Evidence map›Paper›PMID 26719134›Full record

SynthesisJournal of diabetes science and technology2015

Cost-effectiveness of Different Diabetic Retinopathy Screening Modalities.

Francisco J Pasquel, Andrew M Hendrick, Martha Ryan, Emily Cason, Mohammed K Ali, K M Venkat Narayan

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of diabetes science and technology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Article
  7. How early can we detect diabetic retinopathy? A narrative review of imaging tools for structural assessment of the retina.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Review
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Comparison of 2-Field and 5-Field Mydriatic Handheld Retinal Imaging in a Community-Based Diabetic Retinopathy Screening Program.Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde · 2023
    Article
  17. Article
  18. Teleophthalmology and Inequities in Diabetic Eye Disease at Safety Net Hospitals.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2022
    Article
  19. A Novel Approach to Teaching Fundoscopy Using a Virtual Format.MedEdPORTAL : the journal of teaching and learning resources · 2022
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Francisco J PasquelDepartment of Medicine, Emory University School of Medicine, Atlanta, GA, USA fpasque@emory.edu.
Andrew M HendrickDepartment of Ophthalmology, Emory University School of Medicine, Atlanta, GA, USA.
Martha RyanDepartment of Ophthalmology, Emory University School of Medicine, Atlanta, GA, USA.
Emily CasonHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Mohammed K AliHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
K M Venkat NarayanDepartment of Medicine, Emory University School of Medicine, Atlanta, GA, USA Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Current screening strategies aimed at detection of diabetic retinopathy (DR) historically have poor compliance, but advancements in technology can enable improved access to care. Nearly 80% of all persons with diabetes live in low- and middle-income countries (LMICs), highlighting the importance of a cost effective screening program. Establishing mechanisms to reach populations with geographic and financial barriers to access is essential to prevent visual disability. Teleretinal programs leverage technology to improve access and reduce cost. The quality of currently employed screening modalities depends on many variables including the instrument used, use of pupillary mydriasis, number of photographic fields, and the qualifications of the photographer and image interpreter. Recent telemedicine and newer technological approaches have been introduced, but data for these technologies is yet limited. We present results of a systematic review of studies evaluating cost-effectiveness of DR screening, and discuss potential relevance for LMICs.

Indexed as

Cost-Benefit AnalysisDiabetic RetinopathyDiagnostic Techniques, OphthalmologicalHumansMass ScreeningTelemedicinecostdiabetic retinopathylow and middle income countriesscreeningsmartphonestelemedicine

Identifiers

PMID26719134
PMCPMC4773976

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.