Evidence map›Paper›PMID 33627991›Full record

ArticleDiabetes spectrum : a publication of the American Diabetes Association2021

Real-World Screening for Retinopathy in Youth With Type 1 Diabetes Using a Nonmydriatic Fundus Camera.

Chelsea Zimmerman, Brittany Bruggeman, Amanda LaPorte, Shalesh Kaushal, Michael Stalvey, Giovanna Beauchamp, Kristin Dayton, Paul Hiers, Stephanie L Filipp, Matthew J Gurka and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Diabetes spectrum : a publication of the American Diabetes Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 86% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Improving Diabetes-Related Retinopathy Screening and Documentation in Youth With Diabetes.Clinical diabetes : a publication of the American Diabetes Association · 2025
    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

12 authors at 4 institutions in 1 country.

Chelsea ZimmermanDivision of Pediatric Endocrinology, University of Florida, Gainesville, FL.
Brittany BruggemanDivision of Pediatric Endocrinology, University of Florida, Gainesville, FL.ORCID 0000-0002-5117-8031
Amanda LaPorteUniversity of Florida College of Medicine, Gainesville, FL.
Shalesh KaushalMagruder Eye Institute, Orlando, FL.
Michael StalveyDivision of Pediatric Endocrinology, University of Alabama at Birmingham, Birmingham, AL.
Giovanna BeauchampDivision of Pediatric Endocrinology, University of Alabama at Birmingham, Birmingham, AL.
Kristin DaytonDivision of Pediatric Endocrinology, University of Florida, Gainesville, FL.
Paul HiersDivision of Pediatric Endocrinology, University of Florida, Gainesville, FL.
Stephanie L FilippDepartment of Health Outcomes and Policy, University of Florida, Gainesville, FL.
Matthew J GurkaDepartment of Health Outcomes and Policy, University of Florida, Gainesville, FL.ORCID 0000-0002-3371-4582
Janet H SilversteinDivision of Pediatric Endocrinology, University of Florida, Gainesville, FL.
Laura M JacobsenDivision of Pediatric Endocrinology, University of Florida, Gainesville, FL.ORCID 0000-0002-5144-7836
University of Florida · USUniversity of Alabama at Birmingham · USUniversity of Florida Health · USEast Florida Eye Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the use of a portable retinal camera in diabetic retinopathy (DR) screening in multiple settings and the presence of associated risk factors among children, adolescents, and young adults with type 1 diabetes. DESIGN AND

methodsFive hundred youth with type 1 diabetes of at least 1 year's duration were recruited from clinics, diabetes camp, and a diabetes conference and underwent retinal imaging using a nonmydriatic fundus camera. Retinal characterization was performed remotely by a licensed ophthalmologist. Risk factors for DR development were evaluated by a patient-reported questionnaire and medical chart review.

resultsOf the 500 recruited subjects aged 9-26 years (mean 14.9, SD 3.8), 10 cases of DR were identified (nine mild and one moderate nonproliferative DR) with 100% of images of gradable quality. The prevalence of DR was 2.04% (95% CI 0.78-3.29), at an average age of 20.2 years, with the youngest affected subject being 17.1 years of age. The rate of DR was higher, at 6.5%, with diabetes duration >10 years (95% CI 0.86-12.12,

conclusionThis study in a large cohort of subjects with type 1 diabetes demonstrates that older adolescents and young adults (>17 years) with longer disease duration (>6 years) are at risk for DR development, and screening using a portable retinal camera is feasible in clinics and other locations. Recent elevated blood pressure was a risk factor in an analyzed subgroup.

Identifiers

PMID33627991
PMCPMC7887527
OpenAlexW3087466256

What OpenQuestion holds

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Registered trials

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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.