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Snapshot of Teleretinal Screening for Diabetic Retinopathy at the West Los Angeles Medical Center.
Telemed J E Health. 2016 10; 22(10):843-846.TJ

Abstract

INTRODUCTION

The West Los Angeles Veterans Affairs Medical Center is a large urban facility with a robust teleretinal screening program in primary care clinic, established in 2006. The purpose of this article is to provide a snapshot of teleretinal screening at this site.

METHODS

Diabetic patients from 2012 were analyzed with a prospective cohort study. Demographic information, results of teleretinal screening, referral to eye clinic, and loss to follow-up (defined as no eye care within 2 years) were collected.

RESULTS

Of 516 patients with diabetes screened with teleretinal imaging, 120 patient charts were reviewed for data analysis. Teleretinal imaging diagnosed 15% (18/120) of patients with varying stages of nonproliferative diabetic retinopathy (DR). Of patients screened, 55.8% (67/120) of the patients were referred to an eye clinic for further ophthalmic evaluation. Nondiabetic retinopathy reasons for eye clinic referral included glaucoma suspect (13.3%, 16/120) and age-related macular degeneration (10.0%, 12/120). Of all patients screened, 37.5% (45/120) of them were lost to follow-up, defined as no teleretinal screening or eye clinic appointment within 2 years. Patients who lived farther away from clinic had a higher risk of loss to follow-up (p = 0.04).

DISCUSSION

We found, although only 15% of patients were diagnosed with DR from teleretinal screening, more than 50% of patients were referred to eye clinic. In addition, of all screened patients, there was a high rate of not returning to the Veterans Affairs (VA) for eye care.

Authors+Show Affiliations

1 Stein Eye Institute , UCLA, Los Angeles, California. 2 Doheny Eye Institute , UCLA, Los Angeles, California. 3 Ophthalmology Department, West Los Angeles Veterans Affairs Medical Center , Los Angeles, California.1 Stein Eye Institute , UCLA, Los Angeles, California.1 Stein Eye Institute , UCLA, Los Angeles, California.1 Stein Eye Institute , UCLA, Los Angeles, California. 3 Ophthalmology Department, West Los Angeles Veterans Affairs Medical Center , Los Angeles, California.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26985625

Citation

Tsui, Irena, et al. "Snapshot of Teleretinal Screening for Diabetic Retinopathy at the West Los Angeles Medical Center." Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association, vol. 22, no. 10, 2016, pp. 843-846.
Tsui I, Havunjian MA, Davis JA, et al. Snapshot of Teleretinal Screening for Diabetic Retinopathy at the West Los Angeles Medical Center. Telemed J E Health. 2016;22(10):843-846.
Tsui, I., Havunjian, M. A., Davis, J. A., & Giaconi, J. A. (2016). Snapshot of Teleretinal Screening for Diabetic Retinopathy at the West Los Angeles Medical Center. Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association, 22(10), 843-846.
Tsui I, et al. Snapshot of Teleretinal Screening for Diabetic Retinopathy at the West Los Angeles Medical Center. Telemed J E Health. 2016;22(10):843-846. PubMed PMID: 26985625.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Snapshot of Teleretinal Screening for Diabetic Retinopathy at the West Los Angeles Medical Center. AU - Tsui,Irena, AU - Havunjian,Margaret A, AU - Davis,John A, AU - Giaconi,JoAnn A, Y1 - 2016/03/17/ PY - 2016/3/18/pubmed PY - 2017/11/9/medline PY - 2016/3/18/entrez KW - behavioral health KW - ophthalmology KW - telehealth KW - telemedicine SP - 843 EP - 846 JF - Telemedicine journal and e-health : the official journal of the American Telemedicine Association JO - Telemed J E Health VL - 22 IS - 10 N2 - INTRODUCTION: The West Los Angeles Veterans Affairs Medical Center is a large urban facility with a robust teleretinal screening program in primary care clinic, established in 2006. The purpose of this article is to provide a snapshot of teleretinal screening at this site. METHODS: Diabetic patients from 2012 were analyzed with a prospective cohort study. Demographic information, results of teleretinal screening, referral to eye clinic, and loss to follow-up (defined as no eye care within 2 years) were collected. RESULTS: Of 516 patients with diabetes screened with teleretinal imaging, 120 patient charts were reviewed for data analysis. Teleretinal imaging diagnosed 15% (18/120) of patients with varying stages of nonproliferative diabetic retinopathy (DR). Of patients screened, 55.8% (67/120) of the patients were referred to an eye clinic for further ophthalmic evaluation. Nondiabetic retinopathy reasons for eye clinic referral included glaucoma suspect (13.3%, 16/120) and age-related macular degeneration (10.0%, 12/120). Of all patients screened, 37.5% (45/120) of them were lost to follow-up, defined as no teleretinal screening or eye clinic appointment within 2 years. Patients who lived farther away from clinic had a higher risk of loss to follow-up (p = 0.04). DISCUSSION: We found, although only 15% of patients were diagnosed with DR from teleretinal screening, more than 50% of patients were referred to eye clinic. In addition, of all screened patients, there was a high rate of not returning to the Veterans Affairs (VA) for eye care. SN - 1556-3669 UR - https://www.unboundmedicine.com/medline/citation/26985625/Snapshot_of_Teleretinal_Screening_for_Diabetic_Retinopathy_at_the_West_Los_Angeles_Medical_Center_ L2 - https://www.liebertpub.com/doi/10.1089/tmj.2015.0246?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -