Expansion of Integrated AI Solution for Diabetic Retinopathy Screening in Thailand: An Implementation Research
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Diabetic Retinopathy
- Sponsor
- Rajavithi Hospital
- Enrollment
- 34500
- Primary Endpoint
- Effectiveness of AI in diabetic retinopathy screening
- Last Updated
- 3 years ago
Overview
Brief Summary
Efficiency and effectiveness of real-world diabetic retinopathy screening by artificial intelligent (AI) are limited. Investigators will implement AI for diabetic retinopathy screening in 13 health districts in Thailand and investigate the efficiency, effectiveness as well as patients and health care personnel's satisfaction by an implementation research.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Type 1 or 2 diabetes mellitus patients whose name are in primary hospital record
- •No full-time ophthalmologists in those primary hospital
- •Age more than or equal to 18 years
- •Eligible for fundus photo imaging at least 1 eye
Exclusion Criteria
- •Type 1 or 2 diabetes mellitus patients whose name are in primary hospital record that have full-time ophthalmologists
- •Patients who previously diagnosed with other causes of macular edema, for example, Age-related Macular Degeneration, Radiation Retinopathy, Retinal Vein Occlusion etc.
- •History of retinal laser or surgery
- •Other ocular diseases that require referral to ophthalmologists
- •Not eligible for fundus photo imaging for both eyes (any causes)
Outcomes
Primary Outcomes
Effectiveness of AI in diabetic retinopathy screening
Time Frame: Throughout the whole period of screening, approximately 6 months
Referral adherance of patients in AI group in percentage
Efficiency of AI in diabetic retinopathy screening
Time Frame: Throughout the whole period of screening, approximately 6 months
Cost in development and implement of AI system in Thai baht unit
Secondary Outcomes
- Satisfaction of patients and health care personnel in AI-based screening(At the end of the screening, approximately at Month 6)