دورية أكاديمية
أعرض في EDS

Impact of a short online course on the accuracy of non-ophthalmic diabetic retinopathy graders in recognising glaucomatous optic nerves in Vietnam.

التفاصيل البيبلوغرافية
العنوان: Impact of a short online course on the accuracy of non-ophthalmic diabetic retinopathy graders in recognising glaucomatous optic nerves in Vietnam.
المؤلفون: Olawoye OO; School of Medicine, Dentistry and Biomedical Sciences, Queens University Belfast, Belfast, UK.; Department of Ophthalmology, College of Medicine, University of Ibadan, Ibadan, Nigeria., Ha TH; ORBIS International, Viet Nam, Viet Nam., Pham N; ORBIS International, New York, New York, USA., Nguyen L; Hanoi Medical University, Hanoi, Viet Nam., Cherwek DH; Global Programs, ORBIS International, New York, New York, USA., Fowobaje KR; Department of Epidemiology and Medical Statistics, University of Ibadan, Ibadan, Nigeria., Ross C; Centre for Eye Research Australia, East Melbourne, Victoria, Australia., Coote M; Centre for Eye Research Australia, East Melbourne, Victoria, Australia., Chan VF; School of Medicine, Dentistry and Biomedical Sciences, Queens University Belfast, Belfast, UK., Kahook M; University of Colorado at Colorado Springs, Colorado, UK., Peto T; Faculty of Medicine Health and Life Sciences, Queen's University Belfast, Belfast, Belfast, UK., Azuara-Blanco A; Centre for Public Health, Queens University Belfast, Belfast, UK., Congdon N; Department of Ophthalmology and Public Health, Queen's University Belfast, Belfast, UK ncongdon1@gmail.com.; Orbis International NY USA, New York, New York, USA.; Department of Ophthalmology, Zhongshan Ophthalmic Centre, Guangzhou, People's Republic of China.
المصدر: BMJ open [BMJ Open] 2023 Nov 09; Vol. 13 (11), pp. e076623. Date of Electronic Publication: 2023 Nov 09.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
مواضيع طبية MeSH: Diabetic Retinopathy*/diagnosis , Glaucoma*/diagnosis , Optic Disk* , Diabetes Mellitus*, Humans ; Adult ; Vietnam ; Predictive Value of Tests ; Photography
مستخلص: Purpose: To test an online training course for non-ophthalmic diabetic retinopathy (DR) graders for recognition of glaucomatous optic nerves in Vietnam.
Methods: This was an uncontrolled, experimental, before-and-after study in which 43 non-ophthalmic DR graders underwent baseline testing on a standard image set, completed a self-paced, online training course and were retested using the same photographs presented randomly. Twenty-nine local ophthalmologists completed the same test without the training course. DR graders then underwent additional one-to-one training by a glaucoma specialist and were retested. Test performance (% correct, compared with consensus grades from four fellowship-trained glaucoma experts), sensitivity, specificity, positive and negative predictive value, and area under the receiver operating (AUC) curve, were computed.
Results: Mean age of DR graders (32.6±5.5 years) did not differ from ophthalmologists (32.3±7.3 years, p=0.13). Online training required a mean of 297.9 (SD 144.6) minutes. Graders' mean baseline score (33.3%±14.3%) improved significantly after training (55.8%±12.6%, p<0.001), and post-training score did not differ from ophthalmologists (58.7±15.4%, p=0.384). Although grader sensitivity reduced before [85.5% (95% CI 83.5% to 87.3%)] versus after [80.4% (78.3% to 82.4%)] training, specificity improved significantly [47.8 (44.9 to 50.7) vs 79.8 (77.3 to 82.0), p<0.001]. Grader AUC also improved after training [66.6 (64.9 to 68.3)] to [80.1 (78.5 to 81.6), p<0.001]. Additional one-to-one grader training by a glaucoma specialist did not further improve grader scores.
Conclusion: Non-ophthalmic DR graders can be trained to recognise glaucoma using a short online course in this setting, with no additional benefit from more expensive one-to-one training. After 5-hour online training in recognising glaucomatous optic nerve head, scores of non-ophthalmic DR graders doubled, and did not differ from local ophthalmologists. Intensive one-to-one training did not further improve performance.
Competing Interests: Competing interests: Congdon serves as a paid consultant for Belkin Vision, a company selling devices for the treatment of glaucoma. Kahook has an equity interest in SpyGlass Pharma and receives royalties from New World Medical and Alcon. Olusola Olawoye is a Consortium for Advanced Research and Training in Africa (CARTA) Fellow.
(© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ.)
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معلومات مُعتمدة: United Kingdom WT_ Wellcome Trust; 222490/Z/21/Z United Kingdom WT_ Wellcome Trust
فهرسة مساهمة: Keywords: epidemiologic studies; epidemiology; glaucoma; public health
تواريخ الأحداث: Date Created: 20231109 Date Completed: 20231113 Latest Revision: 20240210
رمز التحديث: 20240210
مُعرف محوري في PubMed: PMC10649381
DOI: 10.1136/bmjopen-2023-076623
PMID: 37945295
قاعدة البيانات: MEDLINE
الوصف
تدمد:2044-6055
DOI:10.1136/bmjopen-2023-076623