{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:46:47Z","timestamp":1787014007795,"version":"build-2736575974"},"reference-count":39,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2019,6,20]],"date-time":"2019-06-20T00:00:00Z","timestamp":1560988800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Exper Ophthalmology"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>Under\u2010detection and late diagnosis are major causes of glaucoma\u2010related visual impairment. Cost\u2010effective opportunistic glaucoma screening is of great interest in the early identification and prevention of glaucoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>To describe the results of a health examination centre\u2010based opportunistic glaucoma screening and referral model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This single centre cross\u2010sectional study was conducted in a health examination centre affiliated to a tertiary hospital in Shenyang, northeastern China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>From 21 March to 30 September 2016, 14\u2009367 individuals aged \u2265 30\u2009years undergoing routine physical examinations were invited for this glaucoma screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Presenting visual acuity, non\u2010contact pneumotonometry and non\u2010mydriatic fundus photography were evaluated. Fundus photographs were classified as non\u2010glaucoma, possible, probable and definitive glaucoma. Participants with probable and definite glaucomatous discs or intraocular pressure\u2009\u2265\u200924\u2009mmHg were referred for definitive examinations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Detection rate of glaucoma suspects and ocular hypertension (OHT). Cost to identify a single case with suspected and diagnosed glaucoma was also calculated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Altogether, 277 glaucoma suspects and 327 ocular hypertension suspects were identified. Among 190 participants with probable\/definite glaucomatous discs, 93 (48.9%) accepted further examination. Among these, 78 were diagnosed as glaucoma, seven as suspects and eight were excluded. Only 98 ocular hypertension suspects (30.0%) accepted further examinations: eight had primary angle closure and 23 had confirmed ocular hypertension. The cost to identify a single glaucoma suspect and definite glaucoma case were US$135 and US$857, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Relevance<\/jats:title>\n                    <jats:p>This novel screening model provides opportunities to improve glaucoma detection at low cost. Interventions to improve follow\u2010up are needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ceo.13564","type":"journal-article","created":{"date-parts":[[2019,6,1]],"date-time":"2019-06-01T02:53:33Z","timestamp":1559357613000},"page":"1000-1008","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Integrating opportunistic glaucoma screening into general health examinations in China: A pilot study"],"prefix":"10.1111","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3655-0683","authenticated-orcid":false,"given":"Shaodan","family":"Zhang","sequence":"first","affiliation":[{"name":"The Eye Hospital, School of Ophthalmology &amp; Optometry, Wenzhou Medical University Glaucoma Research Institute of Wenzhou Medical University  Zhejiang China"},{"name":"Department of Ophthalmology, the Fourth Peoples' Hospital of Shenyang Shenyang Key Lab of Ophthalmology  Liaoning China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, the Fourth Peoples' Hospital of Shenyang Shenyang Key Lab of Ophthalmology  Liaoning China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanshan","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, the Fourth Peoples' Hospital of Shenyang Shenyang Key Lab of Ophthalmology  Liaoning China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuanbo","family":"Liang","sequence":"additional","affiliation":[{"name":"The Eye Hospital, School of Ophthalmology &amp; Optometry, Wenzhou Medical University Glaucoma Research Institute of Wenzhou Medical University  Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, the Fourth Peoples' Hospital of Shenyang Shenyang Key Lab of Ophthalmology  Liaoning China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9866-3416","authenticated-orcid":false,"given":"Nathan","family":"Congdon","sequence":"additional","affiliation":[{"name":"Centre for Public Health Queen's University Belfast  Belfast UK"},{"name":"Zhongshan Ophthalmic Center Sun Yat\u2010sen University  Guangzhou China"},{"name":"Orbis International  New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chi Pui","family":"Pang","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Visual Sciences The Chinese University of Hong Kong  Hong Kong Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hailin","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, the Fourth Peoples' Hospital of Shenyang Shenyang Key Lab of Ophthalmology  Liaoning China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,6,20]]},"reference":[{"issue":"11","key":"e_1_2_7_2_1","first-page":"844","article-title":"Global data on visual impairment in the year 2002","volume":"82","author":"Resnikoff S","year":"2004","journal-title":"Bull World Health Organ"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2014.05.013"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2011.02.050"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2010.06.037"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.85.11.1277"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1991.03470030069026"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.11-7472"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/ICU.0b013e32835cf078"},{"key":"e_1_2_7_10_1","unstructured":"Business IRIoC. Report on the Health Examination Market Survey and Development Trends in China (2014\u20132018).http:\/\/www.askci.com\/reports\/201403\/1111757286771.shtml. Accessed January 22 2019."},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.86.2.238"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/eye.1990.11"},{"key":"e_1_2_7_13_1","unstructured":"The Medical Service Price Catalogue of Liaoning Province.http:\/\/www.lndoh.gov.cn\/wst_wjgg\/201710\/t20171027_3092708.html. Accessed January 22 2019."},{"key":"e_1_2_7_14_1","unstructured":"The Website of the People's Bank of China.http:\/\/www.pbc.gov.cn\/. Accessed January 22 2019."},{"key":"e_1_2_7_15_1","unstructured":"The Website of the National Bureau of Statistics of China.http:\/\/data.stats.gov.cn. Accessed January 22 2019."},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.2165\/00019053-200017050-00006"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2016-310078"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/aos.12839"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/ICU.0b013e328040bfcf"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2010.136"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/ceo.12398"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/ceo.13187"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/IJG.0b013e31804a5e97"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.survophthal.2013.04.007"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.05-0936"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/IJG.0b013e3182447d58"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/ceo.13138"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2018.01.023"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/0039-6257(83)90097-8"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(01)01380-0"},{"issue":"7","key":"e_1_2_7_31_1","doi-asserted-by":"crossref","first-page":"1327","DOI":"10.1016\/j.ophtha.2010.12.013","article-title":"Glaucoma public service announcements: factors associated with follow\u2010up of participants with risk factors for glaucoma","volume":"118","author":"Hoffelt Z","year":"2011","journal-title":"Ophthalmology"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2415-8-21"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(00)00275-X"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.77.1.17"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(96)30449-1"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1994.01090180121046"},{"key":"e_1_2_7_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2018.07.013"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0113779"},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.2147\/OPTH.S120398"},{"key":"e_1_2_7_40_1","article-title":"Cost\u2010effectiveness and cost\u2010utility of population\u2010based glaucoma screening in China: a decision\u2010analytic Markov model","author":"Tang J","journal-title":"Lancet Glob Health"}],"container-title":["Clinical &amp; Experimental Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ceo.13564","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ceo.13564","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ceo.13564","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T08:20:51Z","timestamp":1694161251000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ceo.13564"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6,20]]},"references-count":39,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2019,11]]}},"alternative-id":["10.1111\/ceo.13564"],"URL":"https:\/\/doi.org\/10.1111\/ceo.13564","archive":["Portico"],"relation":{},"ISSN":["1442-6404","1442-9071"],"issn-type":[{"value":"1442-6404","type":"print"},{"value":"1442-9071","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,6,20]]},"assertion":[{"value":"2019-01-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-05-25","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-06-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}