{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:41:42Z","timestamp":1777876902771,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The availability and utilization of telehealth services have been rapidly increasing in the past decade, which paved the way for ophthalmological care to be offered more easily and conveniently. However, the proficiency of telehealth in the context of ophthalmical care still requires further studies to prove its effectiveness. This study examined the proficiency of general practitioners in a telemedicine platform in identifying red flag symptoms, suggestive of retinal detachment, and devising optimal management strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Our cross-sectional study used chat-based consultations on Altibbi Telemedicine platform (2018\u20132023) to study ophthalmical patients presenting with \u201cblurred vision\u201d or \u201cblindness.\u201d Those endorsing red flag symptoms were categorized as having \u201cpositive symptomatology\u201d and those reporting none as having \u201cnegative symptomatology.\u201d Management plans were classified as referral or reassuring. Statistical analysis was performed using IBM\u2019s Statistical Package for Social Sciences to examine associations between symptomatology and other variables.\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      values below 0.05 were considered statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Five hundred and fifty (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 550) patients with a mean age 22.5 \u00b1 13 years were included. Patients expressing positive symptomatology were more likely to be referred relative to those expressing negative symptomatology (81% vs. 61%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). No significant difference was found between genders and referral (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.053) or age and referral (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.231). Multivariate regression showed a significant correlation between positive symptoms and referral (adjusted odds ratio [aOR]: 2.0; 95% confidence interval [95% CI]: 1.3\u20133.3), none between gender (aOR: 1.5; 95% CI: 0.9\u20132.2) or age (aOR: 1.0; 95% CI: 0.9\u20131.1) and referral odds.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The telemedicine platform studied is effective in referring cases with red flag symptoms to urgent care, regardless of age and gender.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/tmj.2024.0111","type":"journal-article","created":{"date-parts":[[2024,6,26]],"date-time":"2024-06-26T04:25:46Z","timestamp":1719375946000},"page":"2601-2607","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Assessment of a Telehealth Platform in Evaluating the Urgency of Ophthalmical Consultation in the Middle East and North Africa Region: The Red Flags of Retinal Detachment"],"prefix":"10.1177","volume":"30","author":[{"given":"Dina Khalid","family":"Mohammed","sequence":"first","affiliation":[{"name":"School of Medicine, The University of Jordan, Amman, Jordan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samia Aziz","family":"Sulaiman","sequence":"additional","affiliation":[{"name":"School of Medicine, The University of Jordan, Amman, Jordan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hashem Ammar","family":"Rayyan","sequence":"additional","affiliation":[{"name":"School of Medicine, The University of Jordan, Amman, Jordan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustafa","family":"Khader","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, Department of Surgery, Emory University, Atlanta, Georgia, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manal Mohammad","family":"Alomari","sequence":"additional","affiliation":[{"name":"T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saif Aldeen","family":"Alryalat","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, The University of Jordan, Amman, Jordan."},{"name":"Department of Ophthalmology, Colorado University, Colorado, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,10,14]]},"reference":[{"key":"e_1_3_6_2_2","unstructured":"WHO. Archived: WHO Timeline - COVID-19. 2020. Available from: https:\/\/www.who.int\/news\/item\/27-04-2020-who-timeline---covid-19"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1080\/08820538.2020.1789675"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41433-020-01135-z"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/cxo.12658"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00417-017-3674-1"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/1357633x18760418"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2016.02.040"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0000000000001867"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2011-300581"},{"key":"e_1_3_6_11_2","unstructured":"Release P. Altibbi the middle east\u2019s largest digital health platform launches new men\u2019s health plan. n.d. Available from: https:\/\/www.zawya.com\/en\/press-release\/companies-news\/altibbi-the-middle-easts-largest-digital-health-platform-launches-new-mens-health-plan-l0ibby2a [Last accessed: June2 2024]."},{"key":"e_1_3_6_12_2","unstructured":"AlTibbi. AlTibbi. n.d. 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General practitioners\u2019 continuing education: A review of policies, strategies and effectiveness, and their implications for the future. 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Teleophthalmology and vision 2020 in South Africa. 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