6 results on '"Diabetic Retinopathy diagnosis"'
Search Results
2. Diabetes Microvascular Disease Diagnosis and Treatment After High-Deductible Health Plan Enrollment.
- Author
-
Wharam, J. Frank, Wallace, Jamie, Argetsinger, Stephanie, Zhang, Fang, Lu, Christine Y., Stryjewski, Tomasz P., Ross-Degnan, Dennis, and Newhouse, Joseph P.
- Subjects
DIAGNOSIS of diabetes ,TREATMENT of diabetes ,HEALTH insurance ,RESEARCH funding ,PATIENT Protection & Affordable Care Act ,INSURANCE ,LONGITUDINAL method ,MEDICARE - Abstract
Objective: The Affordable Care Act mandates that primary preventive services have no out-of-pocket costs but does not exempt secondary prevention from out-of-pocket costs. Most commercially insured patients with diabetes have high-deductible health plans (HDHPs) that subject key microvascular disease-related services to high out-of-pocket costs. Brief treatment delays can significantly worsen microvascular disease outcomes.Research Design and Methods: This cohort study used a large national commercial (and Medicare Advantage) health insurance claims data set to examine matched groups before and after an insurance design change. The study group included 50,790 patients with diabetes who were continuously enrolled in low-deductible (≤$500) health plans during a baseline year, followed by up to 4 years in high-deductible (≥$1,000) plans after an employer-mandated switch. HDHPs had low out-of-pocket costs for nephropathy screening but not retinopathy screening. A matched control group included 335,178 patients with diabetes who were contemporaneously enrolled in low-deductible plans. Measures included time to first detected microvascular disease screening, severe microvascular disease diagnosis, vision loss diagnosis/treatment, and renal function loss diagnosis/treatment.Results: HDHP enrollment was associated with relative delays in retinopathy screening (0.7 months [95% CI 0.4, 1.0]), severe retinopathy diagnosis (2.9 months [0.5, 5.3]), and vision loss diagnosis/treatment (3.8 months [1.2, 6.3]). Nephropathy-associated measures did not change to a statistically significant degree among HDHP members relative to control subjects at follow-up.Conclusions: People with diabetes in HDHPs experienced delayed retinopathy diagnosis and vision loss diagnosis/treatment of up to 3.8 months compared with low-deductible plan enrollees. Findings raise concerns about visual health among HDHP members and call attention to discrepancies in Affordable Care Act cost sharing exemptions. [ABSTRACT FROM AUTHOR]- Published
- 2022
- Full Text
- View/download PDF
3. IDx finally in the fast lane.
- Author
-
DeWitte, Dave
- Subjects
DIAGNOSTIC equipment industry ,BLINDNESS ,DIABETIC retinopathy ,PRODUCT safety laws ,GOVERNMENT policy ,DIAGNOSIS ,PREVENTION - Abstract
The article reports on the review of product safety and efficacy of IDx-DR, a medical device used for saving vision which is designated by the U.S. Food and Drug Administration. It cites on the designation restricted to technologies that provide for effective treatment or diagnosis. The article also reports on the use of artificial intelligence in detecting diabetic retinopathy, citing the training for operators in indicating early diabetic retinopathy diagnosis.
- Published
- 2018
4. Major automatic diabetic retinopathy screening systems and related core algorithms: a review.
- Author
-
Xiao, Di, Bhuiyan, Alauddin, Frost, Shaun, Vignarajan, Janardhan, Tay-Kearney, Mei-Ling, and Kanagasingam, Yogesan
- Subjects
DIABETIC retinopathy ,DIABETES complications ,TELEMEDICINE ,ALGORITHMS ,RESEARCH teams ,DISEASE progression - Abstract
Diabetic retinopathy (DR), one of the major and long-term microvascular complications of diabetes, is the most common cause of vision loss and blindness in the working population of the world. Even with the management of diabetes, most patients will develop some forms of DR after approximately 20 years. However, DR is a treatable disease throughout the disease progression. To provide appropriate DR management, the USA and European countries have successfully implemented systematic early DR screening programs. At the same time, some computer-aided DR screening systems, which combine advanced DR detection algorithms and telemedicine technology, have also been developed for early-stage DR detection. Some of them have been tested in the DR screening programs. In this paper, we focus on a review of the major automatic DR screening systems which have performed large-scale evaluation rather than give an extensive review of all published DR grading algorithms. We first present the structures of the automatic systems and their supporting algorithms developed by the research groups, as well as the practices of the systems in their screening programs. We further present a more detailed review of the DR lesion detection algorithms in each system and reveal how the DR screening systems successfully practiced in clinical trials or large-scale screening programs. We also review recently new research areas as well as deep learning-based DR screening systems and compare them with the traditional lesion detection-based DR screening systems. The performances of the systems in the trials are summarized by considering the specificity and sensitivity with respect to the scale of testing datasets. At last, we will discuss future challenges. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
