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Ann Ist Super Sanita ; 52(4): 598-602, 2016.
Article in English | MEDLINE | ID: mdl-27999234

ABSTRACT

INTRODUCTION: Integrated care, by allowing information exchange among health professionals, improves outcomes and favours a reduction in hospital admission in diabetes. Retinal complications can be sight-threatening, and diabetic patients often miss the suggested yearly clinical examination. METHODS: Teleretinography can be easily performed in patients attending Diabetes Clinics: images are sent to a remote ophthalmologist, grading and instructions are received and forwarded to General Practitioners by a dedicated software. RESULTS: We here report the results of teleretinography performed in our Diabetes Clinic in 362 patients missing the yearly fundus examination: 253 patients showed no diabetic retinopathy, 86 a mild form, and 23 needed referral to hospital settings. CONCLUSIONS: Teleretinography is a user-friendly, time-saving and cost-effective technique, easily integrable into integrated care, allowing a better adherence to guidelines.


Subject(s)
Delivery of Health Care, Integrated/methods , Diabetic Retinopathy/therapy , Electroretinography/methods , Telemedicine/methods , Adult , Aged , Aged, 80 and over , Cost-Benefit Analysis , Diabetic Retinopathy/pathology , Electroretinography/economics , Female , Fundus Oculi , General Practitioners , Humans , Italy , Male , Middle Aged , Telemedicine/economics , Young Adult
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