1. Meta-Analysis of the Sensitivity of Decision Support Systems in Diagnosing Diabetic Retinopathy
- Author
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Priscyla Waleska, Simões, Maitê Gabriel, Dos Passos, Laura Lopes, Amaral, Diego, Garcia, Ronaldo Borges, Vicente, Larissa Letieli Toniazzo, de Abreu, Jéssica Katelyn, de Siqueira Vieira, Maria Marlene, de Souza Pires, Eros, Comunello, Luciane Bisognin, Ceretta, Claudia Maria Cabral Moro, Barra, Harki, Tanaka, Deborah Ribeiro, de Carvalho, Tiago Ribeiro, de Oliveira, and Patrícia Duarte Simões, Pires
- Subjects
Diabetic Retinopathy ,Decision Making ,Humans ,Mass Screening ,Expert Systems ,Software - Abstract
Diabetic Retinopathy (DR) is one of the most common microvascular complications presenting by patients diagnosticated with diabetic diseases. Uncontrolled hyperglycemia may manifest as visual impairment and blindness. The early detection of DR is essential to minimize the risk and consequence of visual diminishing. The standard gold diagnoses tool relies on different imaging modalities and requires a judgment of expert photographers, which are not available in most of the primary care centers or remote location. In that scenario, an automate or semiautomated DR screening systems can contribute to improving the accuracy of the diagnostic. Thus, we performed a Systematic Review and Meta-Analysis to evaluate the Decision Support Systems (DSS) in diagnosing DR. The overall Diagnostic Odds Ratio was 73.15 (95%CI: 37.54-142.50), sensitivity was 97.70 (95%CI: 97.50-97.90) and specificity was 90.30 (95%CI: 90.00-90.60). Our results corroborate with the concept of usefulness of DSSs in early diagnosis, screening and preliminary evaluation of suspicious images of DR.
- Published
- 2019