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Saving sight in China and beyond: the Lifeline Express model
Cataract and diabetic retinopathy are leading causes of blindness globally. Lifeline Express (LEX) has pioneered the provision of cataract surgery in rural China from custom-built trains and eye centres nationwide. Over the past two decades, LEX has provided free cataract surgery for over 180 000 pa...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104791/ https://www.ncbi.nlm.nih.gov/pubmed/30147943 http://dx.doi.org/10.1136/bmjgh-2018-000766 |
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author | Wong, Ian Yat Hin Ni, Michael Yuxuan Wong, Irene Oi Ling Fong, Nellie Leung, Gabriel M |
author_facet | Wong, Ian Yat Hin Ni, Michael Yuxuan Wong, Irene Oi Ling Fong, Nellie Leung, Gabriel M |
author_sort | Wong, Ian Yat Hin |
collection | PubMed |
description | Cataract and diabetic retinopathy are leading causes of blindness globally. Lifeline Express (LEX) has pioneered the provision of cataract surgery in rural China from custom-built trains and eye centres nationwide. Over the past two decades, LEX has provided free cataract surgery for over 180 000 patients in China. In China, half of the adult population has prediabetes and 113 million adults have diabetes. Recognising the rising threat of diabetic retinopathy, LEX has expanded to providing free diabetic retinopathy screening nationwide by establishing 29 Diabetic Retinopathy Screening Centres across China. Source of referrals included host hospitals, the community and out-reach mobile vans equipped with fundus cameras. Fundi photos taken in the mobile vans were electronically transferred to primary graders. LEX also leveraged the widespread smartphone use to provide electronic medical reports via WeChat, the most popular instant messenger app in China. From April 2014 to December 2016, 34 506 patients with diabetes underwent screening, of which 27.2% (9,396) were identified to have diabetic retinopathy. China’s latest national health strategy (‘Healthy China 2030 Plan’) has championed the ‘prevention first’ principle and early screening of chronic diseases. LEX has accordingly evolved to extend its services to save sight in China—from cataract surgery to diabetic retinopathy screening and most recently outreaching beyond its national borders in a pilot South–South collaboration. With health at the top of the China’s developmental agenda and the country’s growing role in global health—LEX’s large-scale telemedicine-enabled programme could represent a potentially scalable model for nationwide diabetic retinopathy screening elsewhere. |
format | Online Article Text |
id | pubmed-6104791 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-61047912018-08-24 Saving sight in China and beyond: the Lifeline Express model Wong, Ian Yat Hin Ni, Michael Yuxuan Wong, Irene Oi Ling Fong, Nellie Leung, Gabriel M BMJ Glob Health Practice Cataract and diabetic retinopathy are leading causes of blindness globally. Lifeline Express (LEX) has pioneered the provision of cataract surgery in rural China from custom-built trains and eye centres nationwide. Over the past two decades, LEX has provided free cataract surgery for over 180 000 patients in China. In China, half of the adult population has prediabetes and 113 million adults have diabetes. Recognising the rising threat of diabetic retinopathy, LEX has expanded to providing free diabetic retinopathy screening nationwide by establishing 29 Diabetic Retinopathy Screening Centres across China. Source of referrals included host hospitals, the community and out-reach mobile vans equipped with fundus cameras. Fundi photos taken in the mobile vans were electronically transferred to primary graders. LEX also leveraged the widespread smartphone use to provide electronic medical reports via WeChat, the most popular instant messenger app in China. From April 2014 to December 2016, 34 506 patients with diabetes underwent screening, of which 27.2% (9,396) were identified to have diabetic retinopathy. China’s latest national health strategy (‘Healthy China 2030 Plan’) has championed the ‘prevention first’ principle and early screening of chronic diseases. LEX has accordingly evolved to extend its services to save sight in China—from cataract surgery to diabetic retinopathy screening and most recently outreaching beyond its national borders in a pilot South–South collaboration. With health at the top of the China’s developmental agenda and the country’s growing role in global health—LEX’s large-scale telemedicine-enabled programme could represent a potentially scalable model for nationwide diabetic retinopathy screening elsewhere. BMJ Publishing Group 2018-08-16 /pmc/articles/PMC6104791/ /pubmed/30147943 http://dx.doi.org/10.1136/bmjgh-2018-000766 Text en © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Practice Wong, Ian Yat Hin Ni, Michael Yuxuan Wong, Irene Oi Ling Fong, Nellie Leung, Gabriel M Saving sight in China and beyond: the Lifeline Express model |
title | Saving sight in China and beyond: the Lifeline Express model |
title_full | Saving sight in China and beyond: the Lifeline Express model |
title_fullStr | Saving sight in China and beyond: the Lifeline Express model |
title_full_unstemmed | Saving sight in China and beyond: the Lifeline Express model |
title_short | Saving sight in China and beyond: the Lifeline Express model |
title_sort | saving sight in china and beyond: the lifeline express model |
topic | Practice |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104791/ https://www.ncbi.nlm.nih.gov/pubmed/30147943 http://dx.doi.org/10.1136/bmjgh-2018-000766 |
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