Mansberger Steve L, Medeiros Felipe A, Gordon Mae
Devers Eye Institute, Legacy Health System, Portland, Oregon 97210, USA.
Surv Ophthalmol. 2008 Nov;53 Suppl1(SUPPL1):S11-6. doi: 10.1016/j.survophthal.2008.08.005.
Risk calculators may simplify the management of ocular hypertension and glaucoma patients and provide evidence-based treatment. Risk calculators are not new to medicine. Medical providers use risk calculators to guide decision-making for the risk of a chromosomal abnormality in neonates, osteoporosis in postmenopausal women, and cardiovascular disease in adults. This article describes the current knowledge of risk calculators in ophthalmology. Clinicians should recognize that the current risk calculators do not include critical information guiding treatment such as life expectancy and patient's willingness to commit to years of eye drops. Overall, eye-care providers should consider the results of a risk calculator as supplemental information when treating an ocular hypertension or glaucoma patient.
风险计算器可能会简化高眼压症和青光眼患者的管理，并提供循证治疗。风险计算器在医学领域并不新鲜。医疗服务提供者使用风险计算器来指导关于新生儿染色体异常风险、绝经后女性骨质疏松症以及成人心血管疾病风险的决策。本文介绍了眼科领域风险计算器的当前知识。临床医生应认识到，当前的风险计算器并未纳入指导治疗的关键信息，如预期寿命和患者使用数年眼药水的意愿。总体而言，眼科护理人员在治疗高眼压症或青光眼患者时，应将风险计算器的结果视为补充信息。
