Teaming-up nurses with ophthalmologists to expand the reach of eye care in a middle-income country: Validation of health data acquisition by nursing staff in a telemedicine strategy.
Telemedicine can be used to conduct ophthalmological assessment of patients, facilitating patient access to specialist care. Since the teleophthalmology models require data collection support from other health professionals, the purpose of our study was to assess agreement between the nursing techni...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2021-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0260594 |
| _version_ | 1818964172504825856 |
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| author | Cassia Garcia Moraes Pagano Tais de Campos Moreira Daniel Sganzerla Ana Maria Frölich Matzenbacher Amanda Gomes Faria Lucas Matturro Felipe Cezar Cabral Dimitris Rucks Varvaki Rados Anelise Decavata Szortyka Maicon Falavigna Maria Eulalia Vinadé Chagas Erno Harzheim Marcelo Gonçalves Roberto Umpierre Aline Lutz de Araujo |
| author_facet | Cassia Garcia Moraes Pagano Tais de Campos Moreira Daniel Sganzerla Ana Maria Frölich Matzenbacher Amanda Gomes Faria Lucas Matturro Felipe Cezar Cabral Dimitris Rucks Varvaki Rados Anelise Decavata Szortyka Maicon Falavigna Maria Eulalia Vinadé Chagas Erno Harzheim Marcelo Gonçalves Roberto Umpierre Aline Lutz de Araujo |
| author_sort | Cassia Garcia Moraes Pagano |
| collection | DOAJ |
| description | Telemedicine can be used to conduct ophthalmological assessment of patients, facilitating patient access to specialist care. Since the teleophthalmology models require data collection support from other health professionals, the purpose of our study was to assess agreement between the nursing technician and the ophthalmologist in acquisition of health parameters that can be used for remote analysis as part of a telemedicine strategy. A cross-sectional study was conducted with 140 patients referred to an ophthalmological telediagnosis center by primary healthcare doctors. The health parameters evaluated were visual acuity (VA), objective ophthalmic measures acquired by autorefraction, keratometry, and intraocular pressure (IOP). Bland-Altman plots were used to analyze agreement between the nursing technician and the ophthalmologist. The Bland-Altman analysis showed a mean bias equal to zero for the VA measurements [95%-LoA: -0.25-0.25], 0.01 [95%-LoA: -0.86-0.88] for spherical equivalent (M), -0.08 [95%-LoA: -1.1-0.95] for keratometry (K) and -0.23 [95%-LoA: -4.4-4.00] for IOP. The measures had a high linear correlation (R [95%CI]: 0.87 [0.82-0.91]; 0.97 [0.96-0.98]; 0.96 [0.95-0.97] and 0.88 [0.84-0.91] respectively). The results observed demonstrate that remote ophthalmological data collection by adequately trained health professionals is viable. This confirms the utility and safety of these solutions for scenarios in which access to ophthalmologists is limited. |
| first_indexed | 2024-12-20T12:56:53Z |
| format | Article |
| id | doaj.art-d6da4c8aa7d74e1faf0d1debde2b04dc |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-20T12:56:53Z |
| publishDate | 2021-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-d6da4c8aa7d74e1faf0d1debde2b04dc2022-12-21T19:40:03ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-011611e026059410.1371/journal.pone.0260594Teaming-up nurses with ophthalmologists to expand the reach of eye care in a middle-income country: Validation of health data acquisition by nursing staff in a telemedicine strategy.Cassia Garcia Moraes PaganoTais de Campos MoreiraDaniel SganzerlaAna Maria Frölich MatzenbacherAmanda Gomes FariaLucas MatturroFelipe Cezar CabralDimitris Rucks Varvaki RadosAnelise Decavata SzortykaMaicon FalavignaMaria Eulalia Vinadé ChagasErno HarzheimMarcelo GonçalvesRoberto UmpierreAline Lutz de AraujoTelemedicine can be used to conduct ophthalmological assessment of patients, facilitating patient access to specialist care. Since the teleophthalmology models require data collection support from other health professionals, the purpose of our study was to assess agreement between the nursing technician and the ophthalmologist in acquisition of health parameters that can be used for remote analysis as part of a telemedicine strategy. A cross-sectional study was conducted with 140 patients referred to an ophthalmological telediagnosis center by primary healthcare doctors. The health parameters evaluated were visual acuity (VA), objective ophthalmic measures acquired by autorefraction, keratometry, and intraocular pressure (IOP). Bland-Altman plots were used to analyze agreement between the nursing technician and the ophthalmologist. The Bland-Altman analysis showed a mean bias equal to zero for the VA measurements [95%-LoA: -0.25-0.25], 0.01 [95%-LoA: -0.86-0.88] for spherical equivalent (M), -0.08 [95%-LoA: -1.1-0.95] for keratometry (K) and -0.23 [95%-LoA: -4.4-4.00] for IOP. The measures had a high linear correlation (R [95%CI]: 0.87 [0.82-0.91]; 0.97 [0.96-0.98]; 0.96 [0.95-0.97] and 0.88 [0.84-0.91] respectively). The results observed demonstrate that remote ophthalmological data collection by adequately trained health professionals is viable. This confirms the utility and safety of these solutions for scenarios in which access to ophthalmologists is limited.https://doi.org/10.1371/journal.pone.0260594 |
| spellingShingle | Cassia Garcia Moraes Pagano Tais de Campos Moreira Daniel Sganzerla Ana Maria Frölich Matzenbacher Amanda Gomes Faria Lucas Matturro Felipe Cezar Cabral Dimitris Rucks Varvaki Rados Anelise Decavata Szortyka Maicon Falavigna Maria Eulalia Vinadé Chagas Erno Harzheim Marcelo Gonçalves Roberto Umpierre Aline Lutz de Araujo Teaming-up nurses with ophthalmologists to expand the reach of eye care in a middle-income country: Validation of health data acquisition by nursing staff in a telemedicine strategy. PLoS ONE |
| title | Teaming-up nurses with ophthalmologists to expand the reach of eye care in a middle-income country: Validation of health data acquisition by nursing staff in a telemedicine strategy. |
| title_full | Teaming-up nurses with ophthalmologists to expand the reach of eye care in a middle-income country: Validation of health data acquisition by nursing staff in a telemedicine strategy. |
| title_fullStr | Teaming-up nurses with ophthalmologists to expand the reach of eye care in a middle-income country: Validation of health data acquisition by nursing staff in a telemedicine strategy. |
| title_full_unstemmed | Teaming-up nurses with ophthalmologists to expand the reach of eye care in a middle-income country: Validation of health data acquisition by nursing staff in a telemedicine strategy. |
| title_short | Teaming-up nurses with ophthalmologists to expand the reach of eye care in a middle-income country: Validation of health data acquisition by nursing staff in a telemedicine strategy. |
| title_sort | teaming up nurses with ophthalmologists to expand the reach of eye care in a middle income country validation of health data acquisition by nursing staff in a telemedicine strategy |
| url | https://doi.org/10.1371/journal.pone.0260594 |
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