Findings from a Statewide Teleretina Diabetic Retinopathy Screening Program in Arkansas.

IF 3.1 Q2 HEALTH CARE SCIENCES & SERVICES
Megan Shirey, Alexander Kwok, Holly Jenkins, Sami Uwaydat
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引用次数: 1

Abstract

Introduction: A significant proportion of diabetic patients in the United States do not present for annual dilated eye exams to monitor for signs of diabetic retinopathy (DR). The purpose of this study was to analyze the results of a statewide, multiclinic teleretina program designed to screen rural Arkansans for this sight-debilitating disease.

Methods: Patients with diabetes seen at 10 primary care clinics across Arkansas were offered teleretinal-imaging services. Images were transmitted to the University of Arkansas for Medical Sciences' (UAMS) Harvey and Bernice Jones Eye Institute (JEI) for grading and recommendations for further treatment.

Results: From February 2019 to May 2022, 668 patients underwent imaging; 645 images were deemed of sufficient quality to generate an interpretation. 541 patients had no evidence of DR, while 104 patients had some evidence of DR. 587 patients had no evidence of maculopathy, while 58 patients had some evidence of maculopathy on imaging. 246 patients had other pathology evident on imaging, with the most common being hypertensive retinopathy, glaucoma suspects, and cataracts. Discussion. In a rural, primary care setting, the JEI teleretina program identifies DR and other nondiabetic ocular pathologies, allowing for an appropriate triage for eye care for patients in a predominantly rural state.

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阿肯色州一项全州范围的远视性糖尿病视网膜病变筛查项目的研究结果。
导读:在美国,相当大比例的糖尿病患者没有每年进行扩张眼检查以监测糖尿病视网膜病变(DR)的迹象。本研究的目的是分析一项全州范围内的多诊所远程视网膜项目的结果,该项目旨在筛查阿肯色州农村地区的这种使视力衰弱的疾病。方法:在阿肯色州10个初级保健诊所就诊的糖尿病患者提供远程成像服务。图像被传送到阿肯色大学医学科学学院(UAMS)哈维和伯尼斯·琼斯眼科研究所(JEI)进行分级和建议进一步治疗。结果:2019年2月至2022年5月,668例患者接受了影像学检查;645幅图像被认为具有足够的质量,可以进行判读。541例患者无DR证据,104例患者有DR证据,587例患者无黄斑病变证据,58例患者影像学有黄斑病变证据。246例患者在影像学上有明显的其他病理,最常见的是高血压视网膜病变、疑似青光眼和白内障。讨论。在农村初级保健环境中,JEI远程视网膜项目可识别DR和其他非糖尿病性眼部病变,从而为以农村为主的州的患者提供适当的眼科护理分诊。
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来源期刊
CiteScore
6.90
自引率
2.30%
发文量
19
审稿时长
12 weeks
期刊介绍: The overall aim of the International Journal of Telemedicine and Applications is to bring together science and applications of medical practice and medical care at a distance as well as their supporting technologies such as, computing, communications, and networking technologies with emphasis on telemedicine techniques and telemedicine applications. It is directed at practicing engineers, academic researchers, as well as doctors, nurses, etc. Telemedicine is an information technology that enables doctors to perform medical consultations, diagnoses, and treatments, as well as medical education, away from patients. For example, doctors can remotely examine patients via remote viewing monitors and sound devices, and/or sampling physiological data using telecommunication. Telemedicine technology is applied to areas of emergency healthcare, videoconsulting, telecardiology, telepathology, teledermatology, teleophthalmology, teleoncology, telepsychiatry, teledentistry, etc. International Journal of Telemedicine and Applications will highlight the continued growth and new challenges in telemedicine, applications, and their supporting technologies, for both application development and basic research. Papers should emphasize original results or case studies relating to the theory and/or applications of telemedicine. Tutorial papers, especially those emphasizing multidisciplinary views of telemedicine, are also welcome. International Journal of Telemedicine and Applications employs a paperless, electronic submission and evaluation system to promote a rapid turnaround in the peer-review process.
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