Prevalence and Severity of Diabetic Retinopathy in Northwest Cameroon as Identified by Teleophthalmology

Jivraj, Imran; Ng, ManCho; Rudnisky, Christopher J.; Dimla, Beri; Tambe, Emmanuel; Nathoo, Nawaaz; Tennant, Matthew

doi:10.1089/tmj.2010.0155

Cited by 23 publications

(15 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As a solution, teleophthalmology has been implemented in various parts of the African continent 912. While still in its infancy, refinement of the current African teleophthalmology screening program for diabetics is needed.…”

Section: Introductionmentioning

confidence: 99%

Improving diabetic retinopathy screening in Africa: Patient satisfaction with teleophthalmology versus ophthalmologist-based screening

Kurji

Kiage

Rudnisky

et al. 2013

Middle East Afr J Ophthalmol

View full text Add to dashboard Cite

Purpose:To assess patient preference for diabetic retinopathy (DR) screening with teleophthalmology or face-to-face ophthalmologist evaluation in Nairobi, Kenya.Materials and Methods:Fifty seven diabetic patients from a one-stop multidisciplinary diabetic clinic (consisting of a diabetologist, nurse educator, foot specialist, nutritionist, ophthalmologist, and neurologist) in Nairobi, Kenya were included if they had undergone both a teleophthalmology (stereoscopic digital retinal photographs graded by an ophthalmologist remotely) and a traditional clinical screening exam (face to face examination). A structured questionnaire with a 5-point Likert scale was developed in both English and Swahili. The questionnaire was administered over the telephone. Ten questions were used to compare patient experience and preferences between teleophthalmology and a traditional clinical examination for DR. A mean score >3.25 on the Likert scale was considered favourable.Results:Successfully telephone contact was possible for 26 (58% male, 42% females) of the 57 patients. The mean ages of the male and female patients were 52.4 and 46.5 years respectively. Patients were satisfied with their teleophthalmology examination (mean 4.15 ± 0.97). Patients preferred the teleophthalmology option for future screenings (mean 3.42 ± 1.52). This preference was driven primarily by convenience, reduced examination time, and being able to visualize their own retina.Conclusion:In this study, diabetic patients preferred a teleophthalmology based screening over a traditional ophthalmologist-based screening. The use of teleophthalmology in Africa warrants further study and has the potential to become the screening model of choice. Cost effectiveness in comparison to an ophthalmologist-based screening also requires evaluation.

show abstract

Section: Introductionmentioning

confidence: 99%

Improving diabetic retinopathy screening in Africa: Patient satisfaction with teleophthalmology versus ophthalmologist-based screening

Kurji

Kiage

Rudnisky

et al. 2013

Middle East Afr J Ophthalmol

View full text Add to dashboard Cite

show abstract

“…Furthermore, more patients in the intervention group achieved optimal office blood pressure control [14], which is in line with our finding of a significantly higher proportion of patients reaching the desired target blood pressure levels at the end of follow-up in our study. Previous application of telemedicine for chronic disease in the study setting has been in the area of tele-diagnostic of chronic complications [15]. Apparently, the application of telemedicine to chronic non-communicable disease in Africa in general is still at an embryonic stage.…”

Section: Discussionmentioning

confidence: 99%

Efficiency of an intervention package for arterial hypertension comprising telemanagement in a Cameroonian rural setting: The TELEMED-CAM study

Kingué¹,

Angandji²,

Menanga³

et al. 2013

Pan Afr Med J

View full text Add to dashboard Cite

IntroductionSub-Saharan Africa has a disproportionate burden of disease and an extreme shortage of health workforce. Therefore, adequate care for emerging chronic diseases can be very challenging. We implemented and evaluated the effectiveness of an intervention package comprising telecare as a mean for improving the outcomes of care for hypertension in Rural Sub-Saharan Africa.MethodsThe study involved a telemedicine center based at the Yaounde General Hospital (5 cardiologists) in the Capital city of Cameroon, and 30 remote rural health centers within the vicinity of Yaoundé (20 centers (103 patients) in the usual care group, and 10 centers (165 patients) in the intervention groups). The total duration of the intervention was 24 weeks.ResultsParticipants in the intervention group had higher baseline systolic (SBP) and diastolic (DBP) blood pressure, and included fewer individuals with diabetes than those in the usual care group (all p < 0.01). Otherwise, the baseline profile was mostly similar between the two groups. During follow-up, more participants in the intervention groups achieved optimal BP control, driven primarily by greater improvement of BP control among High risk participants (hypertension stage III) in the intervention group.ConclusionAn intervention package comprising tele-support to general practitioners and nurses is effective in improving the management and outcome of care for hypertension in rural underserved populations. This can potentially help in addressing the shortage of trained health workforce for chronic disease management in some settings. However context-specific approaches and cost-effectiveness data are needed to improve the application of telemedicine for chronic disease management in resource-limited settings.

show abstract

“…Moreover, a wide range of medical fields and cases were targeted by these e-Health interventions (▶ Table 2). However, specific medical sub-specialties with highest e-Health focus in this study were dermatology (skin disorders) [14,16,31,32,33], pathology (understanding disease nature and causes) [14,32,33], and radiology (imaging techniques) [28,34]. These were closely followed by cases related to fields of ophthalmology (eye disorders) and othorhinolaryngology (ear, nose and throat disorders), where telemedicine were the main e-Health delivery methods (▶ Table 2).…”

Section: Specific Medical Sub-specialties and Coveragementioning

confidence: 93%

“…Jivraj et al [31] Kingue et al [36] Janssen et al [50] Ngabo et al [17] Verbeke et al [23] Odero et al [21] Lester et al [18] Devon et al [14]…”

Section: South Authormentioning

confidence: 99%

Assessing the Coverage of E-Health Services in Sub-Saharan Africa

Rudan¹,

Adigun²,

Misra³

et al. 2017

Methods Inf Med

View full text Add to dashboard Cite

show abstract

Prevalence and Severity of Diabetic Retinopathy in Northwest Cameroon as Identified by Teleophthalmology

Cited by 23 publications

References 25 publications

Improving diabetic retinopathy screening in Africa: Patient satisfaction with teleophthalmology versus ophthalmologist-based screening

Improving diabetic retinopathy screening in Africa: Patient satisfaction with teleophthalmology versus ophthalmologist-based screening

Efficiency of an intervention package for arterial hypertension comprising telemanagement in a Cameroonian rural setting: The TELEMED-CAM study

Assessing the Coverage of E-Health Services in Sub-Saharan Africa

Contact Info

Product

Resources

About