Diabetic Retinopathy Screening Using Telemedicine Tools: Pilot Study in Hungary

被引:15
作者
Eszes, Dora J. [1 ]
Szabo, Dora J. [2 ]
Russell, Greg [3 ]
Kirby, Phil [3 ]
Paulik, Edit [1 ]
Nagymajtenyi, Laszlo [1 ]
Facsko, Andrea [2 ]
Moe, Morten C. [4 ]
Petrovski, Beata E. [1 ,5 ,6 ]
机构
[1] Univ Szeged, Dept Publ Hlth, Szeged, Hungary
[2] Univ Szeged, Albert Szent Gyorgyi Clin Ctr, Dept Ophthalmol, Szeged, Hungary
[3] Hlth Intelligence, Clin Dev, Sandbach, Cheshire, England
[4] Univ Oslo, Oslo Univ Hosp, Dept Ophthalmol, Ctr Eye Res, Oslo, Norway
[5] Akershus Univ Hosp, Hlth Serv Res Ctr, Lorenskog, Norway
[6] Univ Oslo, Inst Clin Med, Campus Ahus, Oslo, Norway
关键词
PHOTOGRAPHY; PREVALENCE;
D O I
10.1155/2016/4529824
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Diabetic retinopathy (DR) is a sight-threatening complication of diabetes. Telemedicine tools can prevent blindness. We aimed to investigate the patients' satisfaction when using such tools (fundus camera examination) and the effect of demographic and socioeconomic factors on participation in screening. Methods. Pilot study involving fundus camera screening and self-administered questionnaire on participants' experience during fundus examination (comfort, reliability, and future interest in ;participation), as well as demographic and socioeconomic factors was performed on 89 patients with known diabetes in Csongrad County, a southeastern region of Hungary. Results. Thirty percent of the patients had never participated in any ophthalmological screening, while 25.7% had DR of some grade based upon a standard fundus camera examination and UK-based DR grading protocol (Spectra (TM) software). Large majority of the patients were satisfied with the screening and found it reliable and acceptable to undertake examination under pupil dilation; 67.3% were willing to undergo nonmydriatic fundus camera examination again. There was a statistically significant relationship between economic activity, education and marital status, and future interest in participation. Discussion. Participants found digital retinal screening to be reliable and satisfactory. Telemedicine can be a strong tool, supporting eye care professionals and allowing for faster and more comfortable DR screening.
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页数:9
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