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Five-year experience of tele-ophthalmology for diabetic retinopathy screening in a rural population.
Arch Soc Esp Oftalmol. 2016 Sep; 91(9):426-30.AS

Abstract

OBJECTIVE

To identify the prevalence and risk factors of diabetic retinopathy (DR) among rural inhabitants included in a tele-ophthalmology program. To analyse diagnostic accuracy among primary care physicians, concordance with ophthalmologists, and financial savings.

MATERIAL AND METHODS

An observational randomised study was conducted on 394 patients included in a tele-ophthalmology program (from January 2010 to January 2015). An analysis was performed on the clinical characteristics, DR findings in retinography images, and correspondence between the request for a second interpretation by an ophthalmologist, and previously established criteria for it: presence of moderate to severe DR, vision loss, poor image quality and/or intraocular pressure >22mmHg. Statistical analysis was performed using the SPSS program (Student t and χ(2) tests).

RESULTS

DR prevalence was 12.1%. Patients with glycosylated haemoglobin values >7.68% or those treated with a combination of insulin and oral antidiabetic drugs showed a higher risk of DR (P<.05). 43.3% of patients correctly referred to ophthalmologists showed moderate to severe DR. Unnecessary referrals to specialists were improved from 91.7% in 2010 to 98.6% in 2014. It is estimated that the program has made a total saving of €152,550.45.

CONCLUSIONS

Tele-ophthalmology programs are a useful tool in DR screening. Primary care physicians are able to distinguish patients who need specialist care, avoiding unnecessary referrals to ophthalmologists, and saving costs.

Authors+Show Affiliations

Servicio de Oftalmología, Hospital Comarcal Jarrio, Coaña, Asturias, España. Electronic address: susanarodriguezvilla@gmail.com.Hospital Comarcal Jarrio, Coaña, Asturias, España.Hospital Comarcal Jarrio, Coaña, Asturias, España.Servicio de Oftalmología, Hospital Comarcal Jarrio, Coaña, Asturias, España.Servicio de Oftalmología, Hospital Comarcal Jarrio, Coaña, Asturias, España.Servicio de Oftalmología, Hospital Comarcal Jarrio, Coaña, Asturias, España.Servicio de Oftalmología, Hospital Comarcal Jarrio, Coaña, Asturias, España.Servicio de Oftalmología, Hospital Comarcal Jarrio, Coaña, Asturias, España.

Pub Type(s)

Journal Article
Observational Study

Language

eng spa

PubMed ID

26900042

Citation

Rodríguez Villa, S, et al. "Five-year Experience of Tele-ophthalmology for Diabetic Retinopathy Screening in a Rural Population." Archivos De La Sociedad Espanola De Oftalmologia, vol. 91, no. 9, 2016, pp. 426-30.
Rodríguez Villa S, Alonso Álvarez C, de Dios Del Valle R, et al. Five-year experience of tele-ophthalmology for diabetic retinopathy screening in a rural population. Arch Soc Esp Oftalmol. 2016;91(9):426-30.
Rodríguez Villa, S., Alonso Álvarez, C., de Dios Del Valle, R., Salazar Méndez, R., Cuesta García, M., Ruiz García, M. J., Cubillas Martín, M., & Rodríguez Vazquez, M. (2016). Five-year experience of tele-ophthalmology for diabetic retinopathy screening in a rural population. Archivos De La Sociedad Espanola De Oftalmologia, 91(9), 426-30. https://doi.org/10.1016/j.oftal.2016.01.023
Rodríguez Villa S, et al. Five-year Experience of Tele-ophthalmology for Diabetic Retinopathy Screening in a Rural Population. Arch Soc Esp Oftalmol. 2016;91(9):426-30. PubMed PMID: 26900042.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Five-year experience of tele-ophthalmology for diabetic retinopathy screening in a rural population. AU - Rodríguez Villa,S, AU - Alonso Álvarez,C, AU - de Dios Del Valle,R, AU - Salazar Méndez,R, AU - Cuesta García,M, AU - Ruiz García,M J, AU - Cubillas Martín,M, AU - Rodríguez Vazquez,M, Y1 - 2016/02/18/ PY - 2015/09/07/received PY - 2016/01/14/revised PY - 2016/01/15/accepted PY - 2016/2/23/entrez PY - 2016/2/24/pubmed PY - 2017/10/11/medline KW - Cribado de diabetes KW - Cámara no midriática KW - Diabetic retinopathy KW - Diabetic screening KW - Non-mydriatic fundus camera KW - Retinopatía diabética KW - Rural KW - Tele-ophthalmology KW - Telemedicina KW - Telemedicine KW - Teleoftalmología SP - 426 EP - 30 JF - Archivos de la Sociedad Espanola de Oftalmologia JO - Arch Soc Esp Oftalmol VL - 91 IS - 9 N2 - OBJECTIVE: To identify the prevalence and risk factors of diabetic retinopathy (DR) among rural inhabitants included in a tele-ophthalmology program. To analyse diagnostic accuracy among primary care physicians, concordance with ophthalmologists, and financial savings. MATERIAL AND METHODS: An observational randomised study was conducted on 394 patients included in a tele-ophthalmology program (from January 2010 to January 2015). An analysis was performed on the clinical characteristics, DR findings in retinography images, and correspondence between the request for a second interpretation by an ophthalmologist, and previously established criteria for it: presence of moderate to severe DR, vision loss, poor image quality and/or intraocular pressure >22mmHg. Statistical analysis was performed using the SPSS program (Student t and χ(2) tests). RESULTS: DR prevalence was 12.1%. Patients with glycosylated haemoglobin values >7.68% or those treated with a combination of insulin and oral antidiabetic drugs showed a higher risk of DR (P<.05). 43.3% of patients correctly referred to ophthalmologists showed moderate to severe DR. Unnecessary referrals to specialists were improved from 91.7% in 2010 to 98.6% in 2014. It is estimated that the program has made a total saving of €152,550.45. CONCLUSIONS: Tele-ophthalmology programs are a useful tool in DR screening. Primary care physicians are able to distinguish patients who need specialist care, avoiding unnecessary referrals to ophthalmologists, and saving costs. SN - 1989-7286 UR - https://www.unboundmedicine.com/medline/citation/26900042/Five_year_experience_of_tele_ophthalmology_for_diabetic_retinopathy_screening_in_a_rural_population_ L2 - http://www.elsevier.es/en/linksolver/ft/pii/S0365-6691(16)00056-3 DB - PRIME DP - Unbound Medicine ER -