Population-Level Teleretinal Screening Bulk Orders to Improve Diabetic Retinopathy Screening Rates: A Randomized Quality Improvement Trial.
Telemed J E HealthJun 3, 2026 (epub)
Sarah W Takimoto, Matthew Freeby, Maria Han et al.
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In 30 seconds
This randomized controlled trial assessed the effect of teleretinal screening bulk orders on diabetic retinopathy (DR) screening rates among patients with type 2 diabetes. The study found that the overall DR screening completion rate was 17.5% after six months, with bulk orders increasing the odds of completion by 1.78 (p < 0.001).
Key findings
- The overall DR screening completion rate was 17.5% after six months.
- Bulk orders increased the odds of completing screening by 1.78 (95% CI 1.49, 2.14; p < 0.001).
- Opening the electronic patient message increased completion rates by 8.5% (95% CI 6.0%, 11.1%; p < 0.001).
- Retinal fundus photo appointments scheduled increased by 19.1% (95% CI 16.8%, 21.3%; p < 0.001).
Why it matters
Improving screening rates for diabetic retinopathy is crucial for preventing blindness in patients with type 2 diabetes. This study highlights an effective intervention that can enhance adherence to screening guidelines.