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基层医疗中的糖尿病视网膜病变筛查:中低收入国家的未来前景。

Screening for diabetic retinopathy in primary care: Future prospects in low-middle income countries.

机构信息

Department of Ophthalmology, Schell eye hospital, Christian Medical College, Vellore ,India.

Department of Endocrinology, Bharti Hospital, Karnal, India.

出版信息

J Pak Med Assoc. 2021 Dec;71(12):2826-2827.

Abstract

Diabetic retinopathy (DR) is an urgent public health concern, and it is prudent to prevent DR than face the burden of blindness arising from it. This requires committed physicians, ophthalmologists, patients as well as policy makers. Blindness rate due to DR has shown a decline in developed countries which is not only due to advanced and accessible tertiary care, but also large-scale screening programmes. Currently, the most common method of screening in low- and middle-income countries is still an opportunistic model. A more practical, cost-effective and systematic screening model is needed, utilizing advances in telemedicine and artificial intelligence.

摘要

糖尿病视网膜病变(DR)是一个紧迫的公共卫生问题,预防 DR 比面对由此导致的失明负担更为谨慎。这需要有坚定的医生、眼科医生、患者和政策制定者的共同努力。发达国家由于 DR 导致的失明率已经有所下降,这不仅是因为先进和可及的三级护理,还因为大规模的筛查计划。目前,低收入和中等收入国家最常见的筛查方法仍然是机会性模式。需要利用远程医疗和人工智能的进步,建立一种更实用、更具成本效益和更系统的筛查模式。

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