Evidence map›Paper›PMID 39394368›Full record

ArticleEye (London, England)2024

The scanning CONfoCal Ophthalmoscopy foR DIAbetic eye screening (CONCORDIA) study paper 2.

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

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine if the Eidon white light 60-degree field Scanning Confocal Ophthalmoscope (SCO) camera was safe to use with staged mydriasis in a Diabetic Eye Screening Programme (DESP).

methodsThe trial participants were recruited from people with diabetes attending appointments in DESP or Virtual Eye clinics for post-Covid delayed hospital appointments. Using staged mydriasis, the SCO images were taken before the pupils were dilated and compared to two-field 45 degrees mydriatic digital photography (the reference standard). Mydriatic SCO images were only compared to the reference standard if the non-mydriatic SCO images were unassessable.

results1050 patients were recruited, 35 individuals were withdrawn, the majority (18) due to an imaging protocol deviation leaving 1015 individuals (2029 eyes). Using staged mydriasis, the sensitivity and specificity for any retinopathy was 97.5% (95% CI: 96.4-98.4%) and 82.3% (95% CI: 79.6-84.7%) respectively. The sensitivity and specificity for referable retinopathy was 92.7% (95% CI: 89.9-94.9%) and 85.4% (95% CI: 83.6-87.2%) respectively. The total number of eyes that were unassessable with the Eidon without mydriasis was 85/2029 (4.2%), and after mydriasis was 34/2029 (1.7%) and, with the reference standard, 34/2029 (1.7% - not always the same images) were unassessable.

conclusionsThis study provides promising early results of the performance of the Eidon camera using staged mydriasis in a DESP which needs further evidence from a non-Caucasian population and from cost-effectiveness analyses.

Indexed as

Diabetic RetinopathyMydriaticsOphthalmoscopyAdultAgedFemaleHumansMaleMass ScreeningMiddle AgedSARS-CoV-2Sensitivity and SpecificityMydriatics

Identifiers

PMID39394368
PMCPMC11621414

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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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.