The DOI matches its Crossref record; 13 of the 13 references it cites were found in a registry or an index.
Diagnosis of Diabetic Eye Disease
Abstract
The correct diagnosis of proliferation diabetic retinopathy is essential, because it is a treatable disease and missing the diagnosis can lead to the patient becoming blind. We examined the ability of internists and ophthalmologists to diagnose proliferative retinopathy under optimal conditions. Twenty-three physicians performed retinal examinations on ten diabetic patients and one normal patient with dilated pupils. Physician examiners were members of a university medical center and included 10 internists, 2 diabetologists, 4 senior medical residents, 4 general ophthalmologists, and 3 ophthalmologists who were subspecialists in retinal disease. Correct diagnosis was determined separately by the consensus of three ophthalmologists specializing in retinal disease, who reviewed seven-view stereo fundus photographs and medical charts. Of a possible 483 individual eye a examinations, 438 were completed. The overall error rate was 61%. The error rate for missing the diagnosis of proliferative retinopathy varied from 0% for retinal specialists to 49% for internists, diabetologists, and medical residents. We conclude that potentially serious mistakes in diagnosis are currently made by the physicians who care for most diabetic patients. Experience and specialized knowledge lessen that the error rate. Further education or greater use of referrals may be necessary to provide optimal patient care.
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SNEDECOR, G. W. (1939) · Soil Science · doi:10.1097/00010694-193902000-00006 · Cited by 19,359
Beyond Normality: The Predictive Value and Efficiency of Medical Diagnoses.
(1977) · Annals of Internal Medicine · doi:10.7326/0003-4819-86-4-513_1 · Cited by 1,370
Leibowitz, H. M., Krueger, D. E., Maunder, L. R., Milton, R. C., KINI, M. M., Kahn, H. A., Nickerson, R. J., Pool, J., Colton, T., Ganley, J. P., et al. (1980) · PubMed · Cited by 1,250
Patz, A., Fine, S., Finkelstein, D., Prout, T., Aiello, L., Bradley, R., Briones, J. C., Myers, F., Bresnick, G., de Venecia, G., et al. (1978) · Ophthalmology · doi:10.1016/s0161-6420(78)35693-1 · Cited by 652
The Reliability of Clinical Methods, Data and Judgments: (First of Two Parts)
Koran, L. M. (1975) · New England Journal of Medicine · doi:10.1056/nejm197509252931307 · Cited by 649
Variation Between Observers in Describing Mucosal Appearances in Proctocolitis
Baron, J. H., Connell, A. M., & Lennard-Jones, J. E. (1964) · BMJ · doi:10.1136/bmj.1.5375.89 · Cited by 611
Variability in the analysis of coronary arteriograms.
DeRouen, T. A., Murray, J. A., & Owen, W. (1977) · Circulation · doi:10.1161/01.cir.55.2.324 · Cited by 485
Kini, M. M., Leibowitz, H. M., Colton, T., Nickerson, R. J., Ganley, J., & Dawber, T. R. (1978) · American Journal of Ophthalmology · doi:10.1016/s0002-9394(14)76661-9 · Cited by 193
The Dissemination of New Medical Information
Stross, J. K. (1979) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1979.03290500030017 · Cited by 183
Disagreements in Chest Roentgen Interpretation
Herman, P. G., Gerson, D. E., Hessel, S. J., Mayer, B. S., Watnick, M., Blesser, B. A., & Ozonoff, D. M. (1975) · CHEST Journal · doi:10.1378/chest.68.3.278 · Cited by 114
Cited by
Klein, R. (1984) · Archives of Ophthalmology · doi:10.1001/archopht.1984.01040030398010 · Cited by 1,885
Retinal vessel segmentation using the 2-D Gabor wavelet and supervised classification
Soares, J. V. B., Leandro, J. J. G., Cesar, R. M., Jelinek, H. F., & Cree, M. J. (2006) · IEEE Transactions on Medical Imaging · doi:10.1109/tmi.2006.879967 · Cited by 1,497
Sayres, R., Taly, A., Rahimy, E., Blumer, K., Coz, D., Hammel, N., Krause, J., Narayanaswamy, A., Rastegar, Z., Wu, D., et al. (2019) · Ophthalmology · doi:10.1016/j.ophtha.2018.11.016 · Cited by 418
Cost-Effectiveness of Detecting and Treating Diabetic Retinopathy
Javitt, J. C., & Aiello, L. P. (1996) · Annals of Internal Medicine · doi:10.7326/0003-4819-124-1_part_2-199601011-00017 · Cited by 411
Javitt, J. C., Aiello, L. P., Chiang, Y., Ferris, F. L., Canner, J. K., & Greenfield, S. (1994) · Diabetes Care · doi:10.2337/diacare.17.8.909 · Cited by 364
Metadata
- Authors
- Sussman, E. J.
- Venue
- JAMA: The Journal of the American Medical Association
- Publisher
- American Medical Association (AMA)
- Published
- 1982-06-18
- Volume
- 247
- Issue
- 23
- Pages
- 3231
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W1975780514
- Cited by
- 266
- References
- 13
- FWCI
- 14.77
- Type
- journal article
- Language
- en
- Open access
- closed
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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