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Title: Special Interest Project (SIP): Global Network Diabetic Retinopathy Project SIP 14-022 (Collaborating Center)
Status: Current
Topic: Global Health Network
Funding Source: Centers for Disease Control and Prevention (CDC)
Funding Period: 2014-2019
Study Design: Implementation and evaluation of a diabetic retinopathy screening program
Purpose:

The Yale-Griffin PRC is a Collaborating Center of the Global and Territorial Health Research Network (Global Network), funded by the CDC Division of Population Health (https://www.cdc.gov/nccdphp/dph/index.html).  The overall goal of the network is to leverage innovative public health approaches from around the world and apply them to address health disparities in chronic disease prevention and health promotion in local communities in the U.S.  The purpose of this specific project is to leverage information gained from organizations in India to implement a telemedicine-based retinal screening program for eligible patients in Ansonia CT.   

Further Study Details: The Yale-Griffin PRC received Special Interest Project (SIP) funding from the CDC to develop and implement a primary care-based, telemedicine-based diabetic retinopathy screening program, learning from the successful approaches adopted by organizations in India.  In 2015, a team of medical and public health professionals visited these organizations in central and southern India to observe and discuss their organizational structures, business models, use of tele-ophthalmology with patients, and lessons learned in implementing the technology and providing patient care. In 2016, they began implementing a pilot project at a medical clinic operated by Griffin Hospital in Ansonia CT. The project involves utilizing medical assistants and resident physicians to operate an automatic focus retinal camera to clinically screen 100 patients with diabetes for evidence of diabetic retinopathy, with review of the images provided by a consultant ophthalmologist, and referral of patients found to have diabetic retinopathy to a retinal specialist. If the pilot project is found to be successful, the procedure can become a standard of practice for the Griffin Faculty Physicians, and can be disseminated to other medical professionals across the U.S. 
Eligibility: Adult patients (18 years and older) of the Griffin Faculty Physicians (GFP) clinic in Ansonia whose primary care physician has referred them for retinal screening, and who have ore not already seeing an ophthalmologist and have not previously been diagnosed with retinal disease, glaucoma, macular degeneration, diabetic retinopathy, or hypertensive retinopathy. 
Evaluation: To measure the effectiveness of the screening program, the research team will monitor the total number of patients screened and the total referred to a specialist and then screened annually in the GFP Ansonia clinic. For patients who agree to be screened, they will note their retinopathy grade to determine the percentage of patients diagnosed with specific levels or retinopathy. They will then use the diagnosis of retinopathy as a dichotomous variable and compare it with ethnicity, race, age, gender, Hemoglobin A1c level, smoking status, and family history of eye disease.

Changed at: 3/1/2017 5:39 AM Changed by: Lisa Seaberg
Created at: 3/1/2017 5:39 AM Created by: Lisa Seaberg