Evaluating the Feasibility of a Telescreening Program for Retinopathy of Prematurity (ROP) in Denmark
: This study investigates the feasibility of implementing telescreening for retinopathy of prematurity (ROP) using the ICON GO widefield camera operated by a non-physician healthcare professional (NPHP). We hypothesized that images captured by an NPHP are adequate to evaluate ROP changes without fur...
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| Published in: | Journal of personalized medicine Vol. 14; no. 10; p. 1020 |
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| Abstract | : This study investigates the feasibility of implementing telescreening for retinopathy of prematurity (ROP) using the ICON GO
widefield camera operated by a non-physician healthcare professional (NPHP). We hypothesized that images captured by an NPHP are adequate to evaluate ROP changes without further examinations. Secondly, the level of agreement between independent ROP graders were evaluated based on the fundus photographs.
: National ROP screening criteria were gestational age (GA) < 32 weeks or birthweight (BW) < 1500 g. Exclusion criteria were children hospitalized and born outside the Capital Region and examinations not performed by an NPHP. The screenings were performed using the ICON GO
. The NPHP selected the best images for evaluation by an
-site ophthalmologist, regarding whether re-examination was necessary and if so, whether the re-examination was beneficial. Lastly, the images were re-evaluated by an independent
-site ophthalmologist.
: A total of 415 screening sessions on 165 patients performed by an NPHP were included. Re-examination was necessary in three screening sessions and beneficial in two. The level of agreement between the
-site and
-site ophthalmologists regarding ROP screening outcome was
= 0.82, ROP stage
= 0.69, plus disease
= 0.69, and lastly ROP zone
= 0.37. Of the screened children, ninety-seven (58.8%) had no ROP at any time points, sixty-two (37.6%) had some stage of ROP not requiring treatment, and six (3.6%) received ROP treatment.
: Telemedicine screening for ROP with the ICON GO
camera performed by an NPHP was feasible with an almost-perfect agreement and negligible need for re-examinations. The approach effectively identified children needing treatment, supporting the use of telescreening in ROP management. |
|---|---|
| AbstractList | Objectives: This study investigates the feasibility of implementing telescreening for retinopathy of prematurity (ROP) using the ICON GO® widefield camera operated by a non-physician healthcare professional (NPHP). We hypothesized that images captured by an NPHP are adequate to evaluate ROP changes without further examinations. Secondly, the level of agreement between independent ROP graders were evaluated based on the fundus photographs. Methods: National ROP screening criteria were gestational age (GA) < 32 weeks or birthweight (BW) < 1500 g. Exclusion criteria were children hospitalized and born outside the Capital Region and examinations not performed by an NPHP. The screenings were performed using the ICON GO®. The NPHP selected the best images for evaluation by an on-site ophthalmologist, regarding whether re-examination was necessary and if so, whether the re-examination was beneficial. Lastly, the images were re-evaluated by an independent off-site ophthalmologist. Results: A total of 415 screening sessions on 165 patients performed by an NPHP were included. Re-examination was necessary in three screening sessions and beneficial in two. The level of agreement between the on-site and off-site ophthalmologists regarding ROP screening outcome was k = 0.82, ROP stage k = 0.69, plus disease k = 0.69, and lastly ROP zone k = 0.37. Of the screened children, ninety-seven (58.8%) had no ROP at any time points, sixty-two (37.6%) had some stage of ROP not requiring treatment, and six (3.6%) received ROP treatment. Conclusions: Telemedicine screening for ROP with the ICON GO® camera performed by an NPHP was feasible with an almost-perfect agreement and negligible need for re-examinations. The approach effectively identified children needing treatment, supporting the use of telescreening in ROP management.Objectives: This study investigates the feasibility of implementing telescreening for retinopathy of prematurity (ROP) using the ICON GO® widefield camera operated by a non-physician healthcare professional (NPHP). We hypothesized that images captured by an NPHP are adequate to evaluate ROP changes without further examinations. Secondly, the level of agreement between independent ROP graders were evaluated based on the fundus