Document Type
Article
Publication Date
6-19-2020
Abstract
OBJECTIVE: To determine cost-effectiveness and the diagnostic accuracy of teleophthalmology (TO) in the detection of macular edema (ME) and various grades of diabetic retinopathy (DR).
METHODS: MEDLINE, EMBASE, and Cochrane databases were searched for TO, ME, and DR on May 25, 2016. The search was updated on April 2, 2019. Pooled sensitivity and specificity for ME and various grades of DR were determined using Meta-Disc software. A systematic review of the articles discussing the cost-effectiveness of TO screening was also performed.
RESULTS: Thirty-three articles on the diagnostic accuracy and 28 articles on the cost-effectiveness were selected.
CONCLUSIONS: Telescreening is moderately sensitive but very specific for the diagnosis of diabetic retinopathy. Non-mydriatic Teleretinal screening services are cost-effective, decrease clinics workload, and increase patient compliance if provided free of cost in remote low socioeconomic regions.
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License
Recommended Citation
Ullah, Waqas; Pathan, Sana Khan; Panchal, Ankur; Anandan, Swapna; Saleem, Kaiser; Sattar, Yasar; Ahmad, Ejaz; Mukhtar, Maryam; and Nawaz, Haq, "Cost-effectiveness and diagnostic accuracy of telemedicine in macular disease and diabetic retinopathy: A systematic review and meta-analysis." (2020). Abington Jefferson Health Papers. Paper 32.
https://jdc.jefferson.edu/abingtonfp/32
PubMed ID
32569163
Language
English
Comments
This is the final published version from the journal Medicine, 2020, Volumev99, Issue 25: e20306.
The final published veresion can also be found at http://doi.org/10.1097/MD.0000000000020306.
Copyright Ullah et. al.