Identification of factors to increase efficacy of telemedicine screening for diabetic retinopathy in endocrinology practices using the Intelligent Retinal Imaging System (IRIS) platform
| Autor: | William C. Ou, Sapna Naik, Ankoor S. Shah, Sunil Gupta, Charles C. Wykoff, Jonathan Stevenson |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Telemedicine Endocrinology Diabetes and Metabolism Population Prevalence 030209 endocrinology & metabolism 03 medical and health sciences 0302 clinical medicine Endocrinology Internal medicine Diabetes mellitus Internal Medicine medicine Humans Mass Screening education Aged Retrospective Studies education.field_of_study Diabetic Retinopathy business.industry Incidence (epidemiology) General Medicine Diabetic retinopathy Middle Aged medicine.disease Obesity 030221 ophthalmology & optometry Retinal imaging Female business |
| Zdroj: | Diabetes Research and Clinical Practice. 140:265-270 |
| ISSN: | 0168-8227 |
| Popis: | Aims Diabetic retinopathy (DR) and diabetic macular edema (DME) can be evaluated using telemedicine systems, such as the Intelligent Retinal Imaging Systems (IRIS), in patients with Diabetes Mellitus (DM). In an endocrinology-based population utilizing IRIS we determine prevalence rates of DR and DME, and identify associated epidemiologic correlations. Methods This is a multicenter, retrospective chart review using screening data from IRIS. Centers for Disease Control and Prevention (CDC) data on epidemiologic variables (by county) namely, prevalence of DM, incidence of DM, obesity, and time of physical inactivity, were compared against prevalence rates of DR found at screening. Results A total of 10,223 eyes of 5,242 patients with DM were imaged. DR and DME were noted in 1781 (33.98%) and 226 imaging studies (4.31%) respectively. The coefficient of determination was greatest for incidence of DM (R2 = 0.92), followed by DM prevalence (R2 = 0.79), obesity, (R2 = 0.67), and physical inactivity (R2 = 0.34). The presence of DR during screening varied significantly by county (p Conclusions Screening in counties with a higher incidence of DM led to a higher prevalence of identified DR at time of screening. The current work suggests that telemedicine screening in areas known to have a higher incidence of DM may be worthwhile. |
| Databáze: | OpenAIRE |
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