photographs. Methods: National ROP screening criteria were gestational age (GA) < 32 weeks or birthweight (BW) < 1500 g. Exclusion criteria were children hospitalized and born outside the Capital Region and examinations not performed by an NPHP. The screenings were performed using the ICON GO®. The NPHP selected the best images for evaluation by an on-site ophthalmologist, regarding whether re-examination was necessary and if so, whether the re-examination was beneficial. Lastly, the images were re-evaluated by an independent off-site ophthalmologist. Results: A total of 415 screening sessions on 165 patients performed by an NPHP were included. Re-examination was necessary in three screening sessions and beneficial in two. The level of agreement between the on-site and off-site ophthalmologists regarding ROP screening outcome was k = 0.82, ROP stage k = 0.69, plus disease k = 0.69, and lastly ROP zone k = 0.37. Of the screened children, ninety-seven (58.8%) had no ROP at any time points, sixty-two (37.6%) had some stage of ROP not requiring treatment, and six (3.6%) received ROP treatment. Conclusions: Telemedicine screening for ROP with the ICON GO® camera performed by an NPHP was feasible with an almost-perfect agreement and negligible need for re-examinations. The approach effectively identified children needing treatment, supporting the use of telescreening in ROP management. Objectives: This study investigates the feasibility of implementing telescreening for retinopathy of prematurity (ROP) using the ICON GO® widefield camera operated by a non-physician healthcare professional (NPHP). We hypothesized that images captured by an NPHP are adequate to evaluate ROP changes without further examinations. Secondly, the level of agreement between independent ROP graders were evaluated based on the fundus photographs. Methods: National ROP screening criteria were gestational age (GA) < 32 weeks or birthweight (BW) < 1500 g. Exclusion criteria were children hospitalized and born outside the Capital Region and examinations not performed by an NPHP. The screenings were performed using the ICON GO®. The NPHP selected the best images for evaluation by an on-site ophthalmologist, regarding whether re-examination was necessary and if so, whether the re-examination was beneficial. Lastly, the images were re-evaluated by an independent off-site ophthalmologist. Results: A total of 415 screening sessions on 165 patients performed by an NPHP were included. Re-examination was necessary in three screening sessions and beneficial in two. The level of agreement between the on-site and off-site ophthalmologists regarding ROP screening outcome was k = 0.82, ROP stage k = 0.69, plus disease k = 0.69, and lastly ROP zone k = 0.37. Of the screened children, ninety-seven (58.8%) had no ROP at any time points, sixty-two (37.6%) had some stage of ROP not requiring treatment, and six (3.6%) received ROP treatment. Conclusions: Telemedicine screening for ROP with the ICON GO® camera performed by an NPHP was feasible with an almost-perfect agreement and negligible need for re-examinations. The approach effectively identified children needing treatment, supporting the use of telescreening in ROP management. : This study investigates the feasibility of implementing telescreening for retinopathy of prematurity (ROP) using the ICON GO widefield camera operated by a non-physician healthcare professional (NPHP). We hypothesized that images captured by an NPHP are adequate to evaluate ROP changes without further examinations. Secondly, the level of agreement between independent ROP graders were evaluated based on the fundus photographs. : National ROP screening criteria were gestational age (GA) < 32 weeks or birthweight (BW) < 1500 g. Exclusion criteria were children hospitalized and born outside the Capital Region and examinations not performed by an NPHP. The screenings were performed using the ICON GO . The NPHP selected the best images for evaluation by an -site ophthalmologist, regarding whether re-examination was necessary and if so, whether the re-examination was beneficial. Lastly, the images were re-evaluated by an independent -site ophthalmologist. : A total of 415 screening sessions on 165 patients performed by an NPHP were included. Re-examination was necessary in three screening sessions and beneficial in two. The level of agreement between the -site and -site ophthalmologists regarding ROP screening outcome was = 0.82, ROP stage = 0.69, plus disease = 0.69, and lastly ROP zone = 0.37. Of the screened children, ninety-seven (58.8%) had no ROP at any time points, sixty-two (37.6%) had some stage of ROP not requiring