Optimization of retinopathy of prematurity screening in a tertiary neonatal unit in Northern Greece based on 16-year data
Objective The optimal modification of retinopathy of prematurity (ROP) screening policy in our unit, by tightening the applicable screening criteria, without missing treatment-requiring ROP (TR-ROP). Study design Retrospective analysis of screened infants with gestational age (GA)
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| Veröffentlicht in: | Journal of perinatology 2022-03, Vol.42 (3), p.365-370 |
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| container_title | Journal of perinatology |
| container_volume | 42 |
| creator | Moutzouri, Stella Haidich, Anna-Bettina Seliniotaki, Aikaterini K. Tsakalidis, Christos Soubasi, Vasiliki Ziakas, Nikolaos Mataftsi, Asimina |
| description | Objective
The optimal modification of retinopathy of prematurity (ROP) screening policy in our unit, by tightening the applicable screening criteria, without missing treatment-requiring ROP (TR-ROP).
Study design
Retrospective analysis of screened infants with gestational age (GA) |
| doi_str_mv | 10.1038/s41372-021-01196-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2568596896</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2637813076</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-87d55427b53b5baf2580a30ddbb6c33f0e5fae41e3e60d44c073afb7545ed4f93</originalsourceid><addsrcrecordid>eNp9kT9v1TAUxS0Eoq8tX4ABWWJhMbV9_SdvRBUUpKpd6Gw5yU3r6sUJtjOknx6HV0BiYLKs8zvH9_oQ8lbwj4JDc5GVACsZl4JxIfaGyRdkJ5Q1TGsFL8mOWwWsAWVOyGnOj5xvon1NTkApK6QwO7LeziWM4cmXMEU6DTRhCXGafXlYt-uccPRlSaGsNHcJMYZ4T0OknhZMJfi00ohT9MUf6BJD2bSbKZUHTJFeVUOHtPUZe1rzhWEr-kT7ip-TV4M_ZHzzfJ6Ruy-fv19-Zde3V98uP12zDqwurLF93UbaVkOrWz9I3XAPvO_b1nQAA0c9eFQCAQ3vleq4BT-0ViuNvRr2cEY-HHPnNP1YMBc3htzh4eDr3Et2UptG702zNxV9_w_6OC0p1umcNGAbAdxulDxSXZpyTji4OYWxfoQT3G3FuGMxrhbjfhXjZDW9e45e2hH7P5bfTVQAjkCuUrzH9Pft_8T-BGu_meg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2637813076</pqid></control><display><type>article</type><title>Optimization of retinopathy of prematurity screening in a tertiary neonatal unit in Northern Greece based on 16-year data</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Moutzouri, Stella ; Haidich, Anna-Bettina ; Seliniotaki, Aikaterini K. ; Tsakalidis, Christos ; Soubasi, Vasiliki ; Ziakas, Nikolaos ; Mataftsi, Asimina</creator><creatorcontrib>Moutzouri, Stella ; Haidich, Anna-Bettina ; Seliniotaki, Aikaterini K. ; Tsakalidis, Christos ; Soubasi, Vasiliki ; Ziakas, Nikolaos ; Mataftsi, Asimina</creatorcontrib><description><![CDATA[Objective
The optimal modification of retinopathy of prematurity (ROP) screening policy in our unit, by tightening the applicable screening criteria, without missing treatment-requiring ROP (TR-ROP).
Study design
Retrospective analysis of screened infants with gestational age (GA) < 32 weeks and/or birth weight (BW) < 1501 g as well as cases beyond these thresholds but with comorbidities (April 2004 to April 2020).
Result
Of 1560 included infants, 18.4% (
n
= 288) developed any stage of ROP and 3.1% (
n
= 49) were treated. TR-ROP occurred at a mean (SD) 36
2/7
(2
5/7
) weeks PMA, and not before a minimum of 32
3/7
weeks PMA. No treated infant would have been missed if screening criteria were reduced to GA < 30 weeks and/or BW < 1251 g. This modification would have resulted in 826 (52.9%) fewer infants undergoing screening.
