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Comparison between binocular indirect ophthalmoscopy and digital retinography for diabetic retinopathy screening: the multicenter Brazilian Type 1 Diabetes Study

Overview of attention for article published in Diabetology & Metabolic Syndrome, December 2015
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Title
Comparison between binocular indirect ophthalmoscopy and digital retinography for diabetic retinopathy screening: the multicenter Brazilian Type 1 Diabetes Study
Published in
Diabetology & Metabolic Syndrome, December 2015
DOI 10.1186/s13098-015-0110-8
Pubmed ID
Authors

Fernando Korn Malerbi, Paulo Henrique Morales, Michel Eid Farah, Karla Rezende Guerra Drummond, Tessa Cerqueira Lemos Mattos, André Araújo Pinheiro, Felipe Mallmann, Ricardo Vessoni Perez, Franz Schubert Lopes Leal, Marília Brito Gomes, Sergio Atala Dib, On behalf of The Brazilian Type 1 Diabetes Study Group

Abstract

Diabetic retinopathy is the main cause of preventable blindness in the economically active population in western countries. Diabetic retinopathy screening is effective in preventing blindness and can be performed through various diagnostic methods. Our objective is to compare binocular indirect ophthalmoscopy (BIO) to telemedicine protocols of digital retinography for diabetic retinopathy screening in a large and heterogenous type 1 diabetes population in a developing country. Data from 1266 Type 1 Diabetes Mellitus patients from a Brazilian multicenter study were analyzed. Patients underwent BIO and digital retinography, non-mydriatic and mydriatic. Images were sent to a reading center in a telemedicine protocol. Agreement between the different methods was calculated with kappa statistic for diabetic retinopathy and maculopathy classification. Clinical outcome was either observation or referral to specialist. Agreement between BIO and mydriatic retinography was substantial (kappa 0.67-0.74) for diabetic retinopathy observation vs referral classification. Agreement was fair to moderate (kappa 0.24-0.45) between retinography and BIO for maculopathy. Poor mydriasis was the main obstacle to image reading and classification, especially on the non-mydriatic strategy, occurring in 11.9 % of right eyes and 16.9 % of left eyes. Mydriatic retinography showed a substantial agreement to BIO for diabetic retinopathy observation vs referral classification. A significant amount of information was lost on the non-mydriatic technique because of poor mydriasis. We recommend a telemedicine-based diabetic retinopathy screening strategy with digital mydriatic retinography, preferably with 2 fields, and advise against non-mydriatic retinography in developing countries.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 70 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 70 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 10 14%
Student > Bachelor 8 11%
Student > Doctoral Student 8 11%
Student > Postgraduate 6 9%
Student > Ph. D. Student 4 6%
Other 11 16%
Unknown 23 33%
Readers by discipline Count As %
Medicine and Dentistry 26 37%
Nursing and Health Professions 6 9%
Engineering 3 4%
Business, Management and Accounting 2 3%
Computer Science 2 3%
Other 9 13%
Unknown 22 31%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 December 2015.
All research outputs
#18,433,196
of 22,836,570 outputs
Outputs from Diabetology & Metabolic Syndrome
#468
of 667 outputs
Outputs of similar age
#281,170
of 389,451 outputs
Outputs of similar age from Diabetology & Metabolic Syndrome
#12
of 19 outputs
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