AMIA Annu Symp Proc - Teleretinal screening for diabetic retinopathy in six Los Angeles urban safety-net clinics: initial findings.

Tópicos

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Resumo

Diabetic retinopathy is a leading cause of blindness in US adults. This paper presents initial results of a teleretinal screening project for diabetic retinopathy involving six Los Angeles safety net clinics. A total of 1,943 patients have been screened for diabetic retinopathy by three ophthalmologist readers, with 416 receiving a recommendation for referral to specialty care. Of the cases recommended for referral, 24 had proliferative diabetic retinopathy, 62 had severe non-proliferative diabetic retinopathy (NPDR), 60 had moderate NPDR, 19 had mild NPDR, 138 had a non-diabetic condition, such as glaucoma, 63 had clinically significant macular edema without retinopathy and 50 had non-gradable images. Between 3% and 12.2% of retinal images taken at the clinics were assessed by readers as inadequate for any interpretation. The study shows the feasibility and challenges of teleretinal screening for diabetic retinopathy in urban areas facing specialist shortages and an overburdened, under-resourced safety net care-delivery system.

Resumo Limpo

diabet retinopathi lead caus blind us adult paper present initi result teleretin screen project diabet retinopathi involv six los angel safeti net clinic total patient screen diabet retinopathi three ophthalmologist reader receiv recommend referr specialti care case recommend referr prolif diabet retinopathi sever nonprolif diabet retinopathi npdr moder npdr mild npdr nondiabet condit glaucoma clinic signific macular edema without retinopathi nongrad imag retin imag taken clinic assess reader inadequ interpret studi show feasibl challeng teleretin screen diabet retinopathi urban area face specialist shortag overburden underresourc safeti net caredeliveri system

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