Improving Clinical Management of Diabetic Macular Edema: Insights from a Global Survey of Patients, Healthcare Providers, and Clinic Staff
Abstract Introduction In contrast with patients receiving therapy for retinal disease during clinical trials, those treated in routine clinical practice experience various challenges (including administrative, clinic, social, and patient-related factors) that can often result in high patient and cli...
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Adis, Springer Healthcare
2024-12-01
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| Series: | Ophthalmology and Therapy |
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| Online Access: | https://doi.org/10.1007/s40123-024-01060-4 |
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| author | Focke Ziemssen Michelle Sylvanowicz Winfried M. Amoaku Tariq Aslam Bora Eldem Robert P. Finger Richard P. Gale Laurent Kodjikian Jean-François Korobelnik Xiaofeng Lin Anat Loewenstein Paul Mitchell Moira Murphy David R. Owens Nick Parker Ian Pearce Francisco J. Rodríguez Jude Stern S. James Talks David T. Wong Tien Yin Wong Jane Barratt |
| author_facet | Focke Ziemssen Michelle Sylvanowicz Winfried M. Amoaku Tariq Aslam Bora Eldem Robert P. Finger Richard P. Gale Laurent Kodjikian Jean-François Korobelnik Xiaofeng Lin Anat Loewenstein Paul Mitchell Moira Murphy David R. Owens Nick Parker Ian Pearce Francisco J. Rodríguez Jude Stern S. James Talks David T. Wong Tien Yin Wong Jane Barratt |
| author_sort | Focke Ziemssen |
| collection | DOAJ |
| description | Abstract Introduction In contrast with patients receiving therapy for retinal disease during clinical trials, those treated in routine clinical practice experience various challenges (including administrative, clinic, social, and patient-related factors) that can often result in high patient and clinic burden, and contribute to suboptimal visual outcomes. The objective of this study was to understand the challenges associated with clinical management of diabetic macular edema from the perspectives of patients, healthcare providers, and clinic staff, and identify opportunities to improve eye care for people with diabetes. Methods We conducted a survey of patients with diabetic macular edema, providers, and clinic staff in 78 clinics across 24 countries on six continents, representing a diverse range of individuals, healthcare systems, settings, and reimbursement models. Surveys comprised a series of single- and multiple-response questions completed anonymously. Data gathered included patient personal characteristics, challenges with appointment attendance, treatment experiences, and opportunities to improve support. Provider and clinic staff surveys asked similar questions about their perspectives; and clinic characteristics were also captured. Results Overall, 5681 surveys were gathered: 3752 from patients with diabetic macular edema, 680 from providers, and 1249 from clinic staff. Too many appointments, too short treatment intervals, difficulties in traveling to the clinic or arranging adequate support to travel, out-of-pocket costs, office/parking fees, and long waiting times were noted by all as contributing to increase the burden on the patient and caregiver. Patients generally desired more in-depth discussions with their provider, which would help with information exchange and better expectation-setting. Conclusions The wealth of systematic data generated by this global survey highlights the breadth and scale of challenges associated with the clinical management of patients with diabetic macular edema. Addressing the opportunities for improvement raised by patients, providers, and clinic staff could increase patient adherence to treatment, reduce appointment burden, and improve clinic capacity. |
| format | Article |
| id | doaj-art-ecb4bbbfab374f1d998f22ce88dfea49 |
| institution | DOAJ |
| issn | 2193-8245 2193-6528 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Adis, Springer Healthcare |
| record_format | Article |
| series | Ophthalmology and Therapy |
| spelling | doaj-art-ecb4bbbfab374f1d998f22ce88dfea492025-08-20T02:40:36ZengAdis, Springer HealthcareOphthalmology and Therapy2193-82452193-65282024-12-0114122924610.1007/s40123-024-01060-4Improving Clinical Management of Diabetic Macular Edema: Insights from a Global Survey of Patients, Healthcare Providers, and Clinic StaffFocke Ziemssen0Michelle Sylvanowicz1Winfried M. Amoaku2Tariq Aslam3Bora Eldem4Robert P. Finger5Richard P. Gale6Laurent Kodjikian7Jean-François Korobelnik8Xiaofeng Lin9Anat Loewenstein10Paul Mitchell11Moira Murphy12David R. Owens13Nick Parker14Ian Pearce15Francisco J. Rodríguez16Jude Stern17S. James Talks18David T. Wong19Tien Yin Wong20Jane Barratt21University Eye Clinic, Department of Ophthalmology, University Hospital Leipzig, University of LeipzigBayer Consumer Care AGQueen’s Medical CentreManchester Royal Eye Hospital, NHS Central Manchester University Hospitals and University of ManchesterDepartment of Ophthalmology, Hacettepe UniversityDepartment of Ophthalmology, University Medical Centre Mannheim, University of HeidelbergYork and Scarborough Teaching Hospital NHS Foundation TrustService d’Ophtalmologie, Hôpital Universitaire de La Croix-RousseService d’Ophtalmologie, CHU BordeauxGuangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Zhongshan Ophthalmic Center, Sun Yat-sen UniversityDepartment of Ophthalmology, Faculty of Medicine, Tel Aviv Medical Center, Tel Aviv UniversityUniversity of Sydney (Westmead Institute for Medical Research)Exploristics LtdSwansea University Medical SchoolThe International Agency for the Prevention of BlindnessRoyal Liverpool University HospitalFundación Oftalmologia Nacional, Escuela de Medicina y Ciencias de la Salud, Universidad del RosarioThe International Agency for the Prevention of BlindnessThe Newcastle Upon Tyne Hospitals NHS FoundationDepartment of Ophthalmology and Vision Sciences, St. Michael’s Hospital, University of Toronto and Unity Health TorontoTsinghua Medicine, School of Clinical Medicine, Beijing, China and Singapore Eye Research Institute, Singapore National Eye CenterInternational Federation on AgeingAbstract Introduction In contrast with patients receiving therapy for retinal disease during clinical trials, those treated in routine clinical practice experience various challenges (including administrative, clinic, social, and patient-related factors) that can often result in high patient and clinic burden, and contribute to suboptimal visual outcomes. The objective of this study was to understand the challenges associated with clinical management of diabetic macular edema from the perspectives of patients, healthcare providers, and clinic staff, and identify opportunities to improve eye care for people with diabetes. Methods We conducted a survey of patients with diabetic macular edema, providers, and clinic staff in 78 clinics across 24 countries on six continents, representing a diverse range of individuals, healthcare systems, settings, and reimbursement models. Surveys comprised a series of single- and multiple-response questions completed anonymously. Data gathered included patient personal characteristics, challenges with appointment attendance, treatment experiences, and opportunities to improve support. Provider and clinic staff surveys asked similar questions about their perspectives; and clinic characteristics were also captured. Results Overall, 5681 surveys were gathered: 3752 from patients with diabetic macular edema, 680 from providers, and 1249 from clinic staff. Too many appointments, too short treatment intervals, difficulties in traveling to the clinic or arranging adequate support to travel, out-of-pocket costs, office/parking fees, and long waiting times were noted by all as contributing to increase the burden on the patient and caregiver. Patients generally desired more in-depth discussions with their provider, which would help with information exchange and better expectation-setting. Conclusions The wealth of systematic data generated by this global survey highlights the breadth and scale of challenges associated with the clinical management of patients with diabetic macular edema. Addressing the opportunities for improvement raised by patients, providers, and clinic staff could increase patient adherence to treatment, reduce appointment burden, and improve clinic capacity.https://doi.org/10.1007/s40123-024-01060-4DiabetesMacular edemaPatient experienceVisual outcomes |
| spellingShingle | Focke Ziemssen Michelle Sylvanowicz Winfried M. Amoaku Tariq Aslam Bora Eldem Robert P. Finger Richard P. Gale Laurent Kodjikian Jean-François Korobelnik Xiaofeng Lin Anat Loewenstein Paul Mitchell Moira Murphy David R. Owens Nick Parker Ian Pearce Francisco J. Rodríguez Jude Stern S. James Talks David T. Wong Tien Yin Wong Jane Barratt Improving Clinical Management of Diabetic Macular Edema: Insights from a Global Survey of Patients, Healthcare Providers, and Clinic Staff Ophthalmology and Therapy Diabetes Macular edema Patient experience Visual outcomes |
| title | Improving Clinical Management of Diabetic Macular Edema: Insights from a Global Survey of Patients, Healthcare Providers, and Clinic Staff |
| title_full | Improving Clinical Management of Diabetic Macular Edema: Insights from a Global Survey of Patients, Healthcare Providers, and Clinic Staff |
| title_fullStr | Improving Clinical Management of Diabetic Macular Edema: Insights from a Global Survey of Patients, Healthcare Providers, and Clinic Staff |
| title_full_unstemmed | Improving Clinical Management of Diabetic Macular Edema: Insights from a Global Survey of Patients, Healthcare Providers, and Clinic Staff |
| title_short | Improving Clinical Management of Diabetic Macular Edema: Insights from a Global Survey of Patients, Healthcare Providers, and Clinic Staff |
| title_sort | improving clinical management of diabetic macular edema insights from a global survey of patients healthcare providers and clinic staff |
| topic | Diabetes Macular edema Patient experience Visual outcomes |
| url | https://doi.org/10.1007/s40123-024-01060-4 |
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