Feasibility of using the TOSCA telescreening procedures for diabetic retinopathy

Luzio, Stephen Denis; Hatcher, S.; Zahlmann, Gudrun; Mazik, L.; Morgan, Margaret M; Liesenfeld, B.; Bek, Toke; Schuell, H.; Schneider, Simone; Owens, David R.; Kohner, Eva M.

doi:10.1111/j.1464-5491.2004.01305.x

Cited by 43 publications

(29 citation statements)

References 22 publications

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“…Using an ophthalmologist at a reference center to diagnose and grade the digital images saves valuable time. While in most previous studies7–9 trained readers interpreted the retinal image photographs, in the present study ophthalmologists interpreted the retinal image photographs.…”

Section: Discussionmentioning

confidence: 75%

“…Moreover, they are overloaded with high patient volume at their clinics. Applying screening tools at the primary care setting will improve patient compliance and be useful for training family physicians to screen images at the same time to identify some other common eye abnormalities, which will facilitate the screening process and help to prevent blindness 67. Information technology infrastructure at the Ministry of Heath where all the primary and secondary care center systems are connected by the Internet, as well as the advances in technology instituted by the government at Bahrain facilitated this telemedicine approach and can be implemented in other specialties, which is an excellent and feasible approach for screening and treating patients for many other disease modalities in Bahrain.…”

Section: Discussionmentioning

confidence: 99%

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Screening for diabetic retinopathy: The first telemedicine approach in a primary care setting in Bahrain

Alawi

Ahmed

2012

Middle East Afr J Ophthalmol

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Purpose:To develop an integrated diabetic retinopathy screening program that uses telemedicine.Materials and Methods:In this evaluation of diagnostic technology, six telemedical screening units were established to cover all regions of Bahrain. The units were equipped with a digital fundus camera at the primary health care clinic. Fundus photographs were transmitted via the Internet to a centralized reading center. A retinal specialist at the reading center assessed the images.Results:From 2003 to 2009, 17,490 diabetic patients were screened. Of the screened patients, 20% were diagnosed with diabetic retinopathy. Of these cases, 31% required treatment.Conclusion:Telemedicine-based screening program is a feasible and efficient means of detecting diabetic retinopathy and providing treatment.

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Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Screening for diabetic retinopathy: The first telemedicine approach in a primary care setting in Bahrain

Alawi

Ahmed

2012

Middle East Afr J Ophthalmol

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“…Patient satisfaction with DR telemedicine varies widely from 35% to 99%. [27][28][29][30][31] But patient satisfaction does not measure patients' underlying beliefs. It is essential to engage patients to understand their attitudes, concerns, and perceptions before wide-scale implementation.…”

Section: Introductionmentioning

confidence: 99%

Patient Attitudes Toward Telemedicine for Diabetic Retinopathy

Valikodath

Leveque

Wang

et al. 2017

Telemedicine and e-Health

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It is critical to understand the attitudes of people with DM where telemedicine shows promise for disease management and end-organ damage prevention. Patients' attitudes are influenced by their health and perceptions, but not by their demographics. Receptive patients focus on convenience, whereas unreceptive patients strongly value their patient-physician relationships or have long-standing DM. Telemedicine monitoring should be designed for people who are in need and receptive to telemedicine.

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“…[45] The reason for not using internet was the lack of necessary internet connectivity in the villages. The technical working group (TWG) for standardization on telemedicine in India recommends that satellite link is the best option to connect a remote site with high or flexible bandwidth pipe in the shortest possible time.…”

Section: Discussionmentioning

confidence: 99%

Application of tele-ophthalmology in remote diagnosis and management of adnexal and orbital diseases

Verma

Raman

Mohan

2009

Indian J Ophthalmol

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Purpose:To assess the feasibility of making a diagnosis of adnexal and orbital diseases by Tele-ophthalmological means.Materials and Methods:Tele-consultation for eye diseases was done for 3497 patients from remote areas of Tamilnadu as part of the rural tele-ophthalmology project of a tertiary eye care hospital during a period of nine months from October 2004 to June 2005. These patients were comprehensively examined on-site by optometrists. Using digitized images sent by store and forward technique and videoconferencing, the ophthalmologist made a diagnosis and advised treatment.Results:Adnexal or orbital diseases were detected in 101 out of 3497 patients (2.88%). Medical treatment was advised to 13 of 101 patients (12.8%). Surgery was advised in 62 of 101 patients (61.28%) whereas 18 of 101 patients (17.8%) required further investigations at a tertiary center.Conclusion:It was feasible to apply the satellite based tele-ophthalmology set-up for making a presumptive diagnosis and planning further management of adnexal and orbital diseases based on live interaction and digital still images of the patients.

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Feasibility of using the TOSCA telescreening procedures for diabetic retinopathy

Abstract: This study demonstrated that it is feasible to electronically transmit and grade retinal images remotely using the TOSCA process. Built-in quality assurance procedures proved acceptable.

Cited by 43 publications

References 22 publications

Screening for diabetic retinopathy: The first telemedicine approach in a primary care setting in Bahrain

Screening for diabetic retinopathy: The first telemedicine approach in a primary care setting in Bahrain

Patient Attitudes Toward Telemedicine for Diabetic Retinopathy

Application of tele-ophthalmology in remote diagnosis and management of adnexal and orbital diseases

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