Evidence map›Paper›PMID 40447778›Full record

SynthesisEye (London, England)2025

Artificial Intelligence improves follow-up appointment uptake for diabetic retinal assessment: a systematic review and meta-analysis.

Masoud Rahmati, Lee Smith, Mapa Prabhath Piyasena, Michael Bowen, Laurent Boyer, Guillaume Fond, Abdolreza Kazemi, Dong Keon Yon, Hayeon Lee, Tarnjit Sehmbi and 2 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Eye (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Artificial intelligence in diabetic retinopathy: from automated screening to risk-stratified care.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. 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

12 authors.

Masoud RahmatiCEReSS-Health Service Research and Quality of Life Center, Assistance Publique-Hopitaux de Marseille, Aix-Marseille University, Marseille, France. masoud.rahmati@univ-amu.fr.ORCID http://orcid.org/0000-0003-4792-027X
Lee SmithCentre for Health, Performance, and Wellbeing, Anglia Ruskin University, Cambridge, UK.
Mapa Prabhath PiyasenaVision and Eye Research Institute, School of Medicine, Anglia Ruskin University, Young Street, Cambridge, UK.ORCID http://orcid.org/0000-0002-0236-0101
Michael BowenThe College of Optometrists, London, UK.ORCID http://orcid.org/0000-0002-4818-9450
Laurent BoyerCEReSS-Health Service Research and Quality of Life Center, Assistance Publique-Hopitaux de Marseille, Aix-Marseille University, Marseille, France.
Guillaume FondCEReSS-Health Service Research and Quality of Life Center, Assistance Publique-Hopitaux de Marseille, Aix-Marseille University, Marseille, France.
Abdolreza KazemiDepartment of Physical Education and Sport Sciences, Faculty of Literature and Humanities, Vali-E-Asr University of Rafsanjan, Rafsanjan, Iran.
Dong Keon YonCenter for Digital Health, Medical Science Research Institute, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, Seoul, Republic of Korea.
Hayeon LeeCenter for Digital Health, Medical Science Research Institute, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, Seoul, Republic of Korea.
Tarnjit SehmbiVision and Eye Research Institute, School of Medicine, Anglia Ruskin University, Young Street, Cambridge, UK.
Sanjiv AhluwaliaHead of School of Medicine, Anglia Ruskin University, Chelmsford, England.
Shahina PardhanVision and Eye Research Institute, School of Medicine, Anglia Ruskin University, Young Street, Cambridge, UK. shahina.pardhan@aru.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesArtificial intelligence (AI) assessment of diabetic retinopathy (DR) instead of scarce trained specialists could potentially increases the efficiency and accessibility of screening programs. This systematic review aims to systematically examine the uptake of follow-up appointments with initial computer-based AI and human graders of DR.

methodsWe conducted a systematic review and meta-analysis by screening articles in any languages in PubMed, MEDLINE (Ovid), EMBASE, Web of Science, Cochrane CENTRAL and CDSR published from database inception up to 20

resultsData from a total of 20,108 patients with diabetes (6476 participants graded using AI and 13,632 participants graded by human-graders; age range of the participants 5 to 67 years) from six studies were included. The result of the pooled meta-analysis showed that initial AI assessment of DR significantly increased uptake of follow-up appointments compared to human grader-based (OR = 1.89, 95% CI 1.78-2.01, P = 0.00001).

conclusionsThe present systematic review and meta-analysis suggest that initial AI-based algorithm for screening DR is associated with an increased uptake of follow-up examination. This is most likely due to instant results being made available with AI based algorithms when compared to a delay in assessment with human graders.

Indexed as

Appointments and SchedulesArtificial IntelligenceDiabetic RetinopathyHumans

Identifiers

PMID40447778
PMCPMC12325731

What OpenQuestion holds

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LicenceCC BY
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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.