Evidence map›Paper›PMID 34927596›Full record

ArticleJMIR research protocols2021

Augmenting the Referral Pathway for Retinal Services Among Patients With Diabetes Mellitus at Reiyukai Eiko Masunaga Eye Hospital, Nepal: Protocol for a Nonrandomized, Pre-Post Intervention Study.

Ruchi Shrestha, Prerana Singh, Parami Dhakhwa, Shailaja Tetali, Tripura Batchu, Pragati Shrestha Thapa

Registry-linked trialAbstract read
In one paragraph

Article in JMIR research protocols, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04829084 (Augmenting the Referral Pathway to Improve the Uptake of Retinal Services Among Diabetic Patients at Reiyukai Eiko Masunaga Eye Hospital, Nepal, a Non-randomized Pre-post Intervention Study), which is not on this map. Cited by 2 papers.

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

NCT04829084 nacompletednot on this map

Augmenting the Referral Pathway to Improve the Uptake of Retinal Services Among Diabetic Patients at Reiyukai Eiko Masunaga Eye Hospital, Nepal, a Non-randomized Pre-post Intervention Study

TypeinterventionalSponsorSeva FoundationRan2021 to 2021Enrolled19ConditionsDiabetic RetinopathyArmsPre-post educational intervention
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. 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.

Ruchi Shrestha *Department of Vitreoretina, Reiyukai Eiko Masunaga Eye Hospital, Banepa, Nepal.ORCID https://orcid.org/0000-0003-1570-621X
Prerana Singh *Department of Vitreoretina, Reiyukai Eiko Masunaga Eye Hospital, Banepa, Nepal.ORCID https://orcid.org/0000-0002-7979-9454
Parami Dhakhwa *SEVA Nepal, Kathmandu, Nepal.ORCID https://orcid.org/0000-0001-7452-1413
Shailaja Tetali *Department of Research, Indian Institute of Public Health, Hyderabad, India.ORCID https://orcid.org/0000-0001-7006-6935
Tripura Batchu *Department of Research, Indian Institute of Public Health, Hyderabad, India.ORCID https://orcid.org/0000-0002-1106-9455
Pragati Shrestha Thapa *Department of Vitreoretina, Reiyukai Eiko Masunaga Eye Hospital, Banepa, Nepal.ORCID https://orcid.org/0000-0002-2179-1660

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetic retinopathy (DR) is an important public health issue in Nepal with a huge social and economic impact. Despite the availability of retinal services, people may not access them because of the lack of knowledge about DR and poor referral systems. Published studies on referral pathways in Nepal are scarce. Improving DR awareness among general physicians has the potential to address these challenges.

objectiveThe aim of this study is to evaluate the effect of a health education intervention on health personnel, establish a referral pathway, and assess the impact of the intervention on the attendance of patients with diabetes mellitus for retinal screening at Reiyukai Eiko Masunaga Eye Hospital in Nepal.

methodsThis is a nonrandomized, pre- and postintervention study. Health education on DR will be provided to selected health personnel of the intervention hospital (Scheer Memorial) using information education and communication (IEC) materials in the form of PowerPoint presentations, posters, pamphlets, videos, and pre- and postevaluation questionnaires along with referral slip. Pre- and postevaluation will be undertaken during the study period. Data will be analyzed using MS Excel and Epi Info 7.

resultsThe ethical approval for this study has been obtained from the Ethical Review Board of the Nepal Health Research Council (ERB Protocol Registration Number # 582/2020P). The study is expected to be completed in 18 months from the start of the project. The baseline data collection was from June to January 2020 for a period of 8 months. The postintervention data collection was from February to September 2021 for a period of 8 months. The last 2 months are planned for data analysis and report writing.

conclusionsHealth education intervention could be a low-cost solution to improve the awareness, access, and utilization of retinal health care services; this is an understudied topic in Nepal. Working closely with the stakeholders, this study will evaluate the role of health education interventions (which are already validated in other low-income settings) to strengthen referral and reduce the burden of DR in Nepal.

trial registrationClinicalTrials.gov NCT04829084; https://clinicaltrials.gov/ct2/show/NCT04829084. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/33116.

Indexed as

diabetes mellitusdiabetic retinopathyhealth educationNepalstudy protocol

Identifiers

PMID34927596
PMCPMC8726041

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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.