treatment, and six (3.6%) received ROP treatment. : Telemedicine screening for ROP with the ICON GO camera performed by an NPHP was feasible with an almost-perfect agreement and negligible need for re-examinations. The approach effectively identified children needing treatment, supporting the use of telescreening in ROP management. Objectives : This study investigates the feasibility of implementing telescreening for retinopathy of prematurity (ROP) using the ICON GO ® widefield camera operated by a non-physician healthcare professional (NPHP). We hypothesized that images captured by an NPHP are adequate to evaluate ROP changes without further examinations. Secondly, the level of agreement between independent ROP graders were evaluated based on the fundus photographs. Methods : National ROP screening criteria were gestational age (GA) < 32 weeks or birthweight (BW) < 1500 g. Exclusion criteria were children hospitalized and born outside the Capital Region and examinations not performed by an NPHP. The screenings were performed using the ICON GO ® . The NPHP selected the best images for evaluation by an on -site ophthalmologist, regarding whether re-examination was necessary and if so, whether the re-examination was beneficial. Lastly, the images were re-evaluated by an independent off -site ophthalmologist. Results : A total of 415 screening sessions on 165 patients performed by an NPHP were included. Re-examination was necessary in three screening sessions and beneficial in two. The level of agreement between the on -site and off -site ophthalmologists regarding ROP screening outcome was k = 0.82, ROP stage k = 0.69, plus disease k = 0.69, and lastly ROP zone k = 0.37. Of the screened children, ninety-seven (58.8%) had no ROP at any time points, sixty-two (37.6%) had some stage of ROP not requiring treatment, and six (3.6%) received ROP treatment. Conclusions : Telemedicine screening for ROP with the ICON GO ® camera performed by an NPHP was feasible with an almost-perfect agreement and negligible need for re-examinations. The approach effectively identified children needing treatment, supporting the use of telescreening in ROP management. Objectives: This study investigates the feasibility of implementing telescreening for retinopathy of prematurity (ROP) using the ICON GO[sup.®] widefield camera operated by a non-physician healthcare professional (NPHP). We hypothesized that images captured by an NPHP are adequate to evaluate ROP changes without further examinations. Secondly, the level of agreement between independent ROP graders were evaluated based on the fundus photographs. Methods: National ROP screening criteria were gestational age (GA) < 32 weeks or birthweight (BW) < 1500 g. Exclusion criteria were children hospitalized and born outside the Capital Region and examinations not performed by an NPHP. The screenings were performed using the ICON GO[sup.®]. The NPHP selected the best images for evaluation by an on-site ophthalmologist, regarding whether re-examination was necessary and if so, whether the re-examination was beneficial. Lastly, the images were re-evaluated by an independent off-site ophthalmologist. Results: A total of 415 screening sessions on 165 patients performed by an NPHP were included. Re-examination was necessary in three screening sessions and beneficial in two. The level of agreement between the on-site and off-site ophthalmologists regarding ROP screening outcome was k = 0.82, ROP stage k = 0.69, plus disease k = 0.69, and lastly ROP zone k = 0.37. Of the screened children, ninety-seven (58.8%) had no ROP at any time points, sixty-two (37.6%) had some stage of ROP not requiring treatment, and six (3.6%) received ROP treatment. Conclusions: Telemedicine screening for ROP with the ICON GO[sup.®] camera performed by an NPHP was feasible with an almost-perfect agreement and negligible need for re-examinations. The approach effectively identified children needing treatment, supporting the use of telescreening in ROP management. |
| Audience | Academic |
| Author | Slidsborg, Carina Bangsgaard, Regitze Faber, Carsten Klemp, Kristian Kofod, Mads Breindahl, Morten Brost, Agnes Galbo la Cour, Morten Dornonville de Larsen, Ann-Cathrine Al-Abaiji, Hajer A Kessel, Line |
| AuthorAffiliation | 1 Department of Ophthalmology, Copenhagen University Hospital—Rigshospitalet, 2100 Copenhagen, Denmark 2 Department of Clinical Medicine, University of Copenhagen, 2200 Copenhagen, Denmark 3 Department of Neonatal and Pediatric Intensive Care—Rigshospitalet, 2100 Copenhagen, Denmark |
