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Telemedicine retinopathy of prematurity severity score (TeleROP-SS) versus modified activity score (mROP-ActS) retrospective comparison in SUNDROP cohort.
Xu, Christine L; Adu-Brimpong, Joel; Moshfeghi, Henry P; Rosenblatt, Tatiana R; Yu, Michael D; Ji, Marco H; Wang, Sean K; Zaidi, Moosa; Ghoraba, Hashem; Michalak, Suzanne; Callaway, Natalia F; Kumm, Jochen; Nudleman, Eric; Wood, Edward H; Patel, Nimesh A; Stahl, Andreas; Lepore, Domenico; Moshfeghi, Darius M.
Affiliation
  • Xu CL; Department of Ophthalmology, Horngren Family Vitreoretinal Center, Byers Eye Institute, Stanford University School of Medicine, 2452 Watson Ct., Rm 2277, Palo Alto, CA, 94303, USA.
  • Adu-Brimpong J; Department of Ophthalmology, Horngren Family Vitreoretinal Center, Byers Eye Institute, Stanford University School of Medicine, 2452 Watson Ct., Rm 2277, Palo Alto, CA, 94303, USA.
  • Moshfeghi HP; Carleton College, Northfield, MN, USA.
  • Rosenblatt TR; Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, USA.
  • Yu MD; Department of Ophthalmology, Horngren Family Vitreoretinal Center, Byers Eye Institute, Stanford University School of Medicine, 2452 Watson Ct., Rm 2277, Palo Alto, CA, 94303, USA.
  • Ji MH; Department of Ophthalmology, Jones Eye Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
  • Wang SK; Department of Ophthalmology, Horngren Family Vitreoretinal Center, Byers Eye Institute, Stanford University School of Medicine, 2452 Watson Ct., Rm 2277, Palo Alto, CA, 94303, USA.
  • Zaidi M; Department of Ophthalmology, Horngren Family Vitreoretinal Center, Byers Eye Institute, Stanford University School of Medicine, 2452 Watson Ct., Rm 2277, Palo Alto, CA, 94303, USA.
  • Ghoraba H; Department of Ophthalmology, Horngren Family Vitreoretinal Center, Byers Eye Institute, Stanford University School of Medicine, 2452 Watson Ct., Rm 2277, Palo Alto, CA, 94303, USA.
  • Michalak S; Department of Ophthalmology, Horngren Family Vitreoretinal Center, Byers Eye Institute, Stanford University School of Medicine, 2452 Watson Ct., Rm 2277, Palo Alto, CA, 94303, USA.
  • Callaway NF; Department of Ophthalmology, Horngren Family Vitreoretinal Center, Byers Eye Institute, Stanford University School of Medicine, 2452 Watson Ct., Rm 2277, Palo Alto, CA, 94303, USA.
  • Kumm J; Department of Ophthalmology, Horngren Family Vitreoretinal Center, Byers Eye Institute, Stanford University School of Medicine, 2452 Watson Ct., Rm 2277, Palo Alto, CA, 94303, USA.
  • Nudleman E; Viterbi Family Department of Ophthalmology, Shiley Eye Institute, University of California San Diego, La Jolla, CA, USA.
  • Wood EH; Austin Retina Associates, Austin, TX, USA.
  • Patel NA; Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, USA.
  • Stahl A; Department of Ophthalmology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
  • Lepore D; Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Leonard M. Miller School of Medicine, Miami, FL, USA.
  • Moshfeghi DM; Department of Ophthalmology, University Medicine Greifswald, Greifswald, Germany.
Sci Rep ; 13(1): 15219, 2023 09 14.
Article in En | MEDLINE | ID: mdl-37709791
ABSTRACT
Identifying and planning treatment for retinopathy of prematurity (ROP) using telemedicine is becoming increasingly ubiquitous, necessitating a grading system to help caretakers of at-risk infants gauge disease severity. The modified ROP Activity Scale (mROP-ActS) factors zone, stage, and plus disease into its scoring system, addressing the need for assessing ROP's totality of binocular burden via indirect ophthalmoscopy. However, there is an unmet need for an alternative score which could facilitate ROP identification and gauge disease improvement or deterioration specifically on photographic telemedicine exams. Here, we propose such a system (Telemedicine ROP Severity Score [TeleROP-SS]), which we have compared against the mROP-ActS. In our statistical analysis of 1568 exams, we saw that TeleROP-SS was able to return a score in all instances based on the gradings available from the retrospective SUNDROP cohort, while mROP-ActS obtained a score of 80.8% in right eyes and 81.1% in left eyes. For treatment-warranted ROP (TW-ROP), TeleROP-SS obtained a score of 100% and 95% in the right and left eyes respectively, while mROP-ActS obtained a score of 70% and 63% respectively. The TeleROP-SS score can identify disease improvement or deterioration on telemedicine exams, distinguish timepoints at which treatments can be given, and it has the adaptability to be modified as needed.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Retinopathy of Prematurity / Telemedicine Type of study: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limits: Humans / Infant / Newborn Language: En Journal: Sci Rep Year: 2023 Document type: Article Affiliation country: Estados Unidos
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Retinopathy of Prematurity / Telemedicine Type of study: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limits: Humans / Infant / Newborn Language: En Journal: Sci Rep Year: 2023 Document type: Article Affiliation country: Estados Unidos