Evidence map›Paper›PMID 35788698›Full record

ArticleEye (London, England)2023

Introducing the 'Benign Eyelid Lesion Pathway': 1 year experience of synchronous tele-oculoplastics in a tertiary hospital.

Laura Ah-Kye, Anum Butt, Ankur Gupta, Hannah Timlin, Claire Daniel, Jimmy Uddin, Peter B M Thomas, Dawn A Sim, Daniel G Ezra, Swan Kang

Abstract read
In one paragraph

Article in Eye (London, England), 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
–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.

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.

  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

10 authors.

Laura Ah-KyeAdnexal Department, Moorfields Eye Hospital NHS Foundation Trust, 162 City Rd, London, EC1V 2PD, UK. laura.ahkye@doctors.org.uk.ORCID 0000-0003-2170-8641
Anum ButtAdnexal Department, Moorfields Eye Hospital NHS Foundation Trust, 162 City Rd, London, EC1V 2PD, UK.
Ankur GuptaAdnexal Department, Moorfields Eye Hospital NHS Foundation Trust, 162 City Rd, London, EC1V 2PD, UK.
Hannah TimlinAdnexal Department, Moorfields Eye Hospital NHS Foundation Trust, 162 City Rd, London, EC1V 2PD, UK.
Claire DanielAdnexal Department, Moorfields Eye Hospital NHS Foundation Trust, 162 City Rd, London, EC1V 2PD, UK.
Jimmy UddinAdnexal Department, Moorfields Eye Hospital NHS Foundation Trust, 162 City Rd, London, EC1V 2PD, UK.
Peter B M ThomasNIHR Biomedical Research Centre for Ophthalmology, Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UK.
Dawn A SimNIHR Biomedical Research Centre for Ophthalmology, Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UK.ORCID 0000-0002-6363-7805
Daniel G EzraNIHR Biomedical Research Centre for Ophthalmology, Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UK.
Swan KangAdnexal Department, Moorfields Eye Hospital NHS Foundation Trust, 162 City Rd, London, EC1V 2PD, UK.ORCID 0000-0002-1303-9188

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with benign eyelid lesions make up a large proportion of referrals to the oculoplastic service and lend themselves well to telemedicine with assessments heavily reliant on history, observation-based examination and photographs to enable management decision-making. Our tertiary unit set up tele-oculoplastics clinics for all new patients referred for benign eyelid lesions comprising tele-consultation with antecedent patient photograph: Benign Eyelid Lesion Pathway (BELP). One year on, we describe a retrospective analysis of 974 patients looking at distinct parameters of effectiveness.

methodsWe retrospectively collected data from electronic patient records (EPR) for BELP patients from July 2020 to August 2021 (n = 974). We analysed time efficiency (referral time to treatment plan, consultation duration in minutes, average waiting times, number of patients seen per clinician and DNA rate), accessibility, safety (via video surveillance clinic) and theatre utilisation.

results57.3% (n = 558) were listed for a surgical procedure direct from tele-consultation with 94.9% (n = 513) of these proceeding to surgery; 22.8% (n = 222) were discharged, 10.7% (n = 104) had further video follow-up and 6.7% (n = 65) required face-to-face follow-up. Our results showed efficient referral-to-treatment times, waiting times, consultation times and non-attendance rate. There was only a 2.57% non-attendance rate. There was no missed diagnosis of a malignancy of a presumed benign lesion.

conclusionTele-oculoplastics provides a streamlined, safe, effective, and logistically convenient way to review benign eyelid lesions. With the increased waiting times for referral to biopsy of eyelid lesions, this clinic shows it is imperative to provide digital accessibility for patient assessment and booking to operating theatre.

Indexed as

Skin NeoplasmsTelemedicineEyelidsHumansRetrospective StudiesTertiary Care Centers

Identifiers

PMID35788698
PMCPMC10169839

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.