Evidence map›Paper›PMID 39379524›Full record

ArticleEye (London, England)2024

The Scanning CONfoCal Ophthalmoscopy foR DIAbetic eye screening (CONCORDIA) study paper 1.

Peter H Scanlon, Marta Gruszka-Goh, Ushna Javed, Anthony Vukic, Julie Hapeshi, Steve Chave, Paul Galsworthy, Scott Vallance, Stephen J Aldington

Abstract read
In one paragraph

Article in Eye (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Peter H ScanlonGloucestershire Retinal Research Group (GRRG), Cheltenham General Hospital, Cheltenham, UK. p.scanlon@nhs.net.ORCID 0000-0001-8513-710X
Marta Gruszka-GohGloucestershire Retinal Research Group (GRRG), Cheltenham General Hospital, Cheltenham, UK.ORCID 0009-0002-8742-9135
Ushna JavedGloucestershire Retinal Research Group (GRRG), Cheltenham General Hospital, Cheltenham, UK.
Anthony VukicGloucestershire Retinal Research Group (GRRG), Cheltenham General Hospital, Cheltenham, UK.
Julie HapeshiGloucestershire Retinal Research Group (GRRG), Cheltenham General Hospital, Cheltenham, UK.
Steve ChaveGloucestershire Retinal Research Group (GRRG), Cheltenham General Hospital, Cheltenham, UK.
Paul GalsworthyGloucestershire Retinal Research Group (GRRG), Cheltenham General Hospital, Cheltenham, UK.
Scott VallanceGloucestershire Retinal Research Group (GRRG), Cheltenham General Hospital, Cheltenham, UK.
Stephen J AldingtonGloucestershire Retinal Research Group (GRRG), Cheltenham General Hospital, Cheltenham, UK.

Funding

Innovate UK 33684
6 · The paper itself

Abstract

objectiveThis project was to determine the performance of the Zeiss Clarus 700 (Clarus) and the Optos California (Optos) with staged mydriasis in a Diabetic Eye Screening Programme (DESP).

methodsTrial participants were recruited from people attending appointments in DESP or Virtual Eye clinics for delayed hospital appointments. Non-mydriatic photographs from the Clarus and Optos cameras were compared to 2-field 45 degrees mydriatic digital photography (the reference standard) and mydriatic photographs compared if the non-mydriatic photos were unassessable (staged mydriasis).

results1573 patients were recruited. 76 individuals were withdrawn, leaving 1497 individuals (2993 eyes). For the Clarus and the Optos, the sensitivity for any retinopathy were 94.2% (95% CI: 92.9-95.3%) and 91.9% (95% CI: 90.5-93.2%) with specificities of 87.3% (95% CI: 85.4-89.0%) and 78.1% (95% CI: 75.7-80.3%) respectively. For referable DR the sensitivities for the Clarus and Optos were 86.0% (95% CI: 82.9-88.8%) and 77.6% (95% CI: 73.9-80.9%) with specificities of 92.8% (95% CI: 91.7-93.8%) and 95.4% (95% CI: 94.5-96.2%) respectively. The Clarus and Optos without mydriasis produced 100 (3.3%) and 152 (5.1%) unassessable eyes respectively, and after staged mydriasis 51 (1.7%) and 102 (3.4%) respectively with 52 (1.7%) reference standard images unassessable.

conclusionsThis study reports the performance of the Clarus and the Optos using staged mydriasis in DR screening with wider fields detecting more referable retinopathy peripherally with some reduction in sensitivity centrally for macular lesions.

Indexed as

Diabetic RetinopathyMydriaticsOphthalmoscopyAdultAgedFemaleHumansMaleMass ScreeningMiddle AgedPhotographySensitivity and SpecificityMydriatics

Identifiers

PMID39379524
PMCPMC11621412

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.