Abstract
Purpose
The postnatal growth and retinopathy of prematurity (G-ROP) study has proposed a new model for retinopathy of prematurity (ROP) prediction based on gestational age, birth weight and postnatal weight gain. The purpose of the current study is to assess the efficacy of the G-ROP model for predicting ROP among a Turkish cohort of premature infants.
Methods
Records of infants who underwent ROP screening examinations between 2012 and 2019 were reviewed retrospectively. Infants with a documented ROP outcome and regular body weight measurements until day 40 of life were included. The G-ROP model was applied to the study group. The outcome measures were sensitivity and specificity of the model for detecting any stage ROP and treated ROP.
Results
A total of 242 infants were included. The G-ROP model identified 168 infants to be screened for ROP. The sensitivity was 88.3% for detecting any stage ROP and 91.2% for treated ROP. The specificity for any stage ROP and treated ROP was 51.7% and 34.1%, respectively. The incorporation of bronchopulmonary dysplasia to the model increased the sensitivity to 100% with 22.7% reduction in the number of screened infants.
Conclusions
The G-ROP model is a simple and effective method for ROP prediction. However, in the current cohort, a small number of infants requiring treatment would be missed if G-ROP criteria were applied. The model may be modified with addition of bronchopulmonary dysplasia to detect all treatment requiring cases. Prospective studies among larger groups are necessary to assess the applicability of the modified model.
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References
Blencowe H, Lawn JE, Vazquez T, Fielder A, Gilbert C (2013) Preterm-associated visual impairment and estimates of retinopathy of prematurity at regional and global levels for 2010. Pediatr Res 74(Suppl 1):35–49
Blencowe H, Moxon S, Gilbert C (2016) Update on blindness due to retinopathy of prematurity globally and in India. Indian Pediatr 53(Suppl 2):S89–92
Kim SJ, Port AD, Swan R, Campbell JP, Chan RVP, Chiang MF (2018) Retinopathy of prematurity: a review of risk factors and their clinical significance. Surv Ophthalmol 63:618–637
Fierson WM, American Academy of Pediatrics Section on Ophthalmology; American Academy of Ophthalmology; American Association for Pediatric Ophthalmology and Strabismus; American Association of Certified Orthoptists (2013) Screening examination of premature infants for retinopathy of prematurity. Pediatrics 131(189):195
Jefferies AL; Canadian Paediatric Society, Fetus and Newborn Committee (2016) Retinopathy of prematurity: an update on screening and management. Paediatr Child Health 21:101–108
Early Treatment for Retinopathy of Prematurity Cooperative Group (2003) Revised indications for the treatment of retinopathy of prematurity: results of the early treatment for retinopathy of prematurity randomized trial. Arch Ophthalmol 121:1684–1694
Hellström A, Smith LE, Dammann O (2013) Retinopathy of prematurity. Lancet 26:1445–1457
Binenbaum G, Ying GS, Quinn GE, Dreiseitl S, Karp K, Roberts RS, Kirpalani H, Premature Infants in Need of Transfusion Study Group (2011) A clinical prediction model to stratify retinopathy of prematurity risk using postnatal weight gain. Pediatrics 127(e607):e614
Binenbaum G, Ying GS, Quinn GE, Huang J, Dreiseitl S, Antigua J, Foroughi N, Abbasi S (2012) The CHOP postnatal weight gain, birth weight, and gestational age retinopathy of prematurity risk model. Arch Ophthalmol 130:1560–1565
Eckert GU, Fortes Filho JB, Maia M, Procianoy RS (2012) A predictive score for retinopathy of prematurity in very low birth weight preterm infants. Eye (Lond) 26:400–406
Löfqvist C, Hansen-Pupp I, Andersson E, Holm K, Smith LE, Ley D, Hellström A (2009) Validation of a new retinopathy of prematurity screening method monitoring longitudinal postnatal weight and insulin like growth factor I. Arch Ophthalmol 127:622–627
Wu C, Löfqvist C, Smith LE, VanderVeen DK, Hellström A, WINROP Consortium (2012) Importance of early postnatal weight gain for normal retinal angiogenesis in very preterm infants: a multicentre study analysing weight velocity deviations for the prediction of retinopathy of prematurity. Arch Ophthalmol 130(992):999
