Turner Angus W, Layton Christopher J, Bron Anthony J
Nuffield Laboratory of Ophthalmology, University of Oxford, Walton Street, Oxford, UK.
Clin Exp Ophthalmol. 2005 Aug;33(4):351-5. doi: 10.1111/j.1442-9071.2005.01026.x.
There is a wide variation in the use of diagnostic tests for dry eye disease. The purpose of this study was to survey the attitudes of eye practitioners towards both tests and therapies available for dry eye disease.
An anonymous, web-based questionnaire was used, containing both quantitative and qualitative sections.
Thirty-eight respondents, evenly distributed in experience, confirmed the wide variation of diagnostic tests in use. History and staining techniques were significantly preferred to tests of tear flow (P < 0.05). 'Evidence' was the most valued test characteristic, and was regarded as significantly more important than 'comfort' or 'cost' (P < 0.003). However, 'evidence' was not valued significantly higher than 'ease of use' or 'time taken to perform'. Overall, there was poor satisfaction with diagnostic and therapeutic options in dry eye, for both quantitative and qualitative measures.
This is the first qualitative study of attitudes towards dry eye disease. Attitudes towards the adequacy of diagnostic tests vary considerably. As evidence supporting a diagnostic test's validity is the most highly valued test characteristic, a systematic review of the topic is justified.
干眼症诊断测试的使用存在很大差异。本研究的目的是调查眼科从业者对干眼症现有测试和治疗方法的态度。
使用了一份基于网络的匿名问卷，其中包含定量和定性部分。
38名受访者的经验分布均匀，证实了诊断测试使用情况的广泛差异。病史和染色技术明显比泪液流量测试更受青睐（P < 0.05）。“证据”是最受重视的测试特征，被认为比“舒适度”或“成本”重要得多（P < 0.003）。然而，“证据”的价值并不比“易用性”或“执行时间”高很多。总体而言，对于干眼症的诊断和治疗选择，无论是定量还是定性衡量，满意度都很低。
这是第一项关于干眼症态度的定性研究。对诊断测试充分性的态度差异很大。由于支持诊断测试有效性的证据是最受重视的测试特征，因此对该主题进行系统综述是合理的。
