Recomendaciones «no hacer» para retinopatías: estudio mixto de consenso

  1. L. Pablo 41213
  2. C.A. Beckford 5
  3. J. Martin-Delgado 6
  4. M. Ferro Osuna 7
  5. A. Fernández-Ferreiro 89
  6. M.I. Fernández Rodriguez 3914
  7. M.J. Rodriguez Cid 39
  8. S. Méndez 41213
  9. A. Torres 10
  10. E. Ignacio 11
  11. J.J. Mira 126
  1. 1 Generalitat Valenciana
    info

    Generalitat Valenciana

    Valencia, España

    ROR https://ror.org/0097mvx21

  2. 2 Universidad Miguel Hernández de Elche
    info

    Universidad Miguel Hernández de Elche

    Elche, España

    ROR https://ror.org/01azzms13

  3. 3 Universidade de Santiago de Compostela
    info

    Universidade de Santiago de Compostela

    Santiago de Compostela, España

    ROR https://ror.org/030eybx10

  4. 4 Hospital Miguel Servet
    info

    Hospital Miguel Servet

    Zaragoza, España

    ROR https://ror.org/01r13mt55

  5. 5 Hospital Universitario Príncipe de Asturias
    info

    Hospital Universitario Príncipe de Asturias

    Alcalá de Henares, España

    ROR https://ror.org/01az6dv73

  6. 6 Grupo de Investigación ATENEA, Fundación para el Fomento de la Investigación Biomédica y Sanitaria, San Juan, Alicante , España
  7. 7 Hospital Universitario 12 de Octubre
    info

    Hospital Universitario 12 de Octubre

    Madrid, España

    ROR https://ror.org/00qyh5r35

  8. 8 Instituto de Investigación Sanitaria de Santiago de Compostela
    info

    Instituto de Investigación Sanitaria de Santiago de Compostela

    Santiago de Compostela, España

  9. 9 Complexo Hospitalario Universitario de Santiago
    info

    Complexo Hospitalario Universitario de Santiago

    Santiago de Compostela, España

    ROR https://ror.org/00mpdg388

  10. 10 Sociedad Española de Calidad Asistencial
    info

    Sociedad Española de Calidad Asistencial

    Oviedo, España

  11. 11 Universidad de Cádiz
    info

    Universidad de Cádiz

    Cádiz, España

    ROR https://ror.org/04mxxkb11

  12. 12 Universidad de Zaragoza
    info

    Universidad de Zaragoza

    Zaragoza, España

    ROR https://ror.org/012a91z28

  13. 13 OFTARED
  14. 14 Instituto Oftalmológico Gómez-Ulla, Santiago de Compostela
    info

    Instituto Oftalmológico Gómez-Ulla, Santiago de Compostela

    Santiago de Compostela, España

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Journal:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Year of publication: 2021

Volume: 96

Issue: 11

Pages: 578-586

Type: Article

DOI: 10.1016/J.OFTAL.2021.01.007 DIALNET GOOGLE SCHOLAR

More publications in: Archivos de la Sociedad Española de Oftalmologia

Abstract

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.

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Data source: Dialnet