Six-year prevalence and incidence of diabetic retinopathy and cost-effectiveness of tele-ophthalmology in Manitoba.
作者： Raageen Kanjee , Ravi I. Dookeran , Mathen K. Mathen , Frank A. Stockl , Richard Leicht
DOI: 10.1016/J.JCJO.2016.05.002
关键词: Optometry 、 Fundus photography 、 Cumulative incidence 、 Cost effectiveness 、 Diabetic retinopathy 、 Medicine 、 Retrospective cohort study 、 Incidence (epidemiology) 、 Type 2 diabetes 、 Pediatrics 、 Population
摘要: Abstract Objective The purpose of this study was to evaluate the diabetic retinopathy (DR) tele-ophthalmology screening program in Manitoba determine prevalence and incidence DR, as well estimate program’s cost-effectiveness. Design Retrospective chart review. Participants A total 4676 patients with type 2 diabetes examined 9334 times from 2007 2013. Methods Focused ophthalmic histories were recorded examinations performed by trained nurses, including visual acuities, intraocular pressure, mydriatic 7 standard field stereoscopic fundus photography. Images evaluated retinal specialists according Early Treatment Diabetic Retinopathy Study criteria. DR then calculated during period. Cost-effectiveness estimated comparing cost running compared same volume in-office. Results average any each year 25.1%. cumulative across 6 years 17.1% (95% CI, 15.4%–18.7%). savings per examination $1007. Conclusions is highly prevalent among studied population. Tele-ophthalmology provides a cost-effective means monitoring identifying new or treatable disease.
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