• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • 2MM Podcast
  • Write for us
  • Contact Us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Ophthalmology

Digital imaging detects sight-threatening retinopathy of prematurity

byJames GrayandLeah Carr, MD
December 15, 2015
in Ophthalmology, Pediatrics
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

1. Through study of a simulated Neonatal Intensive Care Unity (NICU), the use of digital imaging for retinopathy of prematurity (ROP) screening was found to reduce the number of ophthalmological examinations an infant would require, but increase the interventions an infant would need.

2. The provision of ROP examinations at discharge from a NICU may reduce the number of infants requiring follow-up.

Study Rundown: ROP is a disease process affecting premature infants and can lead to severe visual impairment. Routine surveillance by ophthalmologists of at-risk infants is currently standard of care, but is costly and difficult as there is a shortage of qualified physicians, ophthalmologists, where neonatal care is provided. Recently, use of digital imaging by non-physician providers has allowed remote evaluation of ROP. Through simulated study, researchers examined the use of digital imaging completed by nonphysicians and standard serial ROP examinations by ophthalmologists. Researchers found that the use digital imaging would be as effective at detecting type 1 ROP, the most concerning form of ROP, but would require more interventions (including imaging sessions, ROP examinations, and follow-up) than other evaluation methods. However, the performance of an ROP examination at discharge or transfer to lower acuity would reduce the need for follow-up. Total cost for digital imaging appears to be higher than that of ROP examination alone.

This simulation-based study was limited by assumptions regarding input data originating from a group of high risk infants, possibly overestimating the prevalence of ROP. In addition, it focused only on the most severe type of ROP and did not have the power to investigate other classifications. Cost estimations were based on Medicare data, which rarely reflects true cost or payment by other insurers. While the use of digital imaging may reduce the need for ophthalmologist-led evaluation, it does appear to increase the total number of examinations and need for follow-up. The addition of a discharge or transfer ROP examination may reduce the follow-up burden, but when combined with digital imaging, remains more costly than traditional serial ophthalmological examinations.

Click to read the study, published today in Pediatrics

Relevant Reading: Validated System for Centralized Grading of Retinopathy of Prematurity: Telemedicine Approaches to Evaluating Acute-Phase Retinopathy of Prematurity (e-ROP) Study

RELATED REPORTS

Comparison of different types of ultrasound probes for lung ultrasound in neonates

Nutrition source does not influence weight gain for moderate-to-late-preterm infants

Video laryngoscopes for urgent use improve intubation success in neonates

In-Depth [simulation]: This study examined a simulated cohort of 650 infants aged 23 to 30 weeks (average gestational age of 27 weeks) who would have received ophthalmoscopy or digital imaging evaluation to detect type 1 ROP. ROP examination and digital imaging were modeled based on guidelines, with examinations beginning at 32 weeks of age for those with gestational age <30 weeks, and 34 weeks for those with gestational age of 30 weeks. Five strategies were examined: ROP examination only, digital imaging, digital imaging with discharge ROP examination, digital imaging with a “low-risk stopping rule” (where infants >36 weeks age without ROP on 2 consecutive digital imaging sessions would no longer be evaluated), and digital imaging with a  low-risk stopping rule and discharge ROP examination.

Each strategy detected almost all cases of ROP by the time of discharge, transfer, or 40 weeks’ age. Only digital imaging with discharge examination detected all cases. While ROP examination resulted in the fewest interventions required, examination alone missed cases in infants who had scheduled follow-up, but no examination the week of discharge. Digital imaging with an ROP examination at discharge would require the highest number of interventions (63% more than ROP examination alone), increasing cost by 29%, but decreasing the total number of examinations by 37%. While the use of a low-risk stopping rule would result in reduced cost, there would be a 20% risk of missing a single case of type 1 ROP in an infant not scheduled for follow-up.

Image: PD

©2015 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

Tags: neonatologyretinopathy of prematurity (ROP)
Previous Post

Interventions increase breastfeeding among Latina mothers

Next Post

2 Minute Medicine Rewind December 14, 2015

RelatedReports

Racial, ethnic differences in outcomes of extremely preterm infants decreasing but persistent
Emergency

Comparison of different types of ultrasound probes for lung ultrasound in neonates

July 12, 2024
Increasing C-section room temperature linked to reduced neonatal, maternal hypothermia
Gastroenterology

Nutrition source does not influence weight gain for moderate-to-late-preterm infants

June 12, 2024
Evidence-based supportive therapy for bronchiolitis varies significantly between hospitals
Emergency

Video laryngoscopes for urgent use improve intubation success in neonates

June 12, 2024
Wide international variation in survival for periviable neonates
Obstetrics

Ibuprofen does not improve bronchopulmonary dysplasia outcomes

February 12, 2024
Next Post
2 Minute Medicine Rewind December 14, 2015

2 Minute Medicine Rewind December 14, 2015

Anti-TNF therapy for inflammatory bowel disease may induce skin lesions

HSCT not shown to achieve disease remission in refractory Crohn's disease

Glioblastoma phenotypes identified on MRI predict molecular behavior

Favorable glioblastoma outcomes with Tumor-Treating Fields plus temozolomide

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Time-restricted eating does not confer changes in sleep, mood, or quality of life
  • Commonly cited medication triggers may not increase risk of microscopic colitis among older adults
  • Ablation may reduce stroke risk, death, heart failure hospitalization in patients with atrial fibrillation
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
No Result
View All Result

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.