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10.1136/bjo.2008.144402

http://scihub22266oqcxt.onion/10.1136/bjo.2008.144402
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suck abstract from ncbi


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pmid18829634
      Br+J+Ophthalmol 2008 ; 92 (12 ): 1653-5
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  • Hydroxychloroquine retinopathy screening #MMPMID18829634
  • Semmer AE ; Lee MS ; Harrison AR ; Olsen TW
  • Br J Ophthalmol 2008[Dec]; 92 (12 ): 1653-5 PMID18829634 show ga
  • AIM: To compare current hydroxychloroquine retinopathy screening practices with the published 2002 American Academy of Ophthalmology (AAO) Preferred Practice Patterns (PPP). METHODS: A multiple-choice survey was distributed to 105 ophthalmologists to assess current screening practices and knowledge of patient risk factors. Results were compared with the PPP guidelines. A cost analysis of the PPP and survey paradigms was conducted. RESULTS: Sixty-seven (64%) of 105 surveys were completed. The majority (90%) of physicians screen for hydroxychloroquine retinopathy with either central automated threshold perimetry or Amsler grid as recommended by the PPP. Most survey respondents could not correctly identify the evidence-based risk factors. The majority screen more frequently than recommended: 87% screen high-risk patients and 94% screen low-risk patients more frequently than recommended in the PPP. The increased screening frequency of low-risk patients translates into an excess of $44 million in the first 5 years of therapy. If all patients were screened using exact PPP paradigm, savings could exceed $150 million every 10 years. CONCLUSIONS: Ophthalmologists currently screen for hydroxychloroquine retinopathy correctly; however, their lack of familiarity with evidence-based guidelines may result in excessive follow-up. Increasing awareness and implementation of the PPP could potentially reduce hydroxychloroquine retinopathy screening costs significantly.
  • |Adult [MESH]
  • |Aged [MESH]
  • |Antirheumatic Agents/*adverse effects [MESH]
  • |Clinical Competence/standards [MESH]
  • |Cost-Benefit Analysis [MESH]
  • |Female [MESH]
  • |Health Care Surveys [MESH]
  • |Humans [MESH]
  • |Hydroxychloroquine/*adverse effects [MESH]
  • |Male [MESH]
  • |Mass Screening/*economics/methods [MESH]
  • |Middle Aged [MESH]
  • |Ophthalmology/standards [MESH]
  • |Practice Guidelines as Topic [MESH]
  • |Practice Patterns, Physicians' [MESH]


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