Evaluating the G-ROP criteria sensitivity for type 1 ROP in a North American cohort

Omi Pang1, Nabiha Habib1, Julie Conley2

  • 1Michigan State University College of Human Medicine, East Lansing, Michigan.

Insights

The new G-ROP criteria for retinopathy of prematurity (ROP) screening show high sensitivity but missed one case. Further research into twin-to-twin transfusion syndrome is recommended for ROP screening improvements.

Area of Science:

  • Ophthalmology
  • Neonatology
  • Pediatric Medicine

Background:

  • Current retinopathy of prematurity (ROP) screening follows American Academy of Pediatrics (AAP) guidelines.
  • The G-ROP study proposed new criteria with 100% sensitivity for type 1 ROP and a 30% reduction in examinations.
  • Validation of G-ROP criteria in a diverse clinical setting is essential.

Purpose of the Study:

  • To validate the G-ROP screening criteria for retinopathy of prematurity (ROP).
  • To assess the sensitivity and specificity of G-ROP criteria in a midsized Midwestern children's hospital.

Main Methods:

  • Retrospective cohort study of infants screened for ROP (January 2018 - December 2022).
  • Application of G-ROP criteria to infants screened under AAP guidelines.
  • Evaluation of G-ROP sensitivity and specificity for detecting type 1 ROP requiring treatment.

Main Results:

  • 687 infants included; average gestational age 28 weeks, birthweight 1022.5g.
  • 448 infants (65.2%) met G-ROP criteria.
  • G-ROP sensitivity was 97.1% for type 1 ROP, missing one infant requiring treatment.

Conclusions:

  • G-ROP criteria demonstrated high sensitivity but not 100% as in prior studies.
  • The missed case had a history of twin-to-twin transfusion syndrome.
  • Physiologic factors of twin-to-twin transfusion syndrome warrant further investigation for ROP screening optimization.
Abstract

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