5. Detecting Common Eye Diseases Using the First Teleophthalmology GlobeChek Kiosk in the United States: A Pilot Study.
- Author
-
Kapoor R, Yuksel-Elgin C, Patel V, Alcantara-Castillo J, Ramachandran M, Ali K, Alshamah R, Popplewell D, Jamerson E, Truong C, Sparrow J, Mallon WJ, Katz AM, and Al-Aswad LA
- Subjects
- Adolescent, Adult, Aged, Blood Pressure physiology, Body Mass Index, Corneal Pachymetry, Cross-Sectional Studies, Delivery of Health Care organization & administration, Female, Humans, Intraocular Pressure physiology, Male, Middle Aged, Ophthalmology methods, Pilot Projects, Surveys and Questionnaires, Telemedicine methods, Tomography, Optical Coherence, United States, Visual Field Tests, Visual Fields physiology, Ambulatory Care Facilities organization & administration, Eye Diseases diagnosis, Ophthalmology organization & administration, Telemedicine organization & administration
- Abstract
Purpose: The aim of this study was to assess the benefit and feasibility of the teleophthalmology GlobeChek kiosk in a community-based program., Design: Single-site, nonrandomized, cross-sectional, teleophthalmologic study., Methods: Participants underwent comprehensive evaluation that consists of a questionnaire form, brief systemic evaluation, screening visual field (VF), and GlobeChek kiosk screening, which included but not limited to intraocular pressure, pachymetry, anterior segment optical coherence tomography, posterior segment optical coherence tomography, and nonmydriatic fundus photography. The results were evaluated by a store-and-forward mechanism and follow-up questionnaires were obtained through phone calls., Results: A total of 326 participatents were screened over 4 months. One hundred thirty-three (40.79%) participants had 1 condition in either eye, and 47 (14.41%) had >1 disease. Seventy (21.47%) had glaucoma, 37 (11.34%) narrow-angles, 6 (1.84%) diabetic retinopathy, 4 (1.22%) macular degeneration, and 43 (13.10%) had other eye disease findings. Age >65, history of high blood pressure, diabetes mellitus, not having a dental examination >5 years, hemoglobn A1c measurement of ≥5.6, predibates risk score of ≥9, stage 2 hypertension, and low blood pressure were found to be significant risk factors. As for the ocular parameters, all but central corneal thickness, including an intraocular pressure >21 mm Hg, vertical cup to disc ratio >0.7, visual field abnormalities, and retinal nerve fiber layer thinning were found to be significant., Conclusions: GlobeChek kiosk is both workable and effective in increasing access to care and identifying the most common causes of blindness and their risk factors.
- Published
- 2020
- Full Text
- View/download PDF
6. The association between taking a course or class in self-managing diabetes with diabetic ocular complications including diabetic retinopathy: A cross-sectional study.
- Author
-
Gregorio A, Vice S, Witt A, Castro G, Rodriguez P, Barengo NC, and Acuna J
- Subjects
- Adult, Cross-Sectional Studies, Humans, Odds Ratio, Prevalence, Risk Factors, Self Report, United States epidemiology, Diabetes Mellitus, Diabetic Retinopathy diagnosis, Diabetic Retinopathy epidemiology
- Abstract
Aims: Diabetes currently affects 30.3 million people in the United States. The objective of this study was to investigate the association between taking a course in self-managing diabetes and diabetic ocular complications including diabetic retinopathy diagnosis (OC-RD)., Methods: The sample was from the 2017 CDC's BRFSS participants. We included adults who self-reported they had diabetes. The exposure included those who took a course in how to self-manage diabetes. The outcome was those told they had OC-RD by a doctor. Unadjusted and adjusted logistic regression analysis were used to calculate the odds ratios (OR) and 95% confidence intervals (CI)., Results: The odds of OC-RD decreased by 30% for those who did not attend a course compared to those who did (OR 0.70; 95% CI 0.60-0.80). Patients who saw a doctor showed a 50% increase in the odds of OC-RD than those who did not (OR 1.50; 95% CI 1.20-1.90). Those earning above $15,000 had a 10% decreased likelihood of OC-RD every time income level increased., Conclusions: Taking a class on self-managing diabetes was associated with an increased risk of OC-RD in the diabetic population. Future studies may analyze how education will affect diabetic complications., (Copyright © 2020 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.)
- Published
- 2021
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.