«Do Not Do» recommendations for retinopathies: A mixed consensus study.

Autor: Pablo L; Servicio de Oftalmología, Hospital Universitario Miguel Servet, Zaragoza, España; OFTARED, Universidad de Zaragoza, Zaragoza, España., Beckford CA; Hospital Universitario Príncipe de Asturias, Alcalá de Henares (Madrid), España., Martin-Delgado J; Grupo de Investigación ATENEA, Fundación para el Fomento de la Investigación Biomédica y Sanitaria, San Juan, Alicante , España. Electronic address: jimmy.martind@umh.es., Ferro Osuna M; Servicio de Oftalmología, Hospital 12 de Octubre, Madrid, España., Fernández-Ferreiro A; Pharmacology Group, Health Research Institute of Santiago de Compostela (IDIS) , Santiago de Compostela, España; Pharmacy Department, University Clinical Hospital of Santiago de Compostela (SERGAS), Santiago de Compostela, España., Fernández Rodriguez MI; Servicio de Oftalmología, Complejo Hospitalario Universitario de Santiago, Santiago de Compostela, España; Ophthalmology and Visual Sciences Research Group, Universidad de Santiago de Compostela, Santiago de Compostela, España; Instituto Oftalmológico Gómez-Ulla, Santiago de Compostela, España., Rodríguez Cid MJ; Servicio de Oftalmología, Complejo Hospitalario Universitario de Santiago, Santiago de Compostela, España; Ophthalmology and Visual Sciences Research Group, Universidad de Santiago de Compostela, Santiago de Compostela, España., Méndez S; Servicio de Oftalmología, Hospital Universitario Miguel Servet, Zaragoza, España; OFTARED, Universidad de Zaragoza, Zaragoza, España., Torres A; Sociedad Española de Calidad Asistencial, Oviedo, España., Ignacio E; Universidad de Cádiz, Cádiz, Espa0ña., Mira JJ; Grupo de Investigación ATENEA, Fundación para el Fomento de la Investigación Biomédica y Sanitaria, San Juan, Alicante , España; Departamento de Salud Alicante-Sant Joan, Alicante, España; Universidad Miguel Hernández, Elche (Alicante), España.
Jazyk: English; Spanish; Castilian
Zdroj: Archivos de la Sociedad Espanola de Oftalmologia [Arch Soc Esp Oftalmol (Engl Ed)] 2021 Feb 18. Date of Electronic Publication: 2021 Feb 18.
DOI: 10.1016/j.oftal.2021.01.007
Abstrakt: Background and Objective: Among the main causes of blindness and severe vision loss are age-related macular degeneration, diabetic macular oedema, and retinal vein occlusion. The «Do Not Do» recommendations are strategies to improve quality of care and optimise healthcare costs. The aim of this study was to establish, by consensus, practices of low value in the above-mentioned pathologies, in addition to estimating their occurrence.
Materials and Methods: Mixed methods study including a first phase of consensus of a multidisciplinary panel of experts using the Nominal Group technique. In the second phase, a retrospective observational study was conducted, by conducting a review of medical records.
Results: A total of 7 recommendations were established for age-related macular degeneration, 4 for diabetic macular oedema, and 5 for retinal vein occlusion. A total of 1,012 medical records were reviewed by the 4 participating hospitals. The review of medical records revealed that agreed «Do Not Do's» occurred in a range between 0.6% and 31.4% of the cases included in the study.
Conclusions: This study identified «Do Not Do» recommendations in these pathologies that occur relatively often in clinical practice. It is necessary to review the healthcare processes that will enable these practices to be eradicated, and the quality of care to be improved.
(Copyright © 2021 Sociedad Española de Oftalmología. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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