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Title: A delphi study to detect deficiencies and propose actions in real life treatment of neovascular Age-Related Macular Degeneration
Author: García Layana, Alfredo
Arias Barquet, Lluís
Figueroa, Marta S.
Araiz, Javier
Ruiz Moreno, José María
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
Keywords: Malalties de la retina
Retinal diseases
Issue Date: 2014
Publisher: Hindawi
Abstract: 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.
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It is part of: Journal of Ophthalmology, 2014, p. 595132
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ISSN: 2090-004X
Appears in Collections:Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
Articles publicats en revistes (Ciències Clíniques)

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