Wu C, Vanderveen DK, Hellström A, Löfqvist C, Smith LE (2010) Longitudinal postnatal weight measurements for the prediction of retinopathy of prematurity. Arch Ophthalmol 128:443–447
Binenbaum G, Bell EF, Donohue P, Quinn G, Shaffer J, Tomlinson LA, Ying GS, G-ROP Study Group (2018) Development of modified screening criteria for retinopathy of prematurity: primary results from the postnatal growth and retinopathy of prematurity study JAMA Ophthalmol 136(1034):1040
International Committee for the Classification of Retinopathy of Prematurity (2005) The international classification of retinopathy of prematurity revisited. Arch Ophthalmol 123:991–999
Bas AY, Demirel N, Koc E, Ulubas Isik D, Hirfanoglu IM, Tunc T, TR-ROP Study Group (2018) Incidence, risk factors and severity of retinopathy of prematurity in Turkey (TR-ROP study): a prospective, multicentre study in 69 neonatal intensive care units. Br J Ophthalmol 102(1711):1716
Bas AY, Koc E, Dilmen U, ROP Neonatal Study Group (2015) Incidence and severity of retinopathy of prematurity in Turkey. Br J Ophthalmol 99(1311):1314
Akcakaya AA, Yaylali SA, Erbil HH et al (2012) Screening for retinopathy of prematurity in a tertiary hospital in Istanbul: incidence and risk factors. J Pediatr Ophthalmol Strabismus 49:21–25
Akman I, Demirel U, Yenice O, Ilerisoy H, Kazokoğlu H, Ozek E (2010) Screening criteria for retinopathy of prematurity in developing countries. Eur J Ophthalmol 20:931–937
Alpay A, Ugurbas SH (2012) Incidence and risk factors for retinopathy of prematurity in the West Black Sea region, Turkey. Turk J Pediatr 54:113–118
Araz-Ersan B, Kir N, Akarcay K, Aydinoglu-Candan O, Sahinoglu-Keskek N, Demirel A, Akdogan B, Coban A (2013) Epidemiological analysis of retinopathy of prematurity in a referral centre in Turkey. Br J Ophthalmol 97:15–17
Basmak H, Niyaz L, Sahin A, Erol N, Gursoy HH (2010) Retinopathy of prematurity: screening guidelines need to be re-evaluated for developing countries. Eur J Ophthalmol 20:752–755
Beden U, Demir S, Aygün C, Küçüködük S, Erkan D (2012) Screening for retinopathy of prematurity (ROP) in the middle Black Sea region of Turkey. Turk J Pediatr 54:223–229
Demir S, Yucel OE, Niyaz L, Karakus G, Ariturk N (2015) Incidence of retinopathy of prematurity in the middle Black Sea region of Turkey over a 10-year period. JAAPOS 19:12–15
Kuçukevcilioglu M, Mutlu FM, Sarıcı SU, Ceylan OM, Altınsoy HI, Kılıc S, Cekmez F (2013) Frequency, risk factors and outcomes of retinopathy of prematurity in a tertiary care hospital in Turkey. Turk J Pediatr 55:467–474
Cao JH, Wagner BD, McCourt EA et al (2016) The Colorado-retinopathy of prematurity model (CO-ROP): postnatal weight gain screening algorithm. J AAPOS 20:19–24
Shiraki A, Fukushima Y, Kawasaki R, Sakaguchi H, Mitsuhashi M, Ineyama H, Hatsukawa Y, Nishida K (2019) Retrospective validation of the postnatal growth and retinopathy of prematurity (G-ROP) criteria in a Japanese Cohort. Am J Ophthalmol 205:50–53
Kocak N, Niyaz L, Ariturk N (2016) Prediction of severe retinopathy of prematurity using the screening algorithm WINROP in preterm infants. J AAPOS 20(486):489
Hård AL, Löfqvist C, Fortes Filho JB, Procianoy RS, Smith L, Hellström A (2010) Predicting proliferative retinopathy in a Brazilian population of preterm infants with the screening algorithm WINROP. Arch Ophthalmol 128:1432–1436
Jung JL, Wagner BD, McCourt EA et al (2017) Validation of WINROP for detecting retinopathy of prematurity in a North American cohort of preterm infants. J AAPOS 21:229–233
Lundgren P, Hård AL, Wilde Å, Löfqvist C, Smith LEH, Hellström A (2018) Implementing higher oxygen saturation targets reduced the impact of poor weight gain as a predictor for retinopathy of prematurity. Acta Paediatr 107:767–773
Chung MY, Fang PC, Chung CH, Chen CC, Hwang KP, Chen FS (2009) Comparison of neonatal outcome for inborn and outborn very low-birthweight preterm infants. Pediatr Int 51:233–236
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Yabas Kiziloglu, O., Coskun, Y. & Akman, I. Assessment of the G-ROP study criteria for predicting retinopathy of prematurity: results from a tertiary centre in Turkey. Int Ophthalmol 40, 1647–1652 (2020). https://doi.org/10.1007/s10792-020-01332-5
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DOI: https://doi.org/10.1007/s10792-020-01332-5