{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:27:16Z","timestamp":1787776036676,"version":"build-2784847793"},"reference-count":23,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T00:00:00Z","timestamp":1762992000000},"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":[[2026,3,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>In 2013, Comanche County Memorial Hospital in Lawton, OK, in collaboration with the University of Oklahoma Medical Center, established a satellite level II neonatal intensive care unit (NICU) in southwest Oklahoma by utilizing a hybrid telemedicine model. The satellite level II NICU began offering telemedicine for retinal imaging (Tele-ROP) in July 2017. The availability of the Tele-ROP program has expanded access to retinopathy of prematurity (ROP) screening, allowing lower-risk premature infants to receive timely evaluations and continued intensive care closer to home. The objective was to evaluate the impact of the Tele-ROP program at a level II NICU with a hybrid telemedicine model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective study evaluated the use of the Tele-ROP program between July 2017 and December 2023. The inclusion criteria were infants transferred to a satellite level II NICU and \u201cwithout severe ROP.\u201d Infants with major congenital anomalies, or \u201csevere ROP,\u201d were excluded. Demographic data, image quality, and cost analysis were collected and analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Over a 6-year period, 83 patients were able to be transferred to the satellite level II NICU, due to the availability of the Tele-ROP program. A total of 68 Tele-ROP examinations were performed, with telemedicine-based retinal image evaluation conducted in 55 patients, resulting in the capture of 816 images; 98.2% of the images were graded as good. No patients required referral for ROP treatment, and no complications were reported related to the imaging procedure. Cost analysis showed a reduction in travel-related expenses for families.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Telemedicine for ROP screening in a hybrid level II NICU is safe and feasible and enhances health care affordability and access in underserved areas.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15305627251369875","type":"journal-article","created":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T10:12:03Z","timestamp":1763028723000},"page":"315-322","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of Telemedicine on Retinopathy of Prematurity Screening at a Level II Neonatal Intensive Care Unit in Southwest Oklahoma: A 6-Year Experience"],"prefix":"10.1177","volume":"32","author":[{"given":"Trassanee","family":"Chatmethakul","sequence":"first","affiliation":[{"name":"Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA."},{"name":"Department of Pediatrics, University of Iowa, Iowa City, Iowa, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. Michael","family":"Siatkowski","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Dean McGee Eye Institute, University of Oklahoma College of Medicine, Oklahoma City, Oklahoma, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Milam","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Ciambrone","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek","family":"Makkar","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA."},{"name":"Department of Pediatrics, Division of Neonatal-Perinatal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,13]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2018-3061"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaophthalmol.2018.2753"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaapos.2023.06.010"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-1180"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.earlhumdev.2007.11.009"},{"key":"e_1_3_3_7_2","first-page":"461","article-title":"Malpractice and the quality of care in retinopathy of prematurity (an American Ophthalmological Society thesis)","volume":"105","author":"Reynolds JD","year":"2007","unstructured":"Reynolds JD. 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