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...
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| Language: | English |
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Wiley
2014-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2014/595132 |
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| author | Alfredo García-Layana Luis Arias Marta S. Figueroa Javier Araiz José María Ruiz-Moreno José García-Arumí Francisco Gómez-Ulla María Isabel López-Gálvez Francisco Cabrera-López José Manuel García-Campos Jordi Monés Enrique Cervera Felix Armadá Roberto Gallego-Pinazo Antonio Piñero-Bustamante Miguel Angel Serrano-Garcia |
| author_facet | Alfredo García-Layana Luis Arias Marta S. Figueroa Javier Araiz José María Ruiz-Moreno José García-Arumí Francisco Gómez-Ulla María Isabel López-Gálvez Francisco Cabrera-López José Manuel García-Campos Jordi Monés Enrique Cervera Felix Armadá Roberto Gallego-Pinazo Antonio Piñero-Bustamante Miguel Angel Serrano-Garcia |
| author_sort | Alfredo García-Layana |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-3cefdc55df7f4d84a67f15116c0251ec |
| institution | OA Journals |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-3cefdc55df7f4d84a67f15116c0251ec2025-08-20T02:39:08ZengWileyJournal of Ophthalmology2090-004X2090-00582014-01-01201410.1155/2014/595132595132A Delphi Study to Detect Deficiencies and Propose Actions in Real Life Treatment of Neovascular Age-Related Macular DegenerationAlfredo García-Layana0Luis Arias1Marta S. Figueroa2Javier Araiz3José María Ruiz-Moreno4José García-Arumí5Francisco Gómez-Ulla6María Isabel López-Gálvez7Francisco Cabrera-López8José Manuel García-Campos9Jordi Monés10Enrique Cervera11Felix Armadá12Roberto Gallego-Pinazo13Antonio Piñero-Bustamante14Miguel Angel Serrano-Garcia15Clínica Universidad de Navarra, Avenida de Pío XII 36, 31008 Pamplona, SpainHospital de Bellvitge, C/Feixa Llargasn, L’Hospitalet de Llobregat, 08907 Barcelona, SpainHospital Universitario Ramon y Cajal, Carretera de Colmenar km 9, 28034 Madrid, SpainHospital de San Eloy, Avenida Antonio Miranda 5, 48902 Baracaldo, SpainHospital Universitario de Albacete, Avenida de Almansa, s/n, 02006 Albacete, SpainHospital VallD’Hebron, Passeig de la Valld’Hebron 119-129, 08035 Barcelona, SpainInstituto Oftalmológico Gómez-Ulla, Calle Maruja Mallo 3, 15706 Santiago de Compostela, SpainIOBA, Hospital Clínico Universitario de Valladolid, Paseo de Belén 17, 47011 Valladolid, SpainComplejo Hospitalario Universitario Insular Materno Infantil de Gran Canaria, Avenida Marítima del Sur, s/n, 35016 Las Palmas de Gran Canaria, SpainHospital Universitario Virgen de la Victoria, Campus de Teatinos, s/n, 29010 Málaga, SpainInstitut de la Macula i de la Retina, Carrer de Vilana 12, 08022 Barcelona, SpainHospital General de Valencia, Avenida Tres Cruces 2, 46014 Valencia, SpainHospital la Paz, Paseo de la Castellana 261, 28046 Madrid, SpainHospital la Fe, Valencia, Avenida de Fernando Abril Martorell 106, 46026 Valencia, SpainHospital Universitario de Valme, Avenida de Bellavista, s/n, 41014 Sevilla, SpainHospital Universitario Nuestra Señora de la Candelaria, Carretera del Rosario 145, 38010 Santa Cruz de Tenerife, SpainPurpose. 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.http://dx.doi.org/10.1155/2014/595132 |
| spellingShingle | Alfredo García-Layana Luis Arias Marta S. Figueroa Javier Araiz José María Ruiz-Moreno José García-Arumí Francisco Gómez-Ulla María Isabel López-Gálvez Francisco Cabrera-López José Manuel García-Campos Jordi Monés Enrique Cervera Felix Armadá Roberto Gallego-Pinazo Antonio Piñero-Bustamante Miguel Angel Serrano-Garcia A Delphi Study to Detect Deficiencies and Propose Actions in Real Life Treatment of Neovascular Age-Related Macular Degeneration Journal of Ophthalmology |
| title | A Delphi Study to Detect Deficiencies and Propose Actions in Real Life Treatment of Neovascular Age-Related Macular Degeneration |
| title_full | A Delphi Study to Detect Deficiencies and Propose Actions in Real Life Treatment of Neovascular Age-Related Macular Degeneration |
| title_fullStr | A Delphi Study to Detect Deficiencies and Propose Actions in Real Life Treatment of Neovascular Age-Related Macular Degeneration |
| title_full_unstemmed | A Delphi Study to Detect Deficiencies and Propose Actions in Real Life Treatment of Neovascular Age-Related Macular Degeneration |
| title_short | A Delphi Study to Detect Deficiencies and Propose Actions in Real Life Treatment of Neovascular Age-Related Macular Degeneration |
| title_sort | delphi study to detect deficiencies and propose actions in real life treatment of neovascular age related macular degeneration |
| url | http://dx.doi.org/10.1155/2014/595132 |
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