The Nonmydriatic Fundus Camera in Diabetic Retinopathy Screening: A Cost-Effective Study with Evaluation for Future Large-Scale Application
Aims. The study aimed to present the experience of a screening programme for early detection of diabetic retinopathy (DR) using a nonmydriatic fundus camera, evaluating the feasibility in terms of validity, resources absorption, and future advantages of a potential application, in an Italian local h...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2016/4625096 |
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| author | Giuseppe Scarpa Francesca Urban Stela Vujosevic Michele Tessarin Giovanni Gallo Annalisa Visentin Emanuela Foglia Lucrezia Ferrario Edoardo Midena |
| author_facet | Giuseppe Scarpa Francesca Urban Stela Vujosevic Michele Tessarin Giovanni Gallo Annalisa Visentin Emanuela Foglia Lucrezia Ferrario Edoardo Midena |
| author_sort | Giuseppe Scarpa |
| collection | DOAJ |
| description | Aims. The study aimed to present the experience of a screening programme for early detection of diabetic retinopathy (DR) using a nonmydriatic fundus camera, evaluating the feasibility in terms of validity, resources absorption, and future advantages of a potential application, in an Italian local health authority. Methods. Diabetic patients living in the town of Ponzano, Veneto Region (Northern Italy), were invited to be enrolled in the screening programme. The “no prevention strategy” with the inclusion of the estimation of blindness related costs was compared with screening costs in order to evaluate a future extensive and feasible implementation of the procedure, through a budget impact approach. Results. Out of 498 diabetic patients eligible, 80% was enrolled in the screening programme. 115 patients (34%) were referred to an ophthalmologist and 9 cases required prompt treatment for either proliferative DR or macular edema. Based on the pilot data, it emerged that an extensive use of the investigated screening programme, within the Greater Treviso area, could prevent 6 cases of blindness every year, resulting in a saving of €271,543.32 (−13.71%). Conclusions. Fundus images obtained with a nonmydriatic fundus camera could be considered an effective, cost-sparing, and feasible screening tool for the early detection of DR, preventing blindness as a result of diabetes. |
| format | Article |
| id | doaj-art-6cafafb8cc81499caf17d03a0aec8ae0 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-6cafafb8cc81499caf17d03a0aec8ae02025-02-03T06:42:10ZengWileyJournal of Ophthalmology2090-004X2090-00582016-01-01201610.1155/2016/46250964625096The Nonmydriatic Fundus Camera in Diabetic Retinopathy Screening: A Cost-Effective Study with Evaluation for Future Large-Scale ApplicationGiuseppe Scarpa0Francesca Urban1Stela Vujosevic2Michele Tessarin3Giovanni Gallo4Annalisa Visentin5Emanuela Foglia6Lucrezia Ferrario7Edoardo Midena8Department of Ophthalmology, Ca Foncello Hospital, ULSS 9 TREVISO, 31100 Treviso, ItalyDepartment of Ophthalmology, Ca Foncello Hospital, ULSS 9 TREVISO, 31100 Treviso, ItalyDepartment of Ophthalmology, University of Padova, 35122 Padova, ItalyGeneral Management, Ca Foncello Hospital, ULSS 9 TREVISO, 31100 Treviso, ItalyGeneral Management, Ca Foncello Hospital, ULSS 9 TREVISO, 31100 Treviso, ItalyPrimary Care Physicians Coordinating Body, Ca Foncello Hospital, ULSS 9 TREVISO, 31100 Treviso, ItalyCentre for Research on Health Economics, Social and Health Care Management (CREMS), LIUC-Università Cattaneo, 21053 Castellanza, ItalyCentre for Research on Health Economics, Social and Health Care Management (CREMS), LIUC-Università Cattaneo, 21053 Castellanza, ItalyDepartment of Ophthalmology, University of Padova, 35122 Padova, ItalyAims. The study aimed to present the experience of a screening programme for early detection of diabetic retinopathy (DR) using a nonmydriatic fundus camera, evaluating the feasibility in terms of validity, resources absorption, and future advantages of a potential application, in an Italian local health authority. Methods. Diabetic patients living in the town of Ponzano, Veneto Region (Northern Italy), were invited to be enrolled in the screening programme. The “no prevention strategy” with the inclusion of the estimation of blindness related costs was compared with screening costs in order to evaluate a future extensive and feasible implementation of the procedure, through a budget impact approach. Results. Out of 498 diabetic patients eligible, 80% was enrolled in the screening programme. 115 patients (34%) were referred to an ophthalmologist and 9 cases required prompt treatment for either proliferative DR or macular edema. Based on the pilot data, it emerged that an extensive use of the investigated screening programme, within the Greater Treviso area, could prevent 6 cases of blindness every year, resulting in a saving of €271,543.32 (−13.71%). Conclusions. Fundus images obtained with a nonmydriatic fundus camera could be considered an effective, cost-sparing, and feasible screening tool for the early detection of DR, preventing blindness as a result of diabetes.http://dx.doi.org/10.1155/2016/4625096 |
| spellingShingle | Giuseppe Scarpa Francesca Urban Stela Vujosevic Michele Tessarin Giovanni Gallo Annalisa Visentin Emanuela Foglia Lucrezia Ferrario Edoardo Midena The Nonmydriatic Fundus Camera in Diabetic Retinopathy Screening: A Cost-Effective Study with Evaluation for Future Large-Scale Application Journal of Ophthalmology |
| title | The Nonmydriatic Fundus Camera in Diabetic Retinopathy Screening: A Cost-Effective Study with Evaluation for Future Large-Scale Application |
| title_full | The Nonmydriatic Fundus Camera in Diabetic Retinopathy Screening: A Cost-Effective Study with Evaluation for Future Large-Scale Application |
| title_fullStr | The Nonmydriatic Fundus Camera in Diabetic Retinopathy Screening: A Cost-Effective Study with Evaluation for Future Large-Scale Application |
| title_full_unstemmed | The Nonmydriatic Fundus Camera in Diabetic Retinopathy Screening: A Cost-Effective Study with Evaluation for Future Large-Scale Application |
| title_short | The Nonmydriatic Fundus Camera in Diabetic Retinopathy Screening: A Cost-Effective Study with Evaluation for Future Large-Scale Application |
| title_sort | nonmydriatic fundus camera in diabetic retinopathy screening a cost effective study with evaluation for future large scale application |
| url | http://dx.doi.org/10.1155/2016/4625096 |
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