Published Online: October 1, 2012. doi:10.1001/archinternmed.2012.4372
Author Contributions:Study concept and design: Garg, Kshirsagar, and Chaum. Acquisition of data: Garg and Chaum. Analysis and interpretation of data: Garg, Jani, Kshirsagar, and King. Drafting of the manuscript: Garg, Jani, Kshirsagar, and King. Critical revision of the manuscript for important intellectual content: Garg, Kshirsagar, and Chaum. Statistical analysis: King. Obtained funding: Chaum and Garg. Administrative, technical, and material support: Garg, Jani, and Chaum. Study supervision: Garg and Kshirsagar.
Financial Disclosure: Dr Chaum is the principal investigator of a National of Institutes of Health grant “Automated Screening for Diabetic Retinopathy by Content” (R01-EY017065), under which some of the technology used in the TRIAD telemedical network described in this Research Letter has been developed. Dr Chaum is an author on a patent application describing technology that is, in part, being developed and implemented in the TRIAD network. The intellectual property of this patent (when issued) belongs to the University of Tennessee. Dr Chaum is a cofounder and equity holder of Hubble Telemedical, a start-up company that has licensed the technology developed under the aforementioned grant for use in the commercial space under a transparent conflict management plan in place through the Office of Research and Office of Finance at the University of Tennessee Health Science Center.
Funding/Support: This study received funding from the National Institutes of Health (grant R01-EY017065); Prevent Blindness North Carolina; Research to Prevent Blindness, New York, New York; and the Plough Foundation, Memphis, Tennessee.
Previous Presentation: This study was presented as a poster at the Association for Research in Vision and Ophthalmology International Conference; May 10, 2012; Ft Lauderdale, Florida.
Additional Contribution: Sam Weir, MD, Family Medicine, University of North Carolina, contributed to the implementation of telemedicine in the primary care clinic and did not receive compensation.