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Title: A delphi study to detect deficiencies and propose actions in real life treatment of neovascular age-related macular degeneration.
Authors: García-Layana, Alfredo
Arias, Luis
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, Félix
Gallego-Pinazo, Roberto
Piñero-Bustamante, Antonio
Serrano-García, Miguel Ángel
metadata.dc.contributor.authoraffiliation: [García-Layana,A] Clínica Universidad de Navarra, Pamplona, Spain. [Arias,L] Hospital de Bellvitge, L’Hospitalet de Llobregat, Barcelona, Spain. [Figueroa,MS] Hospital Universitario Ramón y Cajal, Madrid, Spain. Vissum Madrid, Spain. [Aráiz,J] Hospital San Eloy, Baracaldo, Spain. [Ruiz-Moreno,JM] Hospital Universitario de Albacete, Spain. [García-Arumí,J] Hospital Vall d’Hebrón, Barcelona , Spain. [Gómez-Ulla,F] Instituto Oftalmológico Gómez Ulla, Santiago De Compostela, Spain. [López-Gálvez,MI] IOBA, Hospital Clinico Universitario de Valladolid, IOBA, Spain. [Cabrera-López,F] Complejo Hospitalario Universitario Insular Materno Infantil de Gran Canaria, Las Palmas Gran Canaria, Spain. [García-Campos,JM] Hospital Universitario Virgen de la Victoria, Málaga, Spain. [Monés,J] Institut de la Macula y de la Retina, Barcelona, Spain. [Cervera,E] Hospital General de Valencia, Spain. [Armadá,F] Hosp La Paz, Madrid, Spain. [Gallego-Pinazo,R] Hospital La Fe, Valencia, Spain. [Pinero-Bustamante,A] Hospital Universitario de Valme, Sevilla, Spain. [Serrano-García,MA] Hospital Universitario Nuestra Señora de la Candelaria, Santa Cruz de Tenerife, Spain.
Keywords: Anciano de 80 o más años;Degeneración macular;Calidad de vida;España;Técnica Delfos
metadata.dc.subject.mesh: Medical Subject Headings::Named Groups::Persons::Age Groups::Adult::Aged::Aged, 80 and over
Medical Subject Headings::Diseases::Eye Diseases::Retinal Diseases::Retinal Degeneration::Macular Degeneration
Medical Subject Headings::Humanities::Humanities::Philosophy::Life::Quality of Life
Medical Subject Headings::Geographicals::Geographic Locations::Europe::Spain
Medical Subject Headings::Information Science::Information Science::Data Collection::Questionnaires::Delphi Technique
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Issue Date: 21-Dec-2014
Publisher: Hindawi Publishing Corporation
Citation: García-Layana A, Arias L, Figueroa MS, Aráiz J, Ruiz-Moreno JM, García-Arumí J, et al. A delphi study to detect deficiencies and propose actions in real life treatment of neovascular age-related macular degeneration. J Ophthalmol; 2014:595132
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.
Description: Journal Article;
metadata.dc.identifier.doi: 10.1155/2014/595132
ISSN: 2090-004X (Print)
2090-0058 (Online)
Appears in Collections:01- Artículos - Hospital de Valme
01- Artículos - Hospital Virgen de la Victoria

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