Evidence map›Paper›PMID 34134549›Full record

ArticleJournal of telemedicine and telecare2023

Implementation of a pilot teleretinal screening protocol for hydroxychloroquine retinopathy in a Los Angeles County safety net clinic.

Betty A Situ, Hong-Uyen Hua, Abdul-Hadi Kaakour, Lauren Patty Daskivich, Stavros Savvas, Brian C Toy

Open access · greenAbstract read
In one paragraph

Article in Journal of telemedicine and telecare, 2023. 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
0.4field-weighted citation impact, top 42% 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. 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

6 authors at 1 institution in 1 country.

Betty A SituRoski Eye Institute, Department of Ophthalmology, Keck School of Medicine, University of Southern California, USA.ORCID 0000-0002-0269-3600
Hong-Uyen HuaRoski Eye Institute, Department of Ophthalmology, Keck School of Medicine, University of Southern California, USA.
Abdul-Hadi KaakourRoski Eye Institute, Department of Ophthalmology, Keck School of Medicine, University of Southern California, USA.
Lauren Patty DaskivichRoski Eye Institute, Department of Ophthalmology, Keck School of Medicine, University of Southern California, USA.
Stavros SavvasDivision of Rheumatology, Department of Medicine, Keck School of Medicine, University of Southern California, USA.
Brian C ToyRoski Eye Institute, Department of Ophthalmology, Keck School of Medicine, University of Southern California, USA.
University of Southern California · US

Funding

Southern California Clinical and Translational Science InstituteUL1TR001855 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Thomas A Buchanan, Michele D. Kipke · 2016 to 2026
$81.3M
Southern California Clinical and Translational Science InstituteUL1TR000130 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BUCHANAN, THOMAS A · 2012 to 2015
$36.0M
Ophthalmic Therapeutics Engineering CoreP30EY029220 · NEI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Mahnaz Shahidi · 2018 to 2026
$6.5M
NCATS NIH HHS UL1 TR000130NCATS NIH HHS UL1 TR001855NEI NIH HHS L30 EY030684NEI NIH HHS P30 EY029220
6 · The paper itself

Abstract

introductionThis study aimed to determine whether teleretinal screening for hydroxychloroquine retinopathy (HCQR) improves clinical efficiency and adherence to recommended screening guidelines compared to face-to-face screening among patients in a large safety net medical system.

methodsIn this retrospective cohort study of a consecutive sample of 590 adult patients with active HCQ prescriptions seen in the outpatient ophthalmology clinic at Los Angeles County + University of Southern California Medical Center from 1 September 2018 to 25 November 2019, 203 patients underwent technician-only tele-HCQR screening (THRS), and 387 patients underwent screening with traditional face-to-face visits (F2FV) with an eye-care provider. Data on clinic efficiency measures (appointment wait time and encounter duration) and adherence to recommended screening guidelines were collected and compared between the two cohorts.

resultsCompared to F2FV, the THRS cohort experienced significantly shorter median (interquartile range) time to appointment (2.5 (1.5-4.6) vs. 5.1 (2.9-8.4) months; DISCUSSION: A pilot THRS protocol was successfully implemented at a major safety net eye clinic in Los Angeles County, resulting in a 50.9% reduction in wait times for screening, 72.9% reduction in encounter duration and 49.9% and 40.5% increases in proportions of complete baseline and chronic screening, respectively. Tele-HCQ retinal screening protocols may improve timeliness to care and screening adherence for HCQR in the safety net setting.

Indexed as

Diabetic RetinopathyRetinal DiseasesAdultHumansHydroxychloroquineLos AngelesRetrospective StudiesSafety-net ProvidersHydroxychloroquineretinal screeningteleconsultingtelehealthTele-ophthalmology

Identifiers

PMID34134549
PMCPMC11318349
OpenAlexW3173017800

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.