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首页> 外文期刊>Telemedicine and e-health: the official journal of the American Telemedicine Association >Tele-Ophthalmology for Age-Related Macular Degeneration and Diabetic Retinopathy Screening: A Systematic Review and Meta-Analysis
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Tele-Ophthalmology for Age-Related Macular Degeneration and Diabetic Retinopathy Screening: A Systematic Review and Meta-Analysis

机译：用于年龄相关的黄斑变性和糖尿病视网膜病筛查的Tele-Ophthalogy：系统审查和荟萃分析

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Background: To synthesize high-quality evidence to compare traditional in-person screening and tele-ophthalmology screening. Methods: Only randomized controlled trials (RCTs) were included in this systematic review and meta-analysis. The intervention of interest was any type of tele-ophthalmology, including screening of diseases using remote devices. Studies involved patients receiving care from any trained provider via tele-ophthalmology, compared with those receiving equivalent face-to-face care. A search was executed on the following databases: Medline, EMBASE, EBM Reviews, Global Health, EBSCO-CINAHL, SCOPUS, ProQuest Dissertations and Theses Global, OCLC Papers First, and Web of Science Core Collection. Six outcomes of care for age-related macular degeneration (AMD), diabetic retinopathy (DR), or glaucoma were measured and analyzed. Results: Two hundred thirty-seven records were assessed at the full-text level; six RCTs fulfilled inclusion criteria and were included in this review. Four studies involved participants with diabetes mellitus, and two studies examined choroidal neovascularization in AMD. Only data of detection of disease and participation in the screening program were used for the meta-analysis. Tele-ophthalmology had a 14% higher odds to detect disease than traditional examination; however, the result was not statistically significant ( n = 2,012, odds ratio: 1.14, 95% confidence interval (CI): 0.52–2.53, p = 0.74). Meta-analysis results show that odds of having DR screening in the tele-ophthalmology group was 13.15 (95% CI: 8.01–21.61; p Conclusions: The current evidence suggests that tele-ophthalmology for DR and age-related macular degeneration is as effective as in-person examination and potentially increases patient participation in screening.
机译：背景：合成高质量证据以比较传统的亲自筛查和远程眼科筛查。方法：仅包括随机对照试验（RCT）在该系统审查和荟萃分析中。感兴趣的干预是任何类型的遥眼科，包括使用远程设备筛查疾病。与接受等效面对面护理的人相比，研究涉及从任何训练有素的提供者接受护理的患者。在以下数据库中执行搜索：Medline，Embase，EBM审核，全球健康，eBSCo-Cinahl，Scopus，Proquest论文和Thes全球，OCLC论文首先以及科学核心系列的网络。测量和分析了六次治疗年龄相关黄斑（AMD），糖尿病视网膜病变（DR）或青光眼的六种护理结果。结果：在全文水平评估两百三十七条记录;六个RCT符合纳入标准，并包含在本综述中。四项研究涉及糖尿病糖尿病的参与者，两项研究在AMD中检测了脉络膜新血管形成。只有检测疾病和参与筛查程序的数据用于Meta分析。 Tele-Ophthalmology对检测疾病的几率高出14％，而不是传统检查;然而，结果没有统计学意义（n = 2,012，差距：1.14,95％置信区间（CI）：0.52-2.53，p = 0.74）。荟萃分析结果表明，在Tele-Ophthalmology组中具有筛选的可能性是13.15（95％CI：8.01-21.61; P结果：目前的证据表明，博士和年龄相关黄斑变性的远程眼科作为人的检查，可能会增加患者参与筛查。

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