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Article

Evaluating the Feasibility of a Telescreening Program for Retinopathy of Prematurity (ROP) in Denmark

by
Hajer A. Al-Abaiji
1,*,
Regitze Bangsgaard
1,
Mads Kofod
1,
Carsten Faber
1,2,
Ann-Cathrine Larsen
1,
Agnes Galbo Brost
1,
Carina Slidsborg
1,
Kristian Klemp
1,
Morten Breindahl
3,
Morten Dornonville de la Cour
1,2 and
Line Kessel
1,2
1
Department of Ophthalmology, Copenhagen University Hospital—Rigshospitalet, 2100 Copenhagen, Denmark
2
Department of Clinical Medicine, University of Copenhagen, 2200 Copenhagen, Denmark
3
Department of Neonatal and Pediatric Intensive Care—Rigshospitalet, 2100 Copenhagen, Denmark
*
Author to whom correspondence should be addressed.
J. Pers. Med. 2024, 14(10), 1020; https://doi.org/10.3390/jpm14101020
Submission received: 4 September 2024 / Revised: 18 September 2024 / Accepted: 19 September 2024 / Published: 24 September 2024
(This article belongs to the Special Issue New Advances and Perspectives in Ophthalmology: Progress and Modern Challenges)
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Abstract

Objectives: This study investigates the feasibility of implementing telescreening for retinopathy of prematurity (ROP) using the ICON GO® widefield camera operated by a non-physician healthcare professional (NPHP). We hypothesized that images captured by an NPHP are adequate to evaluate ROP changes without further examinations. Secondly, the level of agreement between independent ROP graders were evaluated based on the fundus photographs. Methods: National ROP screening criteria were gestational age (GA) < 32 weeks or birthweight (BW) < 1500 g. Exclusion criteria were children hospitalized and born outside the Capital Region and examinations not performed by an NPHP. The screenings were performed using the ICON GO®. The NPHP selected the best images for evaluation by an on-site ophthalmologist, regarding whether re-examination was necessary and if so, whether the re-examination was beneficial. Lastly, the images were re-evaluated by an independent off-site ophthalmologist. Results: A total of 415 screening sessions on 165 patients performed by an NPHP were included. Re-examination was necessary in three screening sessions and beneficial in two. The level of agreement between the on-site and off-site ophthalmologists regarding ROP screening outcome was k = 0.82, ROP stage k = 0.69, plus disease k = 0.69, and lastly ROP zone k = 0.37. Of the screened children, ninety-seven (58.8%) had no ROP at any time points, sixty-two (37.6%) had some stage of ROP not requiring treatment, and six (3.6%) received ROP treatment. Conclusions: Telemedicine screening for ROP with the ICON GO® camera performed by an NPHP was feasible with an almost-perfect agreement and negligible need for re-examinations. The approach effectively identified children needing treatment, supporting the use of telescreening in ROP management.
Keywords: telescreening; prematurity; retinopathy of prematurity; imaging; non-physician healthcare professional telescreening; prematurity; retinopathy of prematurity; imaging; non-physician healthcare professional

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MDPI and ACS Style

Al-Abaiji, H.A.; Bangsgaard, R.; Kofod, M.; Faber, C.; Larsen, A.-C.; Brost, A.G.; Slidsborg, C.; Klemp, K.; Breindahl, M.; la Cour, M.D.d.; et al. Evaluating the Feasibility of a Telescreening Program for Retinopathy of Prematurity (ROP) in Denmark. J. Pers. Med. 2024, 14, 1020. https://doi.org/10.3390/jpm14101020

AMA Style

Al-Abaiji HA, Bangsgaard R, Kofod M, Faber C, Larsen A-C, Brost AG, Slidsborg C, Klemp K, Breindahl M, la Cour MDd, et al. Evaluating the Feasibility of a Telescreening Program for Retinopathy of Prematurity (ROP) in Denmark. Journal of Personalized Medicine. 2024; 14(10):1020. https://doi.org/10.3390/jpm14101020

Chicago/Turabian Style

Al-Abaiji, Hajer A., Regitze Bangsgaard, Mads Kofod, Carsten Faber, Ann-Cathrine Larsen, Agnes Galbo Brost, Carina Slidsborg, Kristian Klemp, Morten Breindahl, Morten Dornonville de la Cour, and et al. 2024. "Evaluating the Feasibility of a Telescreening Program for Retinopathy of Prematurity (ROP) in Denmark" Journal of Personalized Medicine 14, no. 10: 1020. https://doi.org/10.3390/jpm14101020

APA Style

Al-Abaiji, H. A., Bangsgaard, R., Kofod, M., Faber, C., Larsen, A.-C., Brost, A. G., Slidsborg, C., Klemp, K., Breindahl, M., la Cour, M. D. d., & Kessel, L. (2024). Evaluating the Feasibility of a Telescreening Program for Retinopathy of Prematurity (ROP) in Denmark. Journal of Personalized Medicine, 14(10), 1020. https://doi.org/10.3390/jpm14101020

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