학술논문

Telemedicine for Diabetic Retinopathy Screening in an Urban, Insured Population Using Fundus Cameras in a Primary Care Office Setting
Document Type
Academic Journal
Source
Ophthalmic Surgery, Lasers, and Imaging Retina. November, 2019, Vol. 50 Issue 11, pE274, p4 p.
Subject
Diabetic retinopathy
Medical research
Medicine, Experimental
Telemedicine
Ophthalmology
Type 2 diabetes
Diabetics
Language
English
ISSN
2325-8160
Abstract
BACKGROUND AND OBJECTIVE: This study examines the rate of adherence to recommended ophthalmology follow-up after primary care-based telemedicine diabetic retinopathy (DR) screening. PATIENTS AND METHODS: Retrospective observational study of 5,764 insured diabetic patients undergoing telemedicine DR screening between May 2015 and April 2017 in an urban primary care setting. Patients underwent non-mydriatic fundus photography for telemedicine DR screening. The main outcome measure was the “capture rate.” RESULTS: Of the patients studied, 31.7% were found to have any retinal pathology, and 20% were found to have DR. In the 11.8% percent of patients with sight-threatening retinopathy who were recommended to have a retinal examination, the capture rate was 81.9%. CONCLUSION: The authors' study demonstrated higher capture rate than has been previously reported, indicating that telemedicine DR screening in an urban, insured population may be a useful method for triaging high-risk patients without losing patients to follow-up. [Ophthalmic Surg Lasers Imaging Retina. 2019;50: e274–e277.]
Introduction It is predicted that the number of individuals in the U.S. affected by diabetes will rise from approximately 28 million in 2007 to 60.7 million in 2030. (1) With [...]