A Multi-Center Diabetes Eye Screening Study in Community Settings: Study Design and Methodology.
A Multi-Center Diabetes Eye Screening Study in Community Settings: Study Design and Methodology.
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DOI：
10.3109/09286586.2015.1099682
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发表时间：
2016
影响因子：
1.8
通讯作者：
Insight Study Group
中科院分区：
文献类型：
--
作者：
Murchison AP;Friedman DS;Gower EW;Haller JA;Lam BL;Lee DJ;McGwin G Jr;Owsley C;Saaddine J;Insight Study Group
糖尿病是美国 20-74 岁成年人新发失明病例的主要原因。视力研究创新网络 (INSIGHT) 设计了糖尿病眼筛查研究 (DESS)，旨在检验在社区环境中对成人糖尿病患者进行免散瞳糖尿病视网膜病变 (DR) 筛查的可行性和短期有效性。研究招募于 2011 年 12 月在四个地点开始：阿拉巴马州伯明翰县医院的内科诊所；位于佛罗里达州迈阿密戴德县的具有联邦资格的社区医疗中心；宾夕法尼亚州费城的一家大学附属门诊药房；以及北卡罗来纳州温斯顿塞勒姆的一所医疗之家。 18 岁或以上患有糖尿病的人可以使用免散瞳视网膜摄影进行免费 DR 筛查，然后进行一份简短的调查问卷，了解人口统计信息和之前的眼部护理使用情况。还测量了每只眼睛的视力。由训练有素的评估人员在远程医疗阅片中心使用国家卫生系统 DR 分级分类对图像进行评估。向参与者及其医生发送筛查报告结果，并在筛查后 3 个月打电话进行后续调查，以确定参与者是否寻求后续全面的眼部护理以及他们在筛查过程中的体验。每个站点的目标注册人数至少为 500 人。四个站点中的三个达到了这一招生目标。 INSIGHT/DESS 旨在确定使用免散瞳视网膜摄影对在社区诊所和药房寻求服务的糖尿病患者进行 DR 筛查的可行性和短期有效性。
Diabetes is the leading cause of new cases of blindness among adults aged 20–74 years within the United States. The Innovative Network for Sight Research group (INSIGHT) designed the Diabetic Eye Screening Study (DESS) to examine the feasibility and short-term effectiveness of non-mydriatic diabetic retinopathy (DR) screening for adults with diabetes in community-based settings. Study enrollment began in December 2011 at four sites: an internal medicine clinic at a county hospital in Birmingham, Alabama; a Federally-qualified community healthcare center in Miami-Dade County, Florida; a university-affiliated outpatient pharmacy in Philadelphia, Pennsylvania; and a medical home in Winston-Salem, North Carolina. People 18 years or older with previously diagnosed diabetes were offered free DR screening using non-mydriatic retinal photography that was preceded by a brief questionnaire addressing demographic information and previous eye care use. Visual acuity was also measured for each eye. Images were evaluated at a telemedicine reading center by trained evaluators using the National Health System DR grading classification. Participants and their physicians were sent screening report results and telephoned for a follow-up survey 3 months post-screening to determine whether participants had sought follow-up comprehensive eye care and their experiences with the screening process. Target enrollment at each site was a minimum of 500 persons. Three of the four sites met this enrollment goal. The INSIGHT/DESS is intended to establish the feasibility and short-term effectiveness of DR screening using non-mydriatic retinal photography in persons with diabetes who seek services in community-based clinic and pharmacy settings.