Evidence map›Paper›PMID 36906094›Full record

ArticleAmerican journal of ophthalmology2023

Michigan Screening and Intervention for Glaucoma and Eye Health Through Telemedicine Program: First-Year Outcomes and Implementation Costs.

Paula Anne Newman-Casey, Leslie M Niziol, Angela R Elam, Amanda K Bicket, Olivia Killeen, Denise John, Sarah Dougherty Wood, David C Musch, Jason Zhang, Leroy Johnson and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of ophthalmology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  10. Telemedicine Screening for Eye Disorders in Federally Qualified Health Centers: Relationship to Vision-Targeted Health-Related Quality of Life.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024
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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.

Paula Anne Newman-CaseyFrom the Department of Ophthalmology and Visual Sciences (P.A.N-C., L.M.N., A.R.E., A.K.B., O.K., D.J., S.D.W., D.C.M., J.Z., M.A.W.); the Institute for Healthcare Policy and Innovation (P.A.N-C., A.R.E., O.K., D.C.M., M.A.W.), University of Michigan, Ann Arbor. Electronic address: panewman@med.umich.edu.
Leslie M NiziolFrom the Department of Ophthalmology and Visual Sciences (P.A.N-C., L.M.N., A.R.E., A.K.B., O.K., D.J., S.D.W., D.C.M., J.Z., M.A.W.).
Angela R ElamFrom the Department of Ophthalmology and Visual Sciences (P.A.N-C., L.M.N., A.R.E., A.K.B., O.K., D.J., S.D.W., D.C.M., J.Z., M.A.W.); the Institute for Healthcare Policy and Innovation (P.A.N-C., A.R.E., O.K., D.C.M., M.A.W.), University of Michigan, Ann Arbor.
Amanda K BicketFrom the Department of Ophthalmology and Visual Sciences (P.A.N-C., L.M.N., A.R.E., A.K.B., O.K., D.J., S.D.W., D.C.M., J.Z., M.A.W.).
Olivia KilleenFrom the Department of Ophthalmology and Visual Sciences (P.A.N-C., L.M.N., A.R.E., A.K.B., O.K., D.J., S.D.W., D.C.M., J.Z., M.A.W.); the Institute for Healthcare Policy and Innovation (P.A.N-C., A.R.E., O.K., D.C.M., M.A.W.), University of Michigan, Ann Arbor.
Denise JohnFrom the Department of Ophthalmology and Visual Sciences (P.A.N-C., L.M.N., A.R.E., A.K.B., O.K., D.J., S.D.W., D.C.M., J.Z., M.A.W.).
Sarah Dougherty WoodFrom the Department of Ophthalmology and Visual Sciences (P.A.N-C., L.M.N., A.R.E., A.K.B., O.K., D.J., S.D.W., D.C.M., J.Z., M.A.W.).
David C MuschFrom the Department of Ophthalmology and Visual Sciences (P.A.N-C., L.M.N., A.R.E., A.K.B., O.K., D.J., S.D.W., D.C.M., J.Z., M.A.W.); the Institute for Healthcare Policy and Innovation (P.A.N-C., A.R.E., O.K., D.C.M., M.A.W.), University of Michigan, Ann Arbor.
Jason ZhangFrom the Department of Ophthalmology and Visual Sciences (P.A.N-C., L.M.N., A.R.E., A.K.B., O.K., D.J., S.D.W., D.C.M., J.Z., M.A.W.).
Leroy JohnsonHamilton Community Health Network (L.J.), Flint.
Martha Kershawthe Hope Clinic (M.K.), Ypsilanti, Michigan, USA.
Maria A WoodwardFrom the Department of Ophthalmology and Visual Sciences (P.A.N-C., L.M.N., A.R.E., A.K.B., O.K., D.J., S.D.W., D.C.M., J.Z., M.A.W.); the Institute for Healthcare Policy and Innovation (P.A.N-C., A.R.E., O.K., D.C.M., M.A.W.), University of Michigan, Ann Arbor.

Funding

Michigan Vision Clinician Scientist Development ProgramK12EY022299 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Abigail Fahim, DAVID N ZACKS · 2013 to 2026
$6.3M
Sustainable Community Clinic Telemedicine-Based Glaucoma ScreeningU01DP006442 · DP · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI NEWMAN-CASEY, PAULA ANNE · 2019 to 2023
$3.5M
Increasing Eye Care Utilization in Black Americans At High Risk For Glaucoma Using A Community-Engaged and Faith-Based InterventionK23MD016430 · NIMHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ELAM, ANGELA R · 2021 to 2024
$678k
NCCDPHP CDC HHS U01 DP006442NEI NIH HHS K12 EY022299NIMHD NIH HHS K23 MD016430
6 · The paper itself

Abstract

purposeThe Michigan Screening and Intervention for Glaucoma and Eye Health Through Telemedicine (MI-SIGHT) program aims to engage people who are at high risk of glaucoma; we assess first-year outcomes and costs.

designClinical cohort study.

methodsParticipants ≥18 years of age were recruited from a free clinic and a federally qualified health center in Michigan. Ophthalmic technicians in the clinics collected demographic information, visual function, ocular health history, measured visual acuity, refraction, intraocular pressure, pachymetry, pupils, and took mydriatic fundus photographs and retinal nerve fiber layer optical coherence tomography. Data were interpreted by remote ophthalmologists. During a follow-up visit, technicians shared ophthalmologist recommendations, dispensed low-cost glasses, and collected participant satisfaction. The primary outcome measures were prevalence of eye disease, visual function, program satisfaction, and costs. Observed prevalence was compared with national disease prevalence rates using z tests of proportions.

resultsAmong 1171 participants, the average age was 55 years (SD 14.5 years), 38% were male, 54% identified as Black, 34% as White, 10% as Hispanic, 33% had less than or equal to a high school education, and 70% had an annual income <$30,000. The prevalence of visual impairment was 10.3% (national average 2.2%), glaucoma and suspected glaucoma 24% (national average 9%), macular degeneration 2.0% (national average 1.5%), and diabetic retinopathy 7.3% (national average 3.4%) (P < .0001). Seventy-one percent of participants received low-cost glasses, 41% were referred for ophthalmology follow-up, and 99% were satisfied or very satisfied with the program. Startup costs were $103,185; recurrent costs were $248,103 per clinic.

conclusionsTelemedicine eye disease detection programs in low-income community clinics effectively identify high rates of pathology.

Indexed as

GlaucomaOcular HypertensionTelemedicineCohort StudiesFemaleHumansMaleMichiganMiddle Aged

Identifiers

PMID36906094
PMCPMC10247478

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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.