Evidence map›Paper›PMID 37683821›Full record

ArticleAmerican journal of ophthalmology2024

Alabama Screening and Intervention for Glaucoma and Eye Health through Telemedicine (AL-SIGHT): Baseline Results.

Cynthia Owsley, Thomas A Swain, Gerald McGwin, Van Thi Ha Nghiem, Shilpa Register, Irfan M Asif, Massimo Fazio, Ellen K Antwi-Adjei, Christopher A Girkin, Lindsay A Rhodes

Abstract read
In one paragraph

Article in American journal of ophthalmology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
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  7. 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
    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 at 1 institution in 1 country.

Cynthia OwsleyFrom the Department of Ophthalmology and Visual Sciences (C.O., T.A.S., G.M., S.R.M.F., E.K.A.-A., C.A.G., L.A.R.), Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA. Electronic address: cynthiaowsley@uabmc.edu.
Thomas A SwainFrom the Department of Ophthalmology and Visual Sciences (C.O., T.A.S., G.M., S.R.M.F., E.K.A.-A., C.A.G., L.A.R.), Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA; Department of Epidemiology (T.A.S., G.M.), School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Gerald McGwinFrom the Department of Ophthalmology and Visual Sciences (C.O., T.A.S., G.M., S.R.M.F., E.K.A.-A., C.A.G., L.A.R.), Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA; Department of Epidemiology (T.A.S., G.M.), School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Van Thi Ha NghiemDepartment of Health Policy and Organization (V.T.H.N.), School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Shilpa RegisterFrom the Department of Ophthalmology and Visual Sciences (C.O., T.A.S., G.M., S.R.M.F., E.K.A.-A., C.A.G., L.A.R.), Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Irfan M AsifDepartment of Family and Community Medicine (I.M.A.), Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Massimo FazioFrom the Department of Ophthalmology and Visual Sciences (C.O., T.A.S., G.M., S.R.M.F., E.K.A.-A., C.A.G., L.A.R.), Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Ellen K Antwi-AdjeiFrom the Department of Ophthalmology and Visual Sciences (C.O., T.A.S., G.M., S.R.M.F., E.K.A.-A., C.A.G., L.A.R.), Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA; School of Optometry (E.K.A.-A.), University of Alabama at Birmingham, Birmingham, Alabama, USA.
Christopher A GirkinFrom the Department of Ophthalmology and Visual Sciences (C.O., T.A.S., G.M., S.R.M.F., E.K.A.-A., C.A.G., L.A.R.), Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Lindsay A RhodesFrom the Department of Ophthalmology and Visual Sciences (C.O., T.A.S., G.M., S.R.M.F., E.K.A.-A., C.A.G., L.A.R.), Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
University of Alabama at Birmingham · US

Funding

Using Telemedicine to Prevent Blindness in an At-Risk Rural Alabama PopulationU01DP006441 · DP · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI OWSLEY, CYNTHIA · 2019 to 2023
$3.5M
NCCDPHP CDC HHS U01 DP006441
6 · The paper itself

Abstract

purposeTo describe baseline results of the Alabama Screening and Intervention for Glaucoma and Eye Health through Telemedicine (AL-SIGHT) for patients at federally qualified health centers (FQHCs). Candidates were persons at risk for glaucoma-associated diseases (GAD) based on age, race/ethnicity, current diagnosis of GAD, family history, and diabetes.

designBaseline screening visit followed by remote diagnosis and referral for follow-up examinations.

methodsPatients presenting to FQHCs who were at least 18 years of age were enrolled and underwent screening for acuity, autorefraction, intraocular pressure, visual field testing, and fundus imaging. Results were transmitted to an ophthalmologist at University of Alabama at Birmingham for diagnosis who made referrals for follow-up; follow-up attendance was noted. Questionnaires assessed participants' perspectives on screening. Primary outcomes were rates of disease detection, referral for follow-up, follow-up attendance, and participant satisfaction.

resultsOf the 500 participants enrolled (mean age 58 years), 45.6% were African American and 51.6% White. Remote diagnostic evaluation of ocular screening by ophthalmologist revealed 30% GAD, 6.8% diabetic retinopathy, 37.6% cataract, 68.4% refractive error, 9.2% other eye conditions. In all, 47.2% of the participants were referred for follow-up examination and for acuity 20/40 or worse or IOP ≥23 mm Hg in one or both eyes. Follow-up examination attendance was 76.7% for those referred. Participants reported being very satisfied with screening (85.8%) and with the convenience of screening in their primary care clinic (92.2%).

conclusionsThe high percentage of patients diagnosed with treatable eye conditions at telemedicine screening suggest these programs in FQHCs can be effective and scalable nationwide. Attendance when referred for follow-up examination was high. Participants welcomed screenings in their communities.

Indexed as

GlaucomaTelemedicineAlabamaHumansIntraocular PressureMiddle AgedTonometry, Ocular

Identifiers

PMID37683821
PMCPMC13130887
OpenAlexW4386496147

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.