| AuthorAffiliation_xml | – name: 3 Department of Neonatal and Pediatric Intensive Care—Rigshospitalet, 2100 Copenhagen, Denmark – name: 1 Department of Ophthalmology, Copenhagen University Hospital—Rigshospitalet, 2100 Copenhagen, Denmark – name: 2 Department of Clinical Medicine, University of Copenhagen, 2200 Copenhagen, Denmark |
| Author_xml | – sequence: 1 givenname: Hajer A orcidid: 0000-0003-2082-3664 surname: Al-Abaiji fullname: Al-Abaiji, Hajer A organization: Department of Ophthalmology, Copenhagen University Hospital-Rigshospitalet, 2100 Copenhagen, Denmark – sequence: 2 givenname: Regitze surname: Bangsgaard fullname: Bangsgaard, Regitze organization: Department of Ophthalmology, Copenhagen University Hospital-Rigshospitalet, 2100 Copenhagen, Denmark – sequence: 3 givenname: Mads orcidid: 0000-0001-9297-7932 surname: Kofod fullname: Kofod, Mads organization: Department of Ophthalmology, Copenhagen University Hospital-Rigshospitalet, 2100 Copenhagen, Denmark – sequence: 4 givenname: Carsten surname: Faber fullname: Faber, Carsten organization: Department of Clinical Medicine, University of Copenhagen, 2200 Copenhagen, Denmark – sequence: 5 givenname: Ann-Cathrine surname: Larsen fullname: Larsen, Ann-Cathrine organization: Department of Ophthalmology, Copenhagen University Hospital-Rigshospitalet, 2100 Copenhagen, Denmark – sequence: 6 givenname: Agnes Galbo surname: Brost fullname: Brost, Agnes Galbo organization: Department of Ophthalmology, Copenhagen University Hospital-Rigshospitalet, 2100 Copenhagen, Denmark – sequence: 7 givenname: Carina orcidid: 0000-0002-0404-0726 surname: Slidsborg fullname: Slidsborg, Carina organization: Department of Ophthalmology, Copenhagen University Hospital-Rigshospitalet, 2100 Copenhagen, Denmark – sequence: 8 givenname: Kristian surname: Klemp fullname: Klemp, Kristian organization: Department of Ophthalmology, Copenhagen University Hospital-Rigshospitalet, 2100 Copenhagen, Denmark – sequence: 9 givenname: Morten surname: Breindahl fullname: Breindahl, Morten organization: Department of Neonatal and Pediatric Intensive Care-Rigshospitalet, 2100 Copenhagen, Denmark – sequence: 10 givenname: Morten Dornonville de surname: la Cour fullname: la Cour, Morten Dornonville de organization: Department of Clinical Medicine, University of Copenhagen, 2200 Copenhagen, Denmark – sequence: 11 givenname: Line orcidid: 0000-0002-9375-1510 surname: Kessel fullname: Kessel, Line organization: Department of Clinical Medicine, University of Copenhagen, 2200 Copenhagen, Denmark |
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| Cites_doi | 10.1001/jamaophthalmol.2014.1604 10.1542/peds.2018-3061 10.1097/IAE.0b013e31816a5587 10.1089/tmj.2020.0010 10.3928/23258160-20201223-03 10.1111/jpc.16621 10.1016/j.ophtha.2021.07.014 10.1136/bjo.68.10.690 10.1001/archopht.123.7.991 10.1136/bjophthalmol-2011-300321 10.1016/j.ophtha.2016.04.035 10.2307/2529310 10.1136/bjo.2008.148908 10.1111/ceo.13593 10.1038/s41598-022-08680-5 10.1001/jamaophthalmol.2024.0045 10.1016/j.jaapos.2016.08.004 10.1136/bjophthalmol-2011-300573 10.1177/1357633X20958240 10.1016/j.preteyeres.2020.100900 10.1016/j.jaapos.2019.08.279 10.1016/j.jaapos.2020.01.014 10.1001/archopht.126.4.493 10.4103/sjopt.sjopt_220_21 10.1177/1357633X19880113 10.3390/jcm11010039 10.1016/S1084-2756(03)00119-2 10.1136/bmjopen-2019-036483 10.1016/j.ophtha.2020.12.024 |
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| Keywords | prematurity telescreening imaging non-physician healthcare professional retinopathy of prematurity |
| Language | English |
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| Snippet | : This study investigates the feasibility of implementing telescreening for retinopathy of prematurity (ROP) using the ICON GO
widefield camera operated by a... Objectives: This study investigates the feasibility of implementing telescreening for retinopathy of prematurity (ROP) using the ICON GO® widefield camera... Objectives: This study investigates the feasibility of implementing telescreening for retinopathy of prematurity (ROP) using the ICON GO[sup.®] widefield... Objectives : This study investigates the feasibility of implementing telescreening for retinopathy of prematurity (ROP) using the ICON GO ® widefield camera... |
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| SubjectTerms | Birth weight Cameras Children Children & youth Classification Eye diseases Feasibility studies Gestational age Local anesthesia Medical personnel Neonatal nursing Onsite Ophthalmology Patient safety Retinopathy Retrolental fibroplasia Telemedicine |
| Title | Evaluating the Feasibility of a Telescreening Program for Retinopathy of Prematurity (ROP) in Denmark |
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