Accuracy of trained rural ophthalmologists versus non-medical image graders in the diagnosis of diabetic retinopathy in rural China
Martha McKenna, Tingting Chen, Helen McAneney, Miguel Angel Vazquez Membrillo, Ling Jin, Wei Xiao, Tunde Peto, Mingguang He, Ruth Hogg, Nathan Congdon
British Journal of Ophthalmology | BMJ PUBLISHING GROUP | Published : 2018
BACKGROUND/AIMS: To determine the diagnostic accuracy of trained rural ophthalmologists and non-medical image graders in the assessment of diabetic retinopathy (DR) in rural China. METHODS: Consecutive patients with diabetes mellitus were examined from January 2014 to December 2015 at 10 county-level facilities in rural Southern China. Trained rural ophthalmologists performed a complete eye examination, recording diagnoses using the UK National Diabetic Eye Screening Programme (NDESP) classification system. Two field, mydriatic, 45° digital photographs were made by nurses using NDESP protocols and graded by trained graders with no medical background using the NDESP system. A fellowship-train..View full abstract
World Diabetes Foundation, Orbis International. Professor Congdon is supported by the Chinese government's Thousand Man Plan and by the Ulverscroft Foundation.