Evidence map›Paper›PMID 31047304›Full record

ArticleOphthalmology. Retina2018

Telemedical Diagnosis of Stage 4 and Stage 5 Retinopathy of Prematurity.

Samir N Patel, Ranjodh Singh, Karyn E Jonas, Susan Ostmo, Mrinali P Gupta, J Peter Campbell, Michael F Chiang, R V Paul Chan, Imaging and Informatics for Retinopathy of Prematurity Research Consortium

Abstract readMulticenter Study
In one paragraph

Article in Ophthalmology. Retina, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Telemedicine in ophthalmology in view of the emerging COVID-19 outbreak.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2020
    Review
  5. Developing a pediatric ophthalmology telemedicine program in the COVID-19 crisis.Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2020
    Article
  6. Article
  7. 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

9 authors at 2 institutions in 1 country.

Samir N PatelDepartment of Ophthalmology, Weill Cornell Medical College, New York, New York.
Ranjodh SinghDepartment of Ophthalmology, Weill Cornell Medical College, New York, New York.
Karyn E JonasDepartment of Ophthalmology, Weill Cornell Medical College, New York, New York; Department of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Chicago, Illinois.
Susan OstmoDepartment of Ophthalmology, Casey Eye Institute at Oregon Health and Science University, Portland, Oregon.
Mrinali P GuptaDepartment of Ophthalmology, Weill Cornell Medical College, New York, New York.
J Peter CampbellDepartment of Ophthalmology, Casey Eye Institute at Oregon Health and Science University, Portland, Oregon.
Michael F ChiangDepartment of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, Oregon; Department of Ophthalmology, Casey Eye Institute at Oregon Health and Science University, Portland, Oregon.
R V Paul ChanDepartment of Ophthalmology, Weill Cornell Medical College, New York, New York; Department of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Chicago, Illinois; Center for Global Health, University of Illinois at Chicago College of Medicine, Chicago, Illinois. Electronic address: rvpchan@uic.edu.
Imaging and Informatics for Retinopathy of Prematurity Research Consortium
Cornell University · USOregon Health & Science University · US

Funding

Proteomics CoreP30EY010572 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI TED S ACOTT · 1995 to 2026
$19.4M
Clinical and Genetic Analysis of Retinopathy of PrematurityR01EY019474 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI CAMPBELL, JOHN PETER · 2010 to 2020
$7.0M
NEI NIH HHS P30 EY010572NEI NIH HHS R01 EY019474
6 · The paper itself

Abstract

purposeTo determine the accuracy of image-based diagnosis for stage 4 or worse retinopathy of prematurity (ROP) disease.

designProspective cohort study.

participantsWe prospectively obtained data, from 8 major ROP centers, for 1220 eye examinations from 230 infants.

methodsAn ophthalmologist at each center provided a clinical diagnosis using indirect ophthalmoscopy. Wide-angle retinal images (RetCam; Clarity Medical Systems, Pleasanton, CA) were then obtained, and these were independently read by 2 ROP experts using a web-based system for an image-based diagnosis.

main outcome measuresSensitivity and specificity of image-based diagnosis from the ROP experts were calculated using the clinical diagnosis as the reference standard.

resultsOf 1220 examinations, 28 (2%) had a clinical diagnosis of stage 4 or worse. Sensitivity and specificity for stage 4 or worse disease were 75% and 99% for expert 1, and 86% and 99% for expert 2. Sensitivity and specificity for the detection of stage 5 disease were 69% and 99% for both experts.

conclusionsThere are inconsistencies in the accuracy of image-based diagnosis of stage 4 and stage 5 ROP when compared with the clinical diagnosis.

Indexed as

Follow-Up StudiesGestational AgeHumansImage Interpretation, Computer-AssistedInfant, NewbornInfant, PrematureOphthalmoscopyProspective StudiesReproducibility of ResultsRetinaRetinopathy of PrematurityROC CurveSeverity of Illness IndexTelemedicine

Identifiers

PMID31047304
PMCPMC12288118
OpenAlexW2622241366

What OpenQuestion holds

Textmetadata
LicenceTDM
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.