{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T19:11:05Z","timestamp":1793214665012,"version":"4.5.0"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The aim is to evaluate the diagnostic accuracy of digital fundus photography in diabetic retinopathy (DR) screening at a single university hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This was a cross-sectional hospital-based study. One hundred and ninety-eight diabetic patients were recruited for comprehensive eye examination by two ophthalmologists. Five-field fundus photographs were taken with a digital, nonmydriatic fundus camera, and trained primary care physicians then graded the severity of DR present by single-field 45\u00b0 and five-field fundus photography. Sensitivity and specificity of DR grading were reported using the findings from the ophthalmologists\u2019 examinations as a gold standard.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>When fundus photographs of the participants\u2019 363 eyes were analyzed for the presence of DR, there was substantial agreement between the two primary care physicians, \u03ba = 0.6226 for single-field and 0.6939 for five-field photograph interpretation. The sensitivity and specificity of DR detection with single-field photographs were 70.7% (95% Confidence interval [CI]; 60.2%\u201379.7%) and 99.3% (95% CI; 97.4%\u201399.9%), respectively. Sensitivity and specificity for five-field photographs were 84.5% (95% CI; 75.8%\u201391.1%) and 98.6% (95% CI; 96.5%\u201399.6%), respectively. The receiver operating characteristic was 0.85 (0.80\u20130.90) for single-field photographs and 0.92 (0.88\u20130.95) for five-field photographs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The sensitivity and specificity of fundus photographs for DR detection by primary care physicians were acceptable. Single- and five-field digital fundus photography each represent a convenient screening tool with acceptable accuracy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_657_17","type":"journal-article","created":{"date-parts":[[2017,12,28]],"date-time":"2017-12-28T09:45:03Z","timestamp":1514454303000},"page":"94-97","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":24,"title":["The diagnostic accuracy of single- and five-field fundus photography in diabetic retinopathy screening by primary care physicians"],"prefix":"10.4103","volume":"66","author":[{"given":"Parinya","family":"Srihatrai","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Faculty of Medicine, Suddhavej Hospital, Mahasarakham University, Mueang, Maha Sarakham, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thanita","family":"Hlowchitsieng","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Faculty of Medicine, Suddhavej Hospital, Mahasarakham University, Mueang, Maha Sarakham, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R3-20251013","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1016\/S0161-6420(13)38012-9","article-title":"Grading diabetic retinopathy from stereoscopic color fundus photographs \u2013 An extension of the modified Airlie House classification. 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Early treatment diabetic retinopathy study report number 1. 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