Evidence map›Paper›PMID 42100279›Full record

SynthesisFrontiers in medicine2026

Effectiveness of screening modalities for early detection of diabetic retinopathy: a systematic review and meta-analysis of tele-ophthalmology, AI-based tools, and conventional methods.

Zhipeng Wu, Long Li

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in medicine, 2026. 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. Barriers and enablers for health system reform.Frontiers in health services · 2026
    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

2 authors.

Zhipeng WuDepartment of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhenzhou, Henan, China.
Long LiDepartment of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhenzhou, Henan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Diabetic retinopathy (DR) causes severe vision impairment that requires early screening methods for effective detection. The combination of Artificial Intelligence (AI) and tele-ophthalmology technology provides an effective solution that enhances both DR detection rates and patient access to care. Objective: The study aims to assess how well AI-based telemedicine smartphone conventional and population-based screening methods detect diabetic retinopathy in terms of effectiveness, accuracy, and real-world performance. Methodology: Researchers executed a comprehensive literature search across PubMed, Scopus, Web of Science, and Embase to find articles published between 2012 and 2025. The study examined three types of studies: AI-based DR screening, tele-ophthalmology, and evaluations of standard diagnostic methods. The analysis used random-effects meta-analysis to estimate pooled odds ratios (ORs), assess heterogeneity using I Results: The study included 45 different research studies. The standalone deep learning/AI tools (6 studies) demonstrated a pooled OR of 5.79 (95% CI: 5.22-6.42; Conclusion: AI-based screening, including deep learning algorithms, automated grading, and tele-ophthalmology, shows high diagnostic accuracy and consistent effectiveness. The implementation of smartphone- and population-based approaches is feasible, yet their outcomes vary, necessitating validation through context-specific assessments.

Indexed as

artificial intelligencedeep learningdiabetic retinopathymeta-analysisscreening effectivenesssmartphone screeningtele-ophthalmology

Identifiers

PMID42100279
PMCPMC13143638

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.