Evidence map›Paper›PMID 28783458›Full record

SynthesisTelemedicine journal and e-health : the official journal of the American Telemedicine Association2018

Tele-Ophthalmology for Age-Related Macular Degeneration and Diabetic Retinopathy Screening: A Systematic Review and Meta-Analysis.

Atsushi Kawaguchi, Noha Sharafeldin, Aishwarya Sundaram, Sandy Campbell, Matthew Tennant, Christopher Rudnisky, Ezekiel Weis, Karim F Damji

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% of its field
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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Telemedicine Screening for Eye Disorders in Federally Qualified Health Centers: Relationship to Vision-Targeted Health-Related Quality of Life.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Telemedicine in cystic fibrosis.Journal of clinical & translational endocrinology · 2021
    Article
  17. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Article
  18. Teleretina screening for diabetic retinopathy.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Article
  19. Review
  20. Review
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

8 authors at 4 institutions in 2 countries.

Atsushi Kawaguchi1 School of Public Health, University of Alberta , Edmonton, Canada .
Noha Sharafeldin1 School of Public Health, University of Alberta , Edmonton, Canada .
Aishwarya Sundaram4 Department of Ophthalmology and Visual Sciences, Dalhousie University , Halifax, Canada .
Sandy Campbell5 JW Scott Library, Health Sciences Library, University of Alberta , Edmonton, Canada .
Matthew Tennant6 Department of Ophthalmology and Visual Sciences, University of Alberta , Edmonton, Canada .
Christopher Rudnisky6 Department of Ophthalmology and Visual Sciences, University of Alberta , Edmonton, Canada .
Ezekiel Weis6 Department of Ophthalmology and Visual Sciences, University of Alberta , Edmonton, Canada .
Karim F Damji6 Department of Ophthalmology and Visual Sciences, University of Alberta , Edmonton, Canada .
University of Alberta · CADalhousie University · CAUniversity of Alabama at Birmingham · USUniversity of Calgary · CA

Funding

Zevalin Radioimmunotherapy Using a Modified TreatmentM01RR000032 · NCRR · UNIVERSITY OF SOUTHERN CALIFORNIA · PI RICH, ROBERT R. · 1985 to 2008
$23.6M
University of Alabama at Birmingham's Diabetes Research CenterP30DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Kirk Michael Habegger · 2013 to 2026
$19.5M
NCRR NIH HHS M01 RR000032NIDDK NIH HHS P30 DK079626
6 · The paper itself

Abstract

backgroundTo synthesize high-quality evidence to compare traditional in-person screening and tele-ophthalmology screening.

methodsOnly randomized controlled trials (RCTs) were included in this systematic review and meta-analysis. The intervention of interest was any type of tele-ophthalmology, including screening of diseases using remote devices. Studies involved patients receiving care from any trained provider via tele-ophthalmology, compared with those receiving equivalent face-to-face care. A search was executed on the following databases: Medline, EMBASE, EBM Reviews, Global Health, EBSCO-CINAHL, SCOPUS, ProQuest Dissertations and Theses Global, OCLC Papers First, and Web of Science Core Collection. Six outcomes of care for age-related macular degeneration (AMD), diabetic retinopathy (DR), or glaucoma were measured and analyzed.

resultsTwo hundred thirty-seven records were assessed at the full-text level; six RCTs fulfilled inclusion criteria and were included in this review. Four studies involved participants with diabetes mellitus, and two studies examined choroidal neovascularization in AMD. Only data of detection of disease and participation in the screening program were used for the meta-analysis. Tele-ophthalmology had a 14% higher odds to detect disease than traditional examination; however, the result was not statistically significant (n = 2,012, odds ratio: 1.14, 95% confidence interval (CI): 0.52-2.53, p = 0.74). Meta-analysis results show that odds of having DR screening in the tele-ophthalmology group was 13.15 (95% CI: 8.01-21.61; p < 0.001) compared to the traditional screening program.

conclusionsThe current evidence suggests that tele-ophthalmology for DR and age-related macular degeneration is as effective as in-person examination and potentially increases patient participation in screening.

Indexed as

Diabetic RetinopathyEye DiseasesGlaucomaHumansMacular DegenerationMass ScreeningOphthalmologyPatient SatisfactionRandomized Controlled Trials as TopicReference BooksTelemedicineTime FactorsVisual Acuityclinicalmeta-analysissystematic reviewtele-ophthalmology

Identifiers

PMID28783458
PMCPMC6916253
OpenAlexW2742365000

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.