{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T20:15:42Z","timestamp":1777580142766,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2015,12,14]],"date-time":"2015-12-14T00:00:00Z","timestamp":1450051200000},"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":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To assess the feasibility of a telemedical approach for diabetic retinopathy (DR) screening in the Italian population and to evaluate advantages\/disadvantages in comparison to standard slit-lamp funduscopic examination (SFE).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This 1-year, Italian, single-center, observational study evaluated semiautomatic fundus photography (FP) DR screening, performed during routine type 2 diabetes (T2D) systemic visits and examined remotely. Adults with T2D underwent SFE and 3-field FP. The study was divided into 2 stages (stage 1 validated the screening procedure, stage 2 evaluated the screening impact on the clinical practice). Annual costs of SFE \u00b1 FP screening were compared. Patients completed a DR screening questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 1,281 T2D patients enrolled, 61% were male (mean age 65.69 \u00b1 12.64 years). In stage 1, 71% and 15% of patients were considered nongradable when FP was performed before (BPD) versus after pupil dilation (APD). The FP specificity was higher with APD vs BPD (79% vs 25%); therefore, FP APD only was used for stage 2. Of 1,281 patients screened using FP APD, 240 (18.7%) had unreadable images; 64.3% did not have DR, and 17.0% were diagnosed with DR. There was a cost saving of \u20ac801.25 when screening was performed using FP. Overall, 98% of patients had a positive opinion of FP screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The telemedicine approach provides a convenient, simple test that is well-received by patients and minimizes unnecessary referrals. Telemedicine may also reduce screening costs in our setting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5301\/ejo.5000719","type":"journal-article","created":{"date-parts":[[2015,12,22]],"date-time":"2015-12-22T08:03:39Z","timestamp":1450771419000},"page":"369-374","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Diabetic Retinopathy Screening: The First Telemedical Approach in an Italian Hospital"],"prefix":"10.1177","volume":"26","author":[{"given":"Alessandro","family":"Invernizzi","sequence":"first","affiliation":[{"name":"Eye Clinic, Department of Biomedical and Clinical Science, Luigi Sacco Hospital, University of Milan, Milan - Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maurizio T.","family":"Bevilacqua","sequence":"additional","affiliation":[{"name":"Endocrinology-Diabetology, Luigi Sacco Hospital, University of Milan, Milan - Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariano","family":"Cozzi","sequence":"additional","affiliation":[{"name":"Eye Clinic, Department of Biomedical and Clinical Science, Luigi Sacco Hospital, University of Milan, Milan - Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlo","family":"Bianchi","sequence":"additional","affiliation":[{"name":"Eye Clinic, Department of Biomedical and Clinical Science, Luigi Sacco Hospital, University of Milan, Milan - Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandro","family":"Pagani","sequence":"additional","affiliation":[{"name":"Eye Clinic, Department of Biomedical and Clinical Science, Luigi Sacco Hospital, University of Milan, Milan - Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Cigada","sequence":"additional","affiliation":[{"name":"Eye Clinic, Department of Biomedical and Clinical Science, Luigi Sacco Hospital, University of Milan, Milan - Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Staurenghi","sequence":"additional","affiliation":[{"name":"Eye Clinic, Department of Biomedical and Clinical Science, Luigi Sacco Hospital, University of Milan, Milan - Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,12,14]]},"reference":[{"key":"bibr1-ejo.5000719","doi-asserted-by":"publisher","DOI":"10.1016\/j.survophthal.2012.01.004"},{"key":"bibr2-ejo.5000719","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabet.2009.06.002"},{"key":"bibr3-ejo.5000719","doi-asserted-by":"publisher","DOI":"10.1177\/193229680700100411"},{"key":"bibr4-ejo.5000719","doi-asserted-by":"publisher","DOI":"10.1016\/S1262-3636(07)70142-8"},{"key":"bibr5-ejo.5000719","doi-asserted-by":"publisher","DOI":"10.2337\/dc06-1509"},{"key":"bibr6-ejo.5000719","author":"Servizio SRE-R","year":"2012","journal-title":"Servizio SRE-R"},{"key":"bibr7-ejo.5000719","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2012.0313"},{"key":"bibr8-ejo.5000719","first-page":"1082","author":"Ogunyemi O","year":"2013","journal-title":"AMIA Symposium"},{"key":"bibr9-ejo.5000719","doi-asserted-by":"publisher","DOI":"10.2147\/OPTH.S14521"},{"issue":"12","key":"bibr10-ejo.5000719","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1016\/j.oftal.2012.04.004","volume":"87","author":"Mart\u00ednez Rubio M","year":"2012","journal-title":"Arch Soc Esp Oftalmol"},{"key":"bibr11-ejo.5000719","doi-asserted-by":"publisher","DOI":"10.4103\/0974-9233.106388"},{"key":"bibr12-ejo.5000719","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2012.287"},{"key":"bibr13-ejo.5000719","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.13-12301"},{"key":"bibr14-ejo.5000719","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.23.3.345"},{"key":"bibr15-ejo.5000719","volume-title":"Evolution de la Prise en Charge des Diab\u00e9tiques non Insulinotrait\u00e9s Entre 1998 et 2000.","author":"Ricordeau P"},{"key":"bibr16-ejo.5000719","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.27.5.1047"},{"key":"bibr17-ejo.5000719","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2011.05.004"}],"container-title":["European Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5301\/ejo.5000719","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.5301\/ejo.5000719","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5301\/ejo.5000719","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T19:40:11Z","timestamp":1777405211000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.5301\/ejo.5000719"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12,14]]},"references-count":17,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2016,7]]}},"alternative-id":["10.5301\/ejo.5000719"],"URL":"https:\/\/doi.org\/10.5301\/ejo.5000719","relation":{},"ISSN":["1120-6721","1724-6016"],"issn-type":[{"value":"1120-6721","type":"print"},{"value":"1724-6016","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12,14]]}}}