The Comparative Effectiveness of Telemedicine to Detect Diabetic Retinopathy

Legacy Health System

Status: Completed

Conditions: Diabetic Retinopathy

Treatments: Procedure: Ophthalmic Telemedicine

Study type: Interventional

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT01364129

NPAIHB O5-P-O5

1-U-48-DP-002673 (Other Grant/Funding Number)

Details and patient eligibility

About

This project aims to: 1) evaluate the long-term effectiveness of telemedicine to detect diabetic retinopathy when compared to traditional surveillance methods, 2) identify the health belief factors related to adherence with annual diabetic eye exams, and 3) determine the cost-effectiveness of the telemedicine system from the perspective of the community clinic, the third-party payer, and the individual patient.

Enrollment: 567 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• diabetic, at least 18 years old, patient at a participating health clinic

Trial design

Primary purpose: Screening

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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567 participants in 2 patient groups

Telemedicine

Experimental group

Description:

Participants in this group have digital images of their retina captured with a non-mydriatic camera and are encouraged to see an eye care provider yearly.

Treatment:

Procedure: Ophthalmic Telemedicine

Traditional Surveillance

No Intervention group

Description:

Participants in this group are encouraged to see an eye care provider each year for a diabetic eye exam.