetic retinopathy screening

Ophthalmology ◽  
2004 ◽  
Vol 111 (5) ◽  
pp. 1055-1062 ◽  
Author(s):  
George A Williams ◽  
Ingrid U Scott ◽  
Julia A Haller ◽  
Albert M Maguire ◽  
Dennis Marcus ◽  
...  
Keyword(s):  
Diabetic Retinopathy ◽  
Fundus Photography ◽  
Diabetic Retinopathy Screening ◽  
Single Field ◽  
Retinopathy Screening

scholarly journals Feasibility of a multifaceted implementation intervention to improve attendance at diabetic retinopathy screening in primary care in Ireland: a cluster randomised pilot trial

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e051951
Author(s):  
Fiona Riordan ◽  
Aileen Murphy ◽  
Christina Dillon ◽  
John Browne ◽  
Patricia M Kearney ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Diabetic Retinopathy ◽  
Process Evaluation ◽  
Pilot Trial ◽  
Delivery Cost ◽  
Definitive Trial ◽  
Diabetic Retinopathy Screening ◽  
Cluster Randomised ◽  
Retinopathy Screening

ObjectivesDiabetic retinopathy screening (DRS) uptake is suboptimal in many countries with limited evidence available on interventions to enhance DRS uptake in primary care. We investigated the feasibility and preliminary effects of an intervention to improve uptake of Ireland’s national DRS programme, Diabetic RetinaScreen, among patients with type 1 or type 2 diabetes.Design/settingWe conducted a cluster randomised pilot trial, embedded process evaluation and cost analysis in general practice, July 2019 to January 2020.ParticipantsEight practices participated in the trial. For the process evaluation, surveys were conducted with 25 staff at intervention practices. Interviews were conducted with nine staff at intervention practices, and 10 patients who received the intervention.InterventionsThe intervention comprised practice reimbursement, an audit of attendance, electronic prompts targeting professionals, General Practice-endorsed patient reminders and a patient information leaflet. Practices were randomly allocated to intervention (n=4) or wait-list control (n=4) (usual care).OutcomesStaff and patient interviews explored their perspectives on the intervention. Patient registration and attendance, including intention to attend, were measured at baseline and 6 months. Microcosting was used to estimate intervention delivery cost.ResultsThe process evaluation identified that enablers of feasibility included practice culture and capacity to protect time, systems to organise care, and staff skills, and workarounds to improve intervention ‘fit’. At 6 months, 22/71 (31%) of baseline non-attenders in intervention practices subsequently attended screening compared with 15/87 (17%) in control practices. The total delivery cost across intervention practices (patients=363) was €2509, averaging €627 per practice and €6.91 per audited patient. Continuation criteria supported proceeding to a definitive trial.ConclusionsThe Improving Diabetes Eye screening Attendance intervention is feasible in primary care; however, consideration should be given to how best to facilitate local tailoring. A definitive trial of clinical and cost-effectiveness is required with preliminary results suggesting a positive effect on uptake.Trial registration numberNCT03901898.

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