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

Queiroz, Márcia Silva; Carvalho, Jacira Xavier de; Bortoto, Silvia Ferreira; Matos, Mozânia Reis de; Cavalcante, Cristiane das Graças Dias; Andrade, Elenilda Almeida Silva; Côrrea-Giannella, Maria Lúcia; Malerbi, Fernando Korn

doi:10.1007/s00592-020-01599-1

Cited by 2 publications

(3 citation statements)

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“…According to our study, the telemedicine approach significantly reduced the waiting time from primary care referral to specialist evaluation compared with the in-person approach. Studies have demonstrated that telemedicine can improve healthcare coverage and reduce waiting time for medical evaluation (8,11,12) . The telemedicine screening approach was more efficient than the conventional referral model and opportunistic screening methods.…”

Section: Discussionmentioning

confidence: 99%

“…Such portable cameras also allow efficient remote diagnosis and monitoring of various medical conditions other than DR. These cameras may transform healthcare delivery in LMICs, where access to specialized medical care is limited (11,13,14) . Although no automated steps were employed during screening, AI-enabled systems allow improvement in the efficiency of DR screening (15,16) .…”

Section: Discussionmentioning

confidence: 99%

“…The second strategy was termed the "telemedicine strategy." In this approach, a standardized retinal imaging protocol was implemented in patients referred by a primary care physician, followed by remote expert interpretation of images in a store-and-forward manner (11) (Figure 1).…”

Section: Screening Strategiesmentioning

confidence: 99%

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Transition from an in-person to a telemedicine diabetic retinopathy screening program

Barbieri,

Nakayama,

Barbieri

et al. 2024

ABO

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Timely screening and treatment are essential for preventing diabetic retinopathy blindness. Improving screening workflows can reduce waiting times for specialist evaluation and thus enhance patient outcomes. This study assessed different screening approaches in a Brazilian public healthcare setting. Methods: This retrospective study evaluated a telemedicine-based diabetic retinopathy screening implemented during the COVID-19 pandemic and compared it with in-person strategies. The evaluation was conducted from the perspective of a specialized referral center in an urban area of Central-West Brazil. In the telemedicine approach, a trained technician would capture retinal images by using a handheld camera. These images were sent to specialists for remote evaluation. Patient variables, including age, gender, duration of diabetes diagnosis, diabetes treatment, comorbidities, and waiting time, were analyzed and compared. Results: In total, 437 patients with diabetes mellitus were included in the study (mean age: 62.5 ± 11.0 years, female: 61.7%, mean diabetes duration: 15.3 ± 9.7 years, insulin users: 67.8%). In the in-person assessment group, the average waiting time between primary care referral and specialist evaluation was 292.3 ± 213.9 days, and the referral rate was 73.29%. In the telemedicine group, the average waiting time was 158.8 ± 192.4 days, and the referral rate was 29.38%. The telemedicine approach significantly reduced the waiting time (p<0.001) and significantly lowered the referral rate (p<0.001). Conclusion:The telemedicine approach significantly reduced the waiting time for specialist evaluation in a real-world setting. Employing portable retinal cameras may address the burden of diabetic retinopathy, especially in resource-limited settings.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Transition from an in-person to a telemedicine diabetic retinopathy screening program

Barbieri,

Nakayama,

Barbieri

et al. 2024

ABO

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Barreiras para a realização de oftalmoscopia direta por médicos de família e comunidade

Milani¹,

Pich

Edelweiss³

2022

Rev Bras Med Fam Comunidade

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A oftalmoscopia direta é um exame utilizado para diagnóstico e rastreamento de doenças da retina, do disco óptico e do humor vítreo no contexto da atenção primária à saúde. Estudos demonstram que é uma prática pouco utilizada regularmente por médicos de família e comunidade. O objetivo deste estudo é identificar barreiras para a realização da oftalmoscopia por médicos da referida especialidade. Este estudo utilizou metodologia qualitativa, baseada em entrevista semiestruturada com médicos de família e comunidade e posterior análise temática. Demonstrou-se que as barreiras para a realização de oftalmoscopia direta incluem dificuldade no manejo do oftalmoscópio e na dilatação pupilar, pouco conhecimento da anatomia ocular, sentimento de insegurança na realização e na interpretação de achados, percepção de que seria um exame mais bem realizado por um especialista, falta de formação e experiência prática na graduação e na residência médica, percepção de pouca utilidade ou resolutividade, dificuldade em adequar o ambiente para a realização do exame, ausência de aparelho e colírios midriáticos nas unidades de saúde, aumento no tempo de consulta, ausência de fluxos de encaminhamento mediante achados alterados, presença de serviços de teleoftalmologia e ausência de treinamento da equipe multiprofissional.

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

Cited by 2 publications

References 0 publications

Transition from an in-person to a telemedicine diabetic retinopathy screening program

Transition from an in-person to a telemedicine diabetic retinopathy screening program

Barreiras para a realização de oftalmoscopia direta por médicos de família e comunidade

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