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A Multi-Center Diabetes Eye Screening Study in Community Settings: Study Design and Methodology.
Ophthalmic Epidemiol. 2016; 23(2):109-15.OE

Abstract

PURPOSE

Diabetes is the leading cause of new cases of blindness among adults aged 20-74 years within the United States. The Innovative Network for Sight Research group (INSIGHT) designed the Diabetic Eye Screening Study (DESS) to examine the feasibility and short-term effectiveness of non-mydriatic diabetic retinopathy (DR) screening for adults with diabetes in community-based settings.

METHODS

Study enrollment began in December 2011 at four sites: an internal medicine clinic at a county hospital in Birmingham, Alabama; a Federally-qualified community healthcare center in Miami-Dade County, Florida; a university-affiliated outpatient pharmacy in Philadelphia, Pennsylvania; and a medical home in Winston-Salem, North Carolina. People 18 years or older with previously diagnosed diabetes were offered free DR screening using non-mydriatic retinal photography that was preceded by a brief questionnaire addressing demographic information and previous eye care use. Visual acuity was also measured for each eye. Images were evaluated at a telemedicine reading center by trained evaluators using the National Health System DR grading classification. Participants and their physicians were sent screening report results and telephoned for a follow-up survey 3 months post-screening to determine whether participants had sought follow-up comprehensive eye care and their experiences with the screening process.

RESULTS

Target enrollment at each site was a minimum of 500 persons. Three of the four sites met this enrollment goal.

CONCLUSION

The INSIGHT/DESS is intended to establish the feasibility and short-term effectiveness of DR screening using non-mydriatic retinal photography in persons with diabetes who seek services in community-based clinic and pharmacy settings.

Authors+Show Affiliations

a Wills Eye Hospital , Thomas Jefferson University , Philadelphia , PA , USA.b Dana Center for Preventive Ophthalmology , Johns Hopkins Hospital , Baltimore , MD , USA.b Dana Center for Preventive Ophthalmology , Johns Hopkins Hospital , Baltimore , MD , USA. c Departments of Epidemiology and Prevention, and Ophthalmology , Wake Forest School of Medicine , Winston-Salem , NC , USA.a Wills Eye Hospital , Thomas Jefferson University , Philadelphia , PA , USA.d Department of Public Health Sciences , University of Miami Miller School of Medicine , Miami , FL , USA.d Department of Public Health Sciences , University of Miami Miller School of Medicine , Miami , FL , USA.e Department of Ophthalmology , University of Alabama at Birmingham , Birmingham , AL , USA. f Department of Epidemiology , University of Alabama at Birmingham , Birmingham , AL , USA.e Department of Ophthalmology , University of Alabama at Birmingham , Birmingham , AL , USA.g Division of Diabetes Translation , Centers for Disease Control and Prevention , Atlanta , GA , USA.No affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

26949832

Citation

Murchison, Ann P., et al. "A Multi-Center Diabetes Eye Screening Study in Community Settings: Study Design and Methodology." Ophthalmic Epidemiology, vol. 23, no. 2, 2016, pp. 109-15.
Murchison AP, Friedman DS, Gower EW, et al. A Multi-Center Diabetes Eye Screening Study in Community Settings: Study Design and Methodology. Ophthalmic Epidemiol. 2016;23(2):109-15.
Murchison, A. P., Friedman, D. S., Gower, E. W., Haller, J. A., Lam, B. L., Lee, D. J., McGwin, G., Owsley, C., Saaddine, J., & Insight Study Group, . (2016). A Multi-Center Diabetes Eye Screening Study in Community Settings: Study Design and Methodology. Ophthalmic Epidemiology, 23(2), 109-15. https://doi.org/10.3109/09286586.2015.1099682
Murchison AP, et al. A Multi-Center Diabetes Eye Screening Study in Community Settings: Study Design and Methodology. Ophthalmic Epidemiol. 2016;23(2):109-15. PubMed PMID: 26949832.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A Multi-Center Diabetes Eye Screening Study in Community Settings: Study Design and Methodology. AU - Murchison,Ann P, AU - Friedman,David S, AU - Gower,Emily W, AU - Haller,Julia A, AU - Lam,Byron L, AU - Lee,David J, AU - McGwin,Gerald,Jr AU - Owsley,Cynthia, AU - Saaddine,Jinan, AU - Insight Study Group,, Y1 - 2016/03/07/ PY - 2016/3/8/entrez PY - 2016/3/8/pubmed PY - 2016/9/17/medline KW - Diabetes KW - eye screening KW - methodology KW - study design KW - tele-ophthalmology SP - 109 EP - 15 JF - Ophthalmic epidemiology JO - Ophthalmic Epidemiol VL - 23 IS - 2 N2 - PURPOSE: Diabetes is the leading cause of new cases of blindness among adults aged 20-74 years within the United States. The Innovative Network for Sight Research group (INSIGHT) designed the Diabetic Eye Screening Study (DESS) to examine the feasibility and short-term effectiveness of non-mydriatic diabetic retinopathy (DR) screening for adults with diabetes in community-based settings. METHODS: Study enrollment began in December 2011 at four sites: an internal medicine clinic at a county hospital in Birmingham, Alabama; a Federally-qualified community healthcare center in Miami-Dade County, Florida; a university-affiliated outpatient pharmacy in Philadelphia, Pennsylvania; and a medical home in Winston-Salem, North Carolina. People 18 years or older with previously diagnosed diabetes were offered free DR screening using non-mydriatic retinal photography that was preceded by a brief questionnaire addressing demographic information and previous eye care use. Visual acuity was also measured for each eye. Images were evaluated at a telemedicine reading center by trained evaluators using the National Health System DR grading classification. Participants and their physicians were sent screening report results and telephoned for a follow-up survey 3 months post-screening to determine whether participants had sought follow-up comprehensive eye care and their experiences with the screening process. RESULTS: Target enrollment at each site was a minimum of 500 persons. Three of the four sites met this enrollment goal. CONCLUSION: The INSIGHT/DESS is intended to establish the feasibility and short-term effectiveness of DR screening using non-mydriatic retinal photography in persons with diabetes who seek services in community-based clinic and pharmacy settings. SN - 1744-5086 UR - https://www.unboundmedicine.com/medline/citation/26949832/A_Multi_Center_Diabetes_Eye_Screening_Study_in_Community_Settings:_Study_Design_and_Methodology_ L2 - https://www.tandfonline.com/doi/full/10.3109/09286586.2015.1099682 DB - PRIME DP - Unbound Medicine ER -