ArticleThe British journal of ophthalmology2020
Implementation of a cloud-based referral platform in ophthalmology: making telemedicine services a reality in eye care.
Article in The British journal of ophthalmology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
53 citing papers in PubMed, 2 syntheses or guidelines pooled it, 92 citations in OpenAlex.
- Diagnostic Accuracy of the Amsler Grid Test for Detecting Neovascular Age-Related Macular Degeneration: A Systematic Review and Meta-analysis.JAMA ophthalmology · 2023Pooled it
- The Role of Optometry in the Delivery of Eye Care via Telehealth: A Systematic Literature Review.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2022Pooled it
- Tele-ophthalmology-enabled and artificial intelligence-ready referral pathway for community optometry referrals of retinal disease: HERMES cluster randomised trial with a diagnostic accuracy study.Health technology assessment (Winchester, England) · 2025Trial
- Age distribution and characteristics of choroidal nevi in 35 559 individuals: A nationwide study using optometry fundus photography.Acta ophthalmologica · 2026Article
- [TOVIS pilot study-Aftercare effects of teleophthalmological diagnostics in senior living].Die Ophthalmologie · 2026Article
- Feasibility and safety of early discharge after robot-assisted uro-oncologic surgery using wearable telemonitoring.Journal of robotic surgery · 2026Article
- Telemedicine in ophthalmology.Wiener medizinische Wochenschrift (1946) · 2025Review
- Role of Artificial Intelligence in Nanomedicine and Organ-specific Therapy: An Updated Review.Current drug targets · 2025Review
- Value proposition of retinal imaging in Alzheimer's disease screening: A review of eight evolving trends.Progress in retinal and eye research · 2024Review
- Implementing teleophthalmology services to improve cost-effectiveness of the national eye care system.Eye (London, England) · 2024Article
- Article
- Ten Years of Experience With a Telemedicine Platform Dedicated to Health Care Personnel: Implementation Report.JMIR medical informatics · 2024Article
- Efficacy and Safety outcomes of a novel model to assess new medical retina referrals in a high-volume medical retina virtual clinic.Eye (London, England) · 2024Article
- Teleophthalmology and retina: a review of current tools, pathways and services.International journal of retina and vitreous · 2023Review
- Is an image-based eyelid management service safe and effective?Eye (London, England) · 2023Article
- Impact of an email advice service on filtering and refining ophthalmology referrals in England.International ophthalmology · 2023Article
- The effectiveness of interventions for optometric referrals into the hospital eye service: A review.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2023Review
- Assessment of optometrists' referral accuracy and contributing factors: A review.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2023Review
- Transforming ophthalmology in the digital century-new care models with added value for patients.Eye (London, England) · 2023Review
- Development of a Cloud-Based Clinical Decision Support System for Ophthalmology Triage Using Decision Tree Artificial Intelligence.Ophthalmology science · 2023Article
Corrections and comments
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Authors and funding
10 authors at 3 institutions in 6 countries.
Funding
Abstract
backgroundHospital Eye Services (HES) in the UK face an increasing number of optometric referrals driven by progress in retinal imaging. The National Health Service (NHS) published a 10-year strategy (NHS Long-Term Plan) to transform services to meet this challenge. In this study, we implemented a cloud-based referral platform to improve communication between optometrists and ophthalmologists.
methodsRetrospective cohort study conducted at Moorfields Eye Hospital, Croydon (NHS Foundation Trust, London, UK). Patients classified into the HES referral pathway by contributing optometrists have been included into this study. Main outcome measures was the reduction of unnecessary referrals.
resultsAfter reviewing the patient's data in a web-based interface 54 (52%) out of 103 attending patients initially classified into the referral pathway did not need a specialist referral. Fourteen (14%) patients needing urgent treatment were identified. Usability was measured in duration for data input and reviewing which was an average of 9.2 min (median: 5.4; IQR: 3.4-8.7) for optometrists and 3.0 min (median: 3.0; IQR: 1.7-3.9) min for ophthalmologists. A variety of diagnosis was covered by this tool with dry age-related macular degeneration (n=34) being most common.
conclusionAfter implementation more than half of the HES referrals have been avoided. This platform offers a digital-first solution that enables rapid-access eye care for patients in community optometrists, facilitates communication between healthcare providers and may serve as a foundation for implementation of artificial intelligence.
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Registered trials
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.