Document Detail


Stanford University network for diagnosis of retinopathy of prematurity (SUNDROP): 36-month experience with telemedicine screening.
MedLine Citation:
PMID:  20954641     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND OBJECTIVE: to report the 36-month experience of the Stanford University Network for Diagnosis of Retinopathy of Prematurity (SUNDROP) telemedicine initiative.
PATIENTS AND METHODS: retrospective analysis of the SUNDROP archival data between December 1, 2005, and November 30, 2008, to evaluate this diagnostic technology for retinopathy of prematurity (ROP) screening. A total of 230 consecutively enrolled infants meeting ROP examination criteria were screened with the Ret-Cam II (Clarity Medical Systems, Pleasanton, CA) and evaluated by the SUNDROP reading center at Stanford University. Outcomes included referral-warranted ROP, treatment-warranted ROP, and anatomic outcomes.
RESULTS: in the initial 36-month period, the SUNDROP telemedicine initiative did not miss any treatment-warranted ROP. A total of 230 infants (460 eyes) were imaged, resulting in 1,059 examinations and 10,921 unique images. Ten infants were identified with referral-warranted ROP: nine underwent laser photocoagulation and one regressed spontaneously. The sensitivity was 100% with a specificity of 99.5%. No patient progressed to retinal detachment or other adverse outcomes.
CONCLUSION: the SUNDROP telemedicine screening initiative for ROP has demonstrated high reliability for identification of treatment-warranted disease. All cases of treatment-warranted disease were captured. There were no adverse outcomes.
Authors:
Ruwan A Silva; Yohko Murakami; Eleonora M Lad; Darius M Moshfeghi
Publication Detail:
Type:  Journal Article     Date:  2010-09-29
Journal Detail:
Title:  Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye     Volume:  42     ISSN:  1938-2375     ISO Abbreviation:  Ophthalmic Surg Lasers Imaging     Publication Date:    2011 Jan-Feb
Date Detail:
Created Date:  2011-01-14     Completed Date:  2011-04-15     Revised Date:  2011-06-30    
Medline Journal Info:
Nlm Unique ID:  101155780     Medline TA:  Ophthalmic Surg Lasers Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  12-9     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, Stanford University, Stanford, California 94025, USA.
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MeSH Terms
Descriptor/Qualifier:
Academic Medical Centers / organization & administration
Birth Weight
California
Diagnostic Techniques, Ophthalmological / standards*
False Negative Reactions
Gestational Age
Humans
Image Interpretation, Computer-Assisted
Infant, Newborn
Neonatal Nursing / methods*
Photography / standards*
Predictive Value of Tests
Retinopathy of Prematurity / diagnosis*
Retrospective Studies
Sensitivity and Specificity
Telemedicine / organization & administration,  standards*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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