{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T10:56:04Z","timestamp":1768906564156,"version":"3.49.0"},"reference-count":25,"publisher":"American Academy of Pediatrics (AAP)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1998,7,1]]},"abstract":"<jats:p>Objective.\u2003To determine appropriate upper limits for gestational age and birth weight when screening infants for retinopathy of prematurity (ROP).<\/jats:p><jats:p>Design.\u2003Retrospective survey.<\/jats:p><jats:p>Setting.\u2003Tertiary neonatal intensive care nursery.<\/jats:p><jats:p>Patients.\u2003Seven hundred seven infants born July 1, 1990 to June 30, 1996 and screened for ROP according to the 1988 to 1996 American Academy of Pediatrics guidelines.<\/jats:p><jats:p>Outcome Measures.\u2003Maximum stage of ROP with respect to birth weight and gestational age.<\/jats:p><jats:p>Results.\u2003No ROP more than Stage 1 was observed in infants with gestational ages \u226532 weeks or birth weights \u22651500 g. All cases of threshold and Stage 4 ROP were confined to infants with gestational ages \u226430 weeks or birth weights &amp;lt;1200 g.<\/jats:p><jats:p>Conclusions.\u2003The latest American Academy of Pediatrics screening guidelines for ROP are discretionary for infants with birth weights &amp;gt;1500 g or gestational ages &amp;gt;28 weeks. If ROP screening is limited to infants with birth weights of \u22641500 g, 34.2% fewer infants would require screening compared with the previous &amp;lt;1800 g recommendation, while missing no cases of ROP more than Stage 1. A gestational age cut-off of \u226428 weeks, however, is less desirable, and could potentially miss several infants with more advanced retinopathy (including Stage 4). If ROP screening criteria were instead modified to include infants of gestational ages &amp;lt;32 weeks, the number of patients requiring screening could be reduced 29.1% compared with the previous recommendation of &amp;lt;35 weeks, again without missing any cases of ROP more than Stage 1. Use of such a screening strategy (birth weight &amp;lt;1500 g or gestational age &amp;lt;32 weeks) is predicted to save in excess of 1.5 million dollars annually in the United States, while missing no cases of ROP more than Stage 1.<\/jats:p>","DOI":"10.1542\/peds.102.1.31","type":"journal-article","created":{"date-parts":[[2004,8,13]],"date-time":"2004-08-13T23:44:32Z","timestamp":1092440672000},"page":"31-34","source":"Crossref","is-referenced-by-count":48,"title":["Should Fewer Premature Infants Be Screened for Retinopathy of Prematurity in the Managed Care Era?"],"prefix":"10.1542","volume":"102","author":[{"given":"Kelly","family":"Wright","sequence":"first","affiliation":[{"name":"From the Department of Pediatrics, University of Tennessee Graduate School of Medicine; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark E.","family":"Anderson","sequence":"additional","affiliation":[{"name":"From the Department of Pediatrics, University of Tennessee Graduate School of Medicine; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esteban","family":"Walker","sequence":"additional","affiliation":[{"name":"Department of Statistics, University of Tennessee, Knoxville, Tennessee."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vichien","family":"Lorch","sequence":"additional","affiliation":[{"name":"From the Department of Pediatrics, University of Tennessee Graduate School of Medicine; and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[1998,7,1]]},"reference":[{"key":"2021121010171913100_B1","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1542\/peds.100.2.273","article-title":"Screening examination of premature infants for retinopathy of prematurity.","volume":"100","author":"Joint Statement of the American Academy of Pediatrics, the American Association for Pediatric Ophthalmology and Strabismus, and the American Academy of 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