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Trial registered on ANZCTR
Registration number
ACTRN12616001386426
Ethics application status
Approved
Date submitted
19/11/2015
Date registered
6/10/2016
Date last updated
6/10/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Diagnostic accuracy of Digital Retinal Photography (DRP) in screening for Retinopathy of Prematurity (ROP) by non- ophthalmologists-a prospective study.
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Scientific title
Diagnostic accuracy of Digital Retinal Photography (DRP) as compared to Binocular Indirect Ophthalmoscope (BIO) examination in screening for Retinopathy of Prematurity (ROP) in preterm infants by non-ophthalmologists: a prospective study.
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Secondary ID [1]
284432
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nil
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Universal Trial Number (UTN)
U1111-1155-6675
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Trial acronym
WADROP
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Retinopathy Of Prematurity
291636
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Condition category
Condition code
Eye
292019
292019
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0
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Diseases / disorders of the eye
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Reproductive Health and Childbirth
300347
300347
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0
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Complications of newborn
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Eligible population:
'All preterm infants <31 weeks, regardless of weight' and 'All preterm infants <1250 grams, regardless of gestation'.
The digital imaging of the retina will be done by the DRP trained nurses using a device called RetCam 24 - 48 hours prior to or after the BIO examination. 5-6 images per eye will be taken the images will be uploaded onto the computer database by the nursing staff. The image acquisition takes 10-15 minutes. DRP images are done as per the screening schedule. From the database images will be sent to the ophthalmologists for interpretation.
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Intervention code [1]
289182
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Diagnosis / Prognosis
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Comparator / control treatment
Binocular Indirect Ophthalmoscopy done by Ophthalmologists as per the standard protocol. It is a direct examination of the Retina by the specialists. BIO has been the gold standard diagnostic examination.
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Control group
Active
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Outcomes
Primary outcome [1]
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Ability to identify all infants with Referral warranting ROP ( RWROP)
(RW-ROP is defined as ROP of sufficient severity to require expert ophthalmologic opinion (1). Any Zone 1 disease (2). Any stage 3 or more diseases, (3). Presence of plus disease.
The findings of DRP will be compared with gold standard BIO assessment.
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Assessment method [1]
291908
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Timepoint [1]
291908
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Endpoint will be when baby is eligible for discharge. ( Depending on the clinical condition)
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Secondary outcome [1]
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Nil
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Assessment method [1]
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Timepoint [1]
316399
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Nil
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Eligibility
Key inclusion criteria
All Preterm infants
Fullfilling any one of the following criteriae
1. All babies born <31 weeks, regardless of weight.
2. All babies born <1250 grams, regardless of gestation.
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Minimum age
0
Hours
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Maximum age
8
Weeks
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Failure to obtain informed consent.
Known ocular anomalies or infection
Other major congenital anomalies/syndromic
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
26/10/2015
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Date of last participant enrolment
Anticipated
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Actual
14/03/2016
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Date of last data collection
Anticipated
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Actual
14/03/2016
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Sample size
Target
180
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Accrual to date
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Final
189
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment hospital [1]
6001
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King Edward Memorial Hospital - Subiaco
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Funding & Sponsors
Funding source category [1]
292420
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Government body
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Name [1]
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Women and Newborn Health Services
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Address [1]
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374, Bagot Road,
Women and Newborn Health Service
Subiaco, Perth 6008 WA
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Country [1]
292420
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Australia
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Primary sponsor type
Government body
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Name
Women and Newborn Health Serrvice
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Address
374, Bagot Road,
Women and Newborn Health Service
Subiaco, Perth 6008 WA
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Country
Australia
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Secondary sponsor category [1]
291110
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None
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Name [1]
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Address [1]
291110
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Country [1]
291110
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
293883
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Women and Newborn Health Service Ethics committee, WA Health
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Ethics committee address [1]
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374, Bagot Road, Subiaco Perth Western Australia 6008
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Ethics committee country [1]
293883
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Date submitted for ethics approval [1]
293883
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09/09/2015
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Approval date [1]
293883
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06/10/2015
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Ethics approval number [1]
293883
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2014099
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Summary
Brief summary
Retinopathy of Prematurity (ROP) is an eye disease which occurs in preterm infants. In severe cases, it can lead to blindness. Hence, preterm infants born at less than 31 weeks or birth weight less than 1250 grams are screened for ROP by ophthalmologists during their admission in the hospital. However, there are only limited number of Paediatric Ophthalmologists who are available to do ROP screening and treatment. With increasing number of preterm survival, ROP screening has increased the burden on already overworking ophthalmologists. Digital retinal photography (DRP) has theoretical advantages over Binocular Indirect Ophthalmoscope (BIO) because a trained non-ophthalmologist (e.g., neonatal nurse) can take the digital images and upload onto a secure server, so that the remotely located ophthalmologist can view and interpret. This has the potential to decrease the workload on ophthalmologists and even improve the outcomes for preterm infants. This technology also enables storage of the images for future reference which is not possible with the current screening with BIO. Objectives: The objective of this study is to measure the diagnostic accuracy of DRP compared to the standard BIO in diagnosing ROP. Trial Plan: The retinal images of preterm infants will be taken by trained neonatal nurses using the wide angle digital retinal camera and uploaded onto a secured pass word protected computer. These images will be sent to the ophthalmologists and reviewed by the remotely located ophthalmologist . The standard BIO examination will be done by another experienced ophthalmologist. This will enable us to study the feasibility and validity of the telemedicine approach in identifying the at risk infants who needs a referral to ophthalmologist (RW-ROP). This will be a prospective study involving eligible preterm infants who are admitted in our neonatal units.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Dr. Geoffrey Lam
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Address
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Head Of the Department
Paediatric Ophthalmology
Roberts Road
Princess Margaret Hospital for Children
Subiaco
Perth WA 6008
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Country
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Australia
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Phone
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+61 8 9380 6044
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Sam E Athikarisamy
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Address
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Neonatal Clinical care unit
King Edward Memorial Hospital for Women
Bagot Road
Subiaco
Perth 6008 WA
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Country
47695
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Australia
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Phone
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+61 8 9340 1260
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
47696
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Sam E Athikarisamy
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Address
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Neonatal Clinical care unit
King Edward Memorial Hospital for Women
Bagot Road
Subiaco
Perth 6008 WA
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Country
47696
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Australia
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Phone
47696
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+61 8 9340 1260
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Fax
47696
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Comparison of wide field imaging by nurses with indirect ophthalmoscopy by ophthalmologists for retinopathy of prematurity: A diagnostic accuracy study.
2020
https://dx.doi.org/10.1136/bmjopen-2019-036483
N.B. These documents automatically identified may not have been verified by the study sponsor.
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