Conclusion
Modifying the current screening criteria to GA < 30 weeks and/or BW < 1251 g would have spared over half of the screened infants from unnecessary examinations, without missing TR-ROP.]]></description><identifier>ISSN: 0743-8346</identifier><identifier>EISSN: 1476-5543</identifier><identifier>DOI: 10.1038/s41372-021-01196-2</identifier><identifier>PMID: 34471216</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>692/308/174 ; 692/700/1538 ; Birth Weight ; Criteria ; Gestational Age ; Greece - epidemiology ; Health sciences ; Hospitals ; Humans ; Incidence ; Infant ; Infant, Newborn ; Infant, Premature ; Infants ; Intensive care ; Investigations ; Medicine ; Medicine & Public Health ; Neonatal care ; Neonatal Screening - methods ; Neonates ; Newborn babies ; Optimization ; Pediatric Surgery ; Pediatrics ; Premature babies ; Premature birth ; Preventive medicine ; Regression analysis ; Retinopathy ; Retinopathy of Prematurity - diagnosis ; Retinopathy of Prematurity - epidemiology ; Retinopathy of Prematurity - therapy ; Retrospective Studies ; Risk Factors ; Screening ; Workloads</subject><ispartof>Journal of perinatology, 2022-03, Vol.42 (3), p.365-370</ispartof><rights>The Author(s), under exclusive licence to Springer Nature America, Inc. 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer Nature America, Inc.</rights><rights>The Author(s), under exclusive licence to Springer Nature America, Inc. 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-87d55427b53b5baf2580a30ddbb6c33f0e5fae41e3e60d44c073afb7545ed4f93</citedby><cites>FETCH-LOGICAL-c375t-87d55427b53b5baf2580a30ddbb6c33f0e5fae41e3e60d44c073afb7545ed4f93</cites><orcidid>0000-0002-4238-022X ; 0000-0002-2585-2133</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41372-021-01196-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41372-021-01196-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34471216$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moutzouri, Stella</creatorcontrib><creatorcontrib>Haidich, Anna-Bettina</creatorcontrib><creatorcontrib>Seliniotaki, Aikaterini K.</creatorcontrib><creatorcontrib>Tsakalidis, Christos</creatorcontrib><creatorcontrib>Soubasi, Vasiliki</creatorcontrib><creatorcontrib>Ziakas, Nikolaos</creatorcontrib><creatorcontrib>Mataftsi, Asimina</creatorcontrib><title>Optimization of retinopathy of prematurity screening in a tertiary neonatal unit in Northern Greece based on 16-year data</title><title>Journal of perinatology</title><addtitle>J Perinatol</addtitle><addtitle>J Perinatol</addtitle><description><![CDATA[Objective
The optimal modification of retinopathy of prematurity (ROP) screening policy in our unit, by tightening the applicable screening criteria, without missing treatment-requiring ROP (TR-ROP).
Study design
Retrospective analysis of screened infants with gestational age (GA) < 32 weeks and/or birth weight (BW) < 1501 g as well as cases beyond these thresholds but with comorbidities (April 2004 to April 2020).
Result
Of 1560 included infants, 18.4% (
n
= 288) developed any stage of ROP and 3.1% (
n
= 49) were treated. TR-ROP occurred at a mean (SD) 36
2/7
(2
5/7
) weeks PMA, and not before a minimum of 32
3/7
weeks PMA. No treated infant would have been missed if screening criteria were reduced to GA < 30 weeks and/or BW < 1251 g. This modification would have resulted in 826 (52.9%) fewer infants undergoing screening.
Conclusion
Modifying the current screening criteria to GA < 30 weeks and/or BW < 1251 g would have spared over half of the screened infants from unnecessary examinations, without missing TR-ROP.]]></description><subject>692/308/174</subject><subject>692/700/1538</subject><subject>Birth Weight</subject><subject>Criteria</subject><subject>Gestational Age</subject><subject>Greece - epidemiology</subject><subject>Health sciences</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Infants</subject><subject>Intensive care</subject><subject>Investigations</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neonatal care</subject><subject>Neonatal Screening - methods</subject><subject>Neonates</subject><subject>Newborn babies</subject><subject>Optimization</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Premature babies</subject><subject>Premature birth</subject><subject>Preventive medicine</subject><subject>Regression analysis</subject><subject>Retinopathy</subject><subject>Retinopathy of Prematurity - diagnosis</subject><subject>Retinopathy of Prematurity - epidemiology</subject><subject>Retinopathy of Prematurity - therapy</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Screening</subject><subject>Workloads</subject><issn>0743-8346</issn><issn>1476-5543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kT9v1TAUxS0Eoq8tX4ABWWJhMbV9_SdvRBUUpKpd6Gw5yU3r6sUJtjOknx6HV0BiYLKs8zvH9_oQ8lbwj4JDc5GVACsZl4JxIfaGyRdkJ5Q1TGsFL8mOWwWsAWVOyGnOj5xvon1NTkApK6QwO7LeziWM4cmXMEU6DTRhCXGafXlYt-uccPRlSaGsNHcJMYZ4T0OknhZMJfi00ohT9MUf6BJD2bSbKZUHTJFeVUOHtPUZe1rzhWEr-kT7ip-TV4M_ZHzzfJ6Ruy-fv19-Zde3V98uP12zDqwurLF93UbaVkOrWz9I3XAPvO_b1nQAA0c9eFQCAQ3vleq4BT-0ViuNvRr2cEY-HHPnNP1YMBc3htzh4eDr3Et2UptG702zNxV9_w_6OC0p1umcNGAbAdxulDxSXZpyTji4OYWxfoQT3G3FuGMxrhbjfhXjZDW9e45e2hH7P5bfTVQAjkCuUrzH9Pft_8T-BGu_meg</recordid><startdate>20220301</startdate><enddate>20220301</enddate><creator>Moutzouri, Stella</creator><creator>Haidich, Anna-Bettina</creator><creator>Seliniotaki, Aikaterini K.</creator><creator>Tsakalidis, Christos</creator><creator>Soubasi, Vasiliki</creator><creator>Ziakas, Nikolaos</creator><creator>Mataftsi, Asimina</creator><general>Nature Publishing Group US</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7RV</scope><scope>7T5</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4238-022X</orcidid><orcidid>https://orcid.org/0000-0002-2585-2133</orcidid></search><sort><creationdate>20220301</creationdate><title>Optimization of retinopathy of prematurity screening in a tertiary neonatal unit in Northern Greece based on 16-year data</title><author>Moutzouri, Stella ; Haidich, Anna-Bettina ; Seliniotaki, Aikaterini K. ; Tsakalidis, Christos ; Soubasi, Vasiliki ; Ziakas, Nikolaos ; Mataftsi, Asimina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-87d55427b53b5baf2580a30ddbb6c33f0e5fae41e3e60d44c073afb7545ed4f93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>692/308/174</topic><topic>692/700/1538</topic><topic>Birth Weight</topic><topic>Criteria</topic><topic>Gestational Age</topic><topic>Greece - epidemiology</topic><topic>Health sciences</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Infants</topic><topic>Intensive care</topic><topic>Investigations</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neonatal care</topic><topic>Neonatal Screening - methods</topic><topic>Neonates</topic><topic>Newborn babies</topic><topic>Optimization</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Premature babies</topic><topic>Premature birth</topic><topic>Preventive medicine</topic><topic>Regression analysis</topic><topic>Retinopathy</topic><topic>Retinopathy of Prematurity - diagnosis</topic><topic>Retinopathy of Prematurity - epidemiology</topic><topic>Retinopathy of Prematurity - therapy</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Screening</topic><topic>Workloads</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moutzouri, Stella</creatorcontrib><creatorcontrib>Haidich, Anna-Bettina</creatorcontrib><creatorcontrib>Seliniotaki, Aikaterini K.</creatorcontrib><creatorcontrib>Tsakalidis, Christos</creatorcontrib><creatorcontrib>Soubasi, Vasiliki</creatorcontrib><creatorcontrib>Ziakas, Nikolaos</creatorcontrib><creatorcontrib>Mataftsi, Asimina</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of perinatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moutzouri, Stella</au><au>Haidich, Anna-Bettina</au><au>Seliniotaki, Aikaterini K.</au><au>Tsakalidis, Christos</au><au>Soubasi, Vasiliki</au><au>Ziakas, Nikolaos</au><au>Mataftsi, Asimina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Optimization of retinopathy of prematurity screening in a tertiary neonatal unit in Northern Greece based on 16-year data</atitle><jtitle>Journal of perinatology</jtitle><stitle>J Perinatol</stitle><addtitle>J Perinatol</addtitle><date>2022-03-01</date><risdate>2022</risdate><volume>42</volume><issue>3</issue><spage>365</spage><epage>370</epage><pages>365-370</pages><issn>0743-8346</issn><eissn>1476-5543</eissn><abstract><![CDATA[Objective
The optimal modification of retinopathy of prematurity (ROP) screening policy in our unit, by tightening the applicable screening criteria, without missing treatment-requiring ROP (TR-ROP).
Study design
Retrospective analysis of screened infants with gestational age (GA) < 32 weeks and/or birth weight (BW) < 1501 g as well as cases beyond these thresholds but with comorbidities (April 2004 to April 2020).
Result
Of 1560 included infants, 18.4% (
n
= 288) developed any stage of ROP and 3.1% (
n
= 49) were treated. TR-ROP occurred at a mean (SD) 36
2/7
(2
5/7
) weeks PMA, and not before a minimum of 32
3/7
weeks PMA. No treated infant would have been missed if screening criteria were reduced to GA < 30 weeks and/or BW < 1251 g. This modification would have resulted in 826 (52.9%) fewer infants undergoing screening.
Conclusion
Modifying the current screening criteria to GA < 30 weeks and/or BW < 1251 g would have spared over half of the screened infants from unnecessary examinations, without missing TR-ROP.]]></abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>34471216</pmid><doi>10.1038/s41372-021-01196-2</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-4238-022X</orcidid><orcidid>https://orcid.org/0000-0002-2585-2133</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0743-8346 |
| ispartof | Journal of perinatology, 2022-03, Vol.42 (3), p.365-370 |
| issn | 0743-8346 1476-5543 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2568596896 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | 692/308/174 692/700/1538 Birth Weight Criteria Gestational Age Greece - epidemiology Health sciences Hospitals Humans Incidence Infant Infant, Newborn Infant, Premature Infants Intensive care Investigations Medicine Medicine & Public Health Neonatal care Neonatal Screening - methods Neonates Newborn babies Optimization Pediatric Surgery Pediatrics Premature babies Premature birth Preventive medicine Regression analysis Retinopathy Retinopathy of Prematurity - diagnosis Retinopathy of Prematurity - epidemiology Retinopathy of Prematurity - therapy Retrospective Studies Risk Factors Screening Workloads |
| title | Optimization of retinopathy of prematurity screening in a tertiary neonatal unit in Northern Greece based on 16-year data |
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