Recomendaciones «no hacer» para retinopatías: estudio mixto de consenso
- L. Pablo 41213
- C.A. Beckford 5
- J. Martin-Delgado 6
- M. Ferro Osuna 7
- A. Fernández-Ferreiro 89
- M.I. Fernández Rodriguez 3914
- M.J. Rodriguez Cid 39
- S. Méndez 41213
- A. Torres 10
- E. Ignacio 11
- J.J. Mira 126
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1
Generalitat Valenciana
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2
Universidad Miguel Hernández de Elche
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3
Universidade de Santiago de Compostela
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4
Hospital Miguel Servet
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5
Hospital Universitario Príncipe de Asturias
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- 6 Grupo de Investigación ATENEA, Fundación para el Fomento de la Investigación Biomédica y Sanitaria, San Juan, Alicante , España
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Hospital Universitario 12 de Octubre
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Instituto de Investigación Sanitaria de Santiago de Compostela
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Instituto de Investigación Sanitaria de Santiago de Compostela
Santiago de Compostela, España
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Complexo Hospitalario Universitario de Santiago
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Complexo Hospitalario Universitario de Santiago
Santiago de Compostela, España
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10
Sociedad Española de Calidad Asistencial
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Sociedad Española de Calidad Asistencial
Oviedo, España
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11
Universidad de Cádiz
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Universidad de Zaragoza
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- 13 OFTARED
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Instituto Oftalmológico Gómez-Ulla, Santiago de Compostela
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Instituto Oftalmológico Gómez-Ulla, Santiago de Compostela
Santiago de Compostela, España
ISSN: 0365-6691
Year of publication: 2021
Volume: 96
Issue: 11
Pages: 578-586
Type: Article
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.