{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T22:37:16Z","timestamp":1790289436567,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,7,21]],"date-time":"2024-07-21T00:00:00Z","timestamp":1721520000000},"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":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate level of agreement of specialist trained retinopathy of prematurity (ROP) nurses compared with an experienced paediatric ophthalmologist in detection of referral\u2010warranted ROP (RWROP) using wide\u2010field digital retinal imaging.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a prospective, observational, blinded study of neonates in a level III neonatal intensive care unit, from July 2020 to November 2022. Image capture using wide\u2010field digital retinal imaging followed by ROP grading and staging was completed by trained ROP nurses. This was then compared with findings by an experienced paediatric ophthalmologist. The primary outcome was presence of RWROP in either eye.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and ninety\u2010five neonates (55% male) with a total of 768 screening visits were included. At the initial screen, nurse and ophthalmologist agreed about presence of RWROP for 191 of 195 neonates (98%, kappa\u2009=\u20090.79, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001), with 100% sensitivity for RWROP detection. Including all 768 screening episodes, agreement was 98% for RWROP. There was disagreement in 16 screenings (2%) for 11 (6%) neonates. Of the five screenings (0.7%) that the ophthalmologist thought were RWROP and the nurse did not, three were disagreements about whether the zone was posterior zone 2 or zone 1.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We found excellent levels of agreement and add evidence that interpretations by specialist trained nurses could be safely integrated into a \u2018hybrid ROP screening system\u2019.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.16621","type":"journal-article","created":{"date-parts":[[2024,7,22]],"date-time":"2024-07-22T04:13:37Z","timestamp":1721621617000},"page":"369-374","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Excellent accuracy of trained neonatal nurses in the detection of referral\u2010warranted retinopathy of prematurity within an established telemedicine screening programme"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-0213-6740","authenticated-orcid":false,"given":"Thuan Anh Le","family":"Nguyen","sequence":"first","affiliation":[{"name":"Faculty of Medicine University of Queensland  Brisbane Queensland Australia"},{"name":"Department of Ophthalmology Queensland Children's Hospital  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"Raileanu","sequence":"additional","affiliation":[{"name":"Neonatal Critical Care Unit Mater Mothers' Hospitals  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernice","family":"Smith","sequence":"additional","affiliation":[{"name":"Neonatal Critical Care Unit Mater Mothers' Hospitals  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Griffin","sequence":"additional","affiliation":[{"name":"QIMR Berghofer Medical Research Institute  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaheen","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Queensland Children's Hospital  Brisbane Queensland Australia"},{"name":"School of Clinical Medicine University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,21]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2016-310041"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12031228"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-013366"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-036483"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15163"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/22423982.2017.1422670"},{"key":"e_1_2_6_8_1","volume-title":"Vision for Australia's Eye Healthcare to 2030 and Beyond","author":"The Royal Australian and New Zealand College of Ophthalmologists","year":"2022"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2023.04.004"},{"key":"e_1_2_6_10_1","volume-title":"Consensus Statement for Screening of Retinopathy of Prematurity in Queensland","author":"Queensland Health","year":"2021"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(03)00831-5"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.123.3.311"},{"key":"e_1_2_6_13_1","first-page":"233","article-title":"Final results of the early treatment for retinopathy of prematurity (ETROP) randomized trial","volume":"102","author":"Good WV","year":"2004","journal-title":"Trans. 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