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从两项大型基于社区的青光眼筛查研究中吸取的经验教训。

Lessons Learned From 2 Large Community-based Glaucoma Screening Studies.

机构信息

Glaucoma Service.

Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia PA.

出版信息

J Glaucoma. 2021 Oct 1;30(10):875-877. doi: 10.1097/IJG.0000000000001920.

Abstract

Community-based screening programs have had limited success in preventing vision loss from glaucoma due to overall low prevalence of glaucoma, screening limitations, and barriers to follow-up appointments. This editorial highlights lessons learned from 2 large prospective trials: the Philadelphia Telemedicine Glaucoma Detection and Follow-up Study and the Screening To Prevent Glaucoma Study. While some lessons are specific to ophthalmology, many lessons are applicable to screening for asymptomatic diseases in underserved, vulnerable communities.

摘要

基于社区的筛查计划在预防青光眼导致的视力丧失方面收效有限,这是由于青光眼的总体患病率较低、筛查存在局限性以及后续预约的障碍。这篇社论强调了从两项大型前瞻性试验中吸取的经验教训:费城远程医疗青光眼检测和随访研究以及筛查以预防青光眼研究。虽然有些经验教训是眼科特有的,但许多经验教训适用于在服务不足、脆弱的社区中筛查无症状疾病。

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本文引用的文献

1
Philadelphia Telemedicine Glaucoma Detection and Follow-Up Study: Cataract Classifications Following Eye Screening.
Telemed J E Health. 2020 Aug;26(8):992-1000. doi: 10.1089/tmj.2019.0170. Epub 2019 Nov 13.
4
Laser peripheral iridotomy for the prevention of angle closure: a single-centre, randomised controlled trial.
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Philadelphia Telemedicine Glaucoma Detection and Follow-up Study: Analysis of Unreadable Fundus Images.
J Glaucoma. 2018 Nