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Management of Wet Age-Related Macular Degeneration in Spain: Challenges for Treat and Extend Implementation in Routine Clinical Practice
المؤلفون المشاركون
Suarez-De-Figueroa, Marta
García-Layana, Alfredo
Ruiz-Moreno, José María
García-Arumí, José
Monclús-Arbona, L.
The Spanish AMD Multicenter Group, L.
Arias, L.
المصدر
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-10، 10ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-09-30
دولة النشر
مصر
عدد الصفحات
10
التخصصات الرئيسية
الملخص EN
Purpose.
To ascertain wet AMD (wAMD) management patterns in Spain.
Methods.
A two-round Delphi study conducted through a questionnaire-based survey designed from literature review and validated by an independent Steering Committee.
Results.
Forty-nine retina specialists experienced in wAMD participated by answering the two-round study questionnaire.
Retina specialists are the main responsible for wAMD diagnosis and monitoring, including visits and associated procedures, with a median time per visit of 15 minutes.
Standard treatment strategies are based on anti-VEGF administration, including standard loading dose administration followed by maintenance with aflibercept or ranibizumab (81% of patients).
Although treat and extend (T&E) dosing strategy is considered as optimal for wAMD management (78% of the panelists), the main routine healthcare limitations (i.e., visits overload, reduced staff, short visit time, coordination issues, lack of facilities) conduct to self-defined “flexible” strategies, based on T&E and pro-re-nata (PRN) protocols.
Conclusion.
Proactive treatment patterns (T&E) are the preferred ones by the retina specialists in Spain.
However, their proper implementation is difficult due to healthcare resource limitations, as well as organisation and logistic issues.
The use of anti-VEGF agents with longer duration of action could facilitate the use of strict T&E approaches according to routine clinical practices.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
García-Layana, Alfredo& García-Arumí, José& Suarez-De-Figueroa, Marta& Arias, L.& Ruiz-Moreno, José María& Monclús-Arbona, L.…[et al.]. 2019. Management of Wet Age-Related Macular Degeneration in Spain: Challenges for Treat and Extend Implementation in Routine Clinical Practice. Journal of Ophthalmology،Vol. 2019, no. 2019, pp.1-10.
https://search.emarefa.net/detail/BIM-1186523
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
García-Layana, Alfredo…[et al.]. Management of Wet Age-Related Macular Degeneration in Spain: Challenges for Treat and Extend Implementation in Routine Clinical Practice. Journal of Ophthalmology No. 2019 (2019), pp.1-10.
https://search.emarefa.net/detail/BIM-1186523
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
García-Layana, Alfredo& García-Arumí, José& Suarez-De-Figueroa, Marta& Arias, L.& Ruiz-Moreno, José María& Monclús-Arbona, L.…[et al.]. Management of Wet Age-Related Macular Degeneration in Spain: Challenges for Treat and Extend Implementation in Routine Clinical Practice. Journal of Ophthalmology. 2019. Vol. 2019, no. 2019, pp.1-10.
https://search.emarefa.net/detail/BIM-1186523
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1186523
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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