About: Diabetic retinopathy screening in urban primary care setting with a handheld smartphone-based retinal camera

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About: Diabetic retinopathy screening in urban primary care setting with a handheld smartphone-based retinal camera Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Diabetic retinopathy screening in urban primary care setting with a handheld smartphone-based retinal camera
Creator	Fernando, · Querques, Giuseppe Almeida, Elenilda Andrade, Silva Cristiane, · De Carvalho, Xavier Dias Cavalcante, Graças Fernando, Korn Ferreira Bortoto, Silvia Jacira, · Lúcia Correa-Giannella, Maria Malerbi, Malerbi, Korn Reis De Matos, Mozania Silva Queiroz, Márcia
topic	covid:359cf0468570898ec96238834a7a8c6035432ca6#this
Source	Medline; PMC
abstract	AIMS: To evaluate diabetic retinopathy (DR) screening with a portable handheld smartphone-based retinal camera and telemedicine in an urban primary healthcare setting and to evaluate the learning curve for image acquisition, performed by healthcare personnel without previous experience in retinal imaging. METHODS: This was a prospective study that enrolled patients with type 2 diabetes mellitus (T2DM) followed at a primary healthcare unit in São Paulo, Brazil. After a brief training in image acquisition, there was further continuous feedback given by a retina specialist during the remote image reading process. Each patient underwent two fundus and one anterior ocular segment images per eye, after mydriasis. Patients were classified according to the need of referral. RESULTS: A total of 627 adult individuals with T2DM underwent retinal evaluation. The population was composed by 63.2% female individuals, age median of 66 years, diabetes duration 10.7 ± 8.2 years and HbA1c 7.7 ± 1.9% (61 + 20.8 mmol/mol). The most prevalent associated comorbidities were arterial hypertension (80.3%) and dyslipidemia (50.2%). Referral decision was possible in 81.2% patients. Most patients had absent or non-referable DR; the main ocular media opacity detected was cataract. After the 7th day of image acquisition, the daily rate of patients whose images allowed clinical decision was maintained above 80%. A higher HbA1c was associated with referable DR. CONCLUSIONS: A low-cost DR screening strategy with a handheld device and telemedicine is feasible and has the potential to increase coverage of DR screening in underserved areas; the possibility of mobile units is relevant for DR screening in the context of COVID-19 pandemic. GRAPHIC ABSTRACT: Daily rate of patients whose examinations allowed clinical decision. X-axis: day of examination; Y-axis: rate (%) of patients whose examinations allowed a clinical decision [Image: see text]
has issue date	2020-08-04(xsd:dateTime)
bibo:doi	10.1007/s00592-020-01585-7
bibo:pmid	32748176
has license	no-cc
sha1sum (hex)	359cf0468570898ec96238834a7a8c6035432ca6
schema:url	https://doi.org/10.1007/s00592-020-01585-7
resource representing a document's title	Diabetic retinopathy screening in urban primary care setting with a handheld smartphone-based retinal camera
has PubMed Central identifier	PMC7398859
has PubMed identifier	32748176
schema:publication	Acta Diabetol
resource representing a document's body	covid:359cf0468570898ec96238834a7a8c6035432ca6#body_text
is http://vocab.deri.ie/void#inDataset of	proxy:http/ns.inria.fr/covid19/359cf0468570898ec96238834a7a8c6035432ca6
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