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

Alawi, Ebtisam Al; Ahmed, Ahmed Abdulla

doi:10.4103/0974-9233.97928

Cited by 26 publications

(22 citation statements)

References 5 publications

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“…18 There are several methods to screen populations for DR such as the use of direct and indirect ophthalmoscopy, 12,16 and methods based on fundus photography with a digital camera 19 and even methods using telemedicine. 20 The gold standard for DR classification has been the use of fundus photography. 12 However, the sensitivity of indirect ophthalmoscopy in the detection of DR is 82% with 95% specificity.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Diabetes and Diabetic Retinopathy in a Brazilian Population

Schellini¹,

Carvalho²,

Rendeiro³

et al. 2014

Ophthalmic Epidemiology

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Section: Discussionmentioning

confidence: 99%

Prevalence of Diabetes and Diabetic Retinopathy in a Brazilian Population

Schellini¹,

Carvalho²,

Rendeiro³

et al. 2014

Ophthalmic Epidemiology

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“…In addition, it was found to be common even in patients with newly diagnosed diabetes 6,7 . A study in Bahrain found that the prevalence of DR in the primary health care setting is 20.4% 8 . Several studies showed that following the annual screening and referral for ophthalmic evaluation is disappointingly low in family practice [9][10][11] .…”

Section: Discussionmentioning

confidence: 99%

Effect of Implementation of Electronic File System and the Completeness of Clinical Evaluation in Chronic Non-Communicable Diseases Clinic

Omran¹,

Ali²,

Yousif³

2017

BMB

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Objective: To evaluate the effect of implementation of the Electronic File System (EFS) on the completeness of clinical evaluation in the Chronic Non-Communicable Diseases (NCD) Clinic. Design: A Cross-Sectional, Comparative Study. Setting: Health Center, Bahrain. Method: All patients attending NCD clinic before implementation of Electronic File System (EFS) from 15 February to 31 March 2015 were reviewed and considered the first group (156). All patients attending NCD clinic after the implementation of EFS from 15 May to 30 June 2015 were reviewed and considered the second group (168). The clinical item evaluations to be completed by the physician were 9 items and by the nurse 30 items for each patient. The total number of clinical evaluation items before EFS multiplied by the number of cases (39 × 156) was 6,084. The total number of clinical evaluation items after EFS multiplied by the number of cases (39 × 168) was 6,552. Results: Three hundred twenty-four patients were included in the study. The patients were divided into two groups, 156 (48.1%) before EFS and 168 (51.9%) after EFS. The completeness of clinical items evaluation improved after the implementation of the EFS from 3,684 (60.5%) to 4,224 (64.5%). The completeness by the nurse improved significantly after the implementation, from 2,988 (49.1%) to 3,653 (55.8%) and deteriorated by the physician from 696 (11.4%) to 571 (8.7%). Conclusion: The average completeness of clinical evaluation remains low after the implementation of the EFS. There are several possible causes and further studies are needed to identify the main underlying causes for such low figures in order to plan and implement improvement.

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“…Globally, referrals with digital images have the potential to revolutionise ophthalmic services. Already, teleretinal screening data for patients with diabetic retinopathy has been published from the USA, Bahrain, Canada and France . Widespread use of digital images in ophthalmology depends on a consistent and high quality of image.…”

Section: Discussionmentioning

confidence: 99%

Ophthalmic digital image transfer: benefits to triage, patient care and resource

Goudie

Lunt

Reid

et al. 2014

Ophthalmic Physiologic Optic

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The attachment of digital images improved the quality of referral triaging from optometry to secondary eye care in the hospital eye service. It allowed detection of sight threatening disease early and more appropriate allocation of patients to specific specialist clinics at first visit. They allowed safe and speedy 'e-diagnosis' of a subgroup, saving hospital capacity and minimising patient inconvenience. Indirectly the service also reduced the 'did not attend' rate. With recent improvements in camera and internet technology digital images will have an ever increasing role in secondary eye care as it continues to adapt to meet modern demands.

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

Cited by 26 publications

References 5 publications

Prevalence of Diabetes and Diabetic Retinopathy in a Brazilian Population

Prevalence of Diabetes and Diabetic Retinopathy in a Brazilian Population

Effect of Implementation of Electronic File System and the Completeness of Clinical Evaluation in Chronic Non-Communicable Diseases Clinic

Ophthalmic digital image transfer: benefits to triage, patient care and resource

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