A delphi study to detect deficiencies and propose actions in real life treatment of neovascular Age-Related Macular Degeneration

Purpose. Spanish retina specialists were surveyed in order to propose actions to decrease deficiencies in real-life neovascular age macular degeneration treatment (nv-AMD). Methods. One hundred experts, members of the Spanish Vitreoretinal Society (SERV), were invited to complete an online survey of...

Descripción completa

Detalles Bibliográficos
Autores: García Layana, Alfredo, Arias Barquet, Lluís, Figueroa, Marta S., Araiz, Javier, Ruiz Moreno, José María, 1958-, García Arumí, José, Gómez Ulla, Francisco, López Gálvez, María Isabel, Cabrera López, Francisco, García Campos, José Manuel, Monés, Jordi, Cervera, Enrique, Armadá, Felix, Gallego Pinazo, Roberto, Piñero Bustamante, Antonio, Serrano García, Miguel Angel
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2014
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/126006
Acceso en línea:https://hdl.handle.net/2445/126006
Access Level:acceso abierto
Palabra clave:Malalties de la retina
Oftalmologia
Retinal diseases
Ophthalmology
Descripción
Sumario:Purpose. Spanish retina specialists were surveyed in order to propose actions to decrease deficiencies in real-life neovascular age macular degeneration treatment (nv-AMD). Methods. One hundred experts, members of the Spanish Vitreoretinal Society (SERV), were invited to complete an online survey of 52 statements about nv-AMD management with a modified Delphi methodology. Four rounds were performed using a 5-point Linkert scale. Recommendations were developed after analyzing the differences between the results and the SERV guidelines recommendations. Results. Eighty-seven specialists completed all the Delphi rounds. Once major potential deficiencies in real-life nv-AMD treatment were identified, 15 recommendations were developed with a high level of agreement. Consensus statements to reduce the burden of the disease included the use of treat and extend regimen and to reduce the amount of diagnostic tests during the loading phase and training technical staff to perform these tests and reduce the time between relapse detection and reinjection, as well as establishing patient referral protocols to outside general ophthalmology clinics. Conclusion. The level of agreement with the final recommendations for nv-AMD treatment among Spanish retinal specialist was high indicating that some actions could be applied in order to reduce the deficiencies in real-life nv-AMD treatment.

Similares en LA Referencia