2008
DOI: 10.1007/s00417-008-0943-z
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Stanford University Network for Diagnosis of Retinopathy of Prematurity (SUNDROP): 18-month experience with telemedicine screening

Abstract: The SUNDROP telemedicine screening initiative for ROP has proven to have a high degree of sensitivity and specificity for identification of referral-warranted disease. Training was easily implemented. All cases of referral-warranted disease were captured. There were no adverse outcomes.

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Cited by 54 publications
(39 citation statements)
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“…12,[18][19][20][21][22] At each site, a team of 1 or 2 nurses was responsible for positioning the infant, monitoring vital signs, and performing digital imaging. Infants were dilated with 2.5% phenylephrine and 1% tropicamide 30 to 60 minutes before imaging, with feedings discontinued 2 hours before and after examination in accordance with aspiration precaution guidelines.…”
Section: Methodsmentioning
confidence: 99%
“…12,[18][19][20][21][22] At each site, a team of 1 or 2 nurses was responsible for positioning the infant, monitoring vital signs, and performing digital imaging. Infants were dilated with 2.5% phenylephrine and 1% tropicamide 30 to 60 minutes before imaging, with feedings discontinued 2 hours before and after examination in accordance with aspiration precaution guidelines.…”
Section: Methodsmentioning
confidence: 99%
“…From a medical perspective, retinal imaging may become important, because published studies have demonstrated that the accuracy and consistency of plus disease diagnosis are imperfect, even when performed by recognized experts [27,28]. Previous studies have demonstrated that agreement between ophthalmoscopic and telemedical ROP examination modalities is high, even when images are captured by a trained neonatal nurse, and that telemedicine may actually be more accurate in some cases [9][10][11][12][13][14][15][16][17]. Therefore, from a medicolegal perspective, imaging may become important as a mechanism for objective documentation of examination findings.…”
Section: Discussionmentioning
confidence: 99%
“…This has potential to address many of the existing limitations of ROP care, and has become more realistic with the increasing availability of wide-angle digital retinal imaging devices. Using these cameras, telemedicine has been shown to have high accuracy and reliability for ROP diagnosis [9][10][11][12][13][14][15][16][17], and to be possibly more cost-effective than standard ophthalmoscopy for disease management [18,19]. However, no previous research to our knowledge has formally examined the acceptability of telemedicine to infants' families.…”
mentioning
confidence: 99%
“…4 A number of reports have addressed various aspects of this issue. [5][6][7][8][9][10][11] However, the pace of implementation of RDFI with TM for ROP evaluation in the ophthalmic community has outstripped the pace of systematic evaluation of the approach. A consensus "standard of care " has not yet been established.…”
Section: Problem Statementmentioning
confidence: 99%