Evidence map›Paper›PMID 42512794›Full record

ReviewMedicina (Kaunas, Lithuania)2026

A Roadmap for National Diabetic Retinopathy Screening in Croatia: Integrating European Evidence, Telemedicine, and AI.

Toma Babić, Martina Tomić, Nenad Vukojević, Ivo Dumić-Čule, Sonja Jandroković, Tea Čaljkušić Mance

Abstract readReview
In one paragraph

Review in Medicina (Kaunas, Lithuania), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Toma BabićDepartment of Diabetic Eye Complications, Vuk Vrhovac University Clinic for Diabetes, Endocrinology and Metabolic Diseases, Merkur University Hospital, 10000 Zagreb, Croatia.ORCID 0000-0002-3387-1115
Martina TomićDepartment of Diabetic Eye Complications, Vuk Vrhovac University Clinic for Diabetes, Endocrinology and Metabolic Diseases, Merkur University Hospital, 10000 Zagreb, Croatia.ORCID 0000-0002-7535-3631
Nenad VukojevićDepartment of Ophthalmology, Zagreb University Hospital Centre, 10000 Zagreb, Croatia.ORCID 0000-0001-7561-8858
Ivo Dumić-ČuleDepartment of Nursing, University North, 104 Brigade 3, 42000 Varazdin, Croatia.ORCID 0000-0002-2005-6402
Sonja JandrokovićDepartment of Ophthalmology, Zagreb University Hospital Centre, 10000 Zagreb, Croatia.ORCID 0000-0003-0536-1502
Tea Čaljkušić ManceDepartment of Ophthalmology, Clinical Hospital Centre Rijeka, 51000 Rijeka, Croatia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetic retinopathy (DR) is a leading cause of preventable blindness among working-age adults. Systematic screening programmes in the United Kingdom, Ireland, and the Nordic countries have reduced diabetes-related visual loss, yet many European countries, including Croatia, lack organised screening. This narrative review examines European DR screening programmes, evaluates telemedicine and artificial intelligence (AI) as enabling technologies, and proposes a phased roadmap for a national programme in Croatia. Croatia has nearly 400,000 registered persons with diabetes, a national diabetes registry (CroDiab) linked to the Central Health Information System (CEZIH), and pilot screening data showing 40% DR prevalence among screened patients with type 2 diabetes. The proposed programme combines decentralised telemedicine-based imaging at primary care sites with centralised grading, a staged rollout across three phases targeting 400,000 annual screenings, and stepwise AI integration for triage. Successful European programmes share standardised digital imaging, trained grading workforces, embedded quality assurance, and registry linkage. With dedicated funding and sustained political commitment, Croatia could adopt a hybrid telemedicine-AI model and, under favourable implementation conditions, reduce the burden of advanced DR over the coming decade.

Indexed as

Artificial IntelligenceDiabetic RetinopathyMass ScreeningCroatiaDigital HealthHumansRegistriesTelemedicineartificial intelligencediabetic retinopathyscreeningtelemedicine

Identifiers

PMID42512794
PMCPMC13413944

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.