Evidence map›Paper›PMID 30885809›Full record

Trial reportJournal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus2019

Evaluation of computer-based retinopathy of prematurity (ROP) education for ophthalmology residents: a randomized, controlled, multicenter study.

Ramak Roohipoor, Rodrigo Alvarez, Katarzyna Brodowska, Mehdi Yaseri, Carolyn Kloek, Mohamad Riazi, Ramin Nourinia, Homayoun Nikkhah, N Venkatesh Prajna, Chandrasekharan Krishnan and 8 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

18 authors.

Ramak RoohipoorMassachusetts Eye and Ear, Harvard Medical School, Department of Ophthalmology, Boston, Massachusetts; Farabi Eye Hospital, Eye Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Rodrigo AlvarezPontifical Catholic University, Santiago, Chile.
Katarzyna BrodowskaUniversity Hospitals of Cleveland, Cleveland, Ohio.
Mehdi YaseriBiostatistics Department, Tehran University of Medical Sciences, Tehran, Iran.
Carolyn KloekMassachusetts Eye and Ear, Harvard Medical School, Department of Ophthalmology, Boston, Massachusetts.
Mohamad RiaziFarabi Eye Hospital, Eye Research Center, Tehran University of Medical Sciences, Tehran, Iran; Department of Ophthalmology, Gavin Herbert Eye Institute, University of California Irvine, Irvine, California.
Ramin NouriniaOphthalmic Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Homayoun NikkhahOphthalmic Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
N Venkatesh PrajnaAravind Eye Hospitals, Madurai, India.
Chandrasekharan KrishnanTufts University Medical School, Boston, Massachusetts.
Sonal TuliDepartment of Ophthalmology, University of Florida, Gainesville, Florida.
Laura GreenSinai Hospital, Baltimore, Maryland.
Divya SrikumaranWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Ankoor S ShahBoston Children's Hospital, Harvard Medical School Departments of Ophthalmology, Boston, Massachusetts.
Iason S MantagosBoston Children's Hospital, Harvard Medical School Departments of Ophthalmology, Boston, Massachusetts.
Michael ChiangDepartment of Ophthalmology, Casey Eye Institute, Oregon Health & Science University, Portland, Oregon; Department of Medical Informatics & Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon.
R V Paul ChanDepartment of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Chicago, Illinois; Center for Global Health, College of Medicine, University of Illinois at Chicago, Chicago, Illinois.
John LoewensteinMassachusetts Eye and Ear, Harvard Medical School, Department of Ophthalmology, Boston, Massachusetts. Electronic address: John_Loewenstein@meei.harvard.edu.

Funding

Proteomics CoreP30EY010572 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI TED S ACOTT · 1995 to 2026
$19.4M
Translational Core for Therapeutic and Diagnostic DevelopmentP30EY001792 · NEI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI MCANANY, JAMES JASON · 1985 to 2025
$14.8M
NEI NIH HHS P30 EY001792NEI NIH HHS P30 EY010572
6 · The paper itself

Abstract

purposeTo evaluate the effect of a computer-based training program-Massachusetts Eye & Ear ROP Trainer-on residents' knowledge of retinopathy of prematurity (ROP) management.

methodsIn this prospective, randomized study, ophthalmology residents from nine different training programs consented to participate. Those who completed the study were randomly assigned to either the Trainer or the control group. The ROP Trainer was created using clinical cases encompassing the stages of ROP in digital pictures and videos. It includes sections on screening decisions, examination techniques, and diagnosis, and a reference section with the expert video clips and a searchable image library. Subjects in the control group were asked to study standard print material on ROP. A pre- and post-test, consisting of theoretical and practical (diagnosis) questions, and a post-intervention satisfaction test were administered. Accuracy of ROP diagnosis was assessed.

resultsA total of 180 residents agreed to participate, of whom 60 completed the study. Residents in the Trainer group had statistically significant improvements (P = 0.003) in ROP knowledge and diagnostic ability (P = 0.005). Residents randomized to the Trainer group were more satisfied with the training materials than were those in the control group. There was no significant difference in improving knowledge by year of training, sex, or country. Considering all training levels, a statistically significant increase was observed in sensitivity for the diagnosis of preplus or worse, zone I or II, ROP stage, category, and aggressive posterior ROP in the Trainer group.

conclusionsIn this study, the Trainer was shown to significantly improve ROP knowledge and diagnostic skills of residents, regardless of sex, year, of training, or country.

Indexed as

Clinical CompetenceComputer-Assisted InstructionFeedbackFemaleHealth Knowledge, Attitudes, PracticeHumansInternship and ResidencyMaleMassachusettsOphthalmologyProspective StudiesRetinopathy of Prematurity

Identifiers

PMID30885809
PMCPMC13367323

What OpenQuestion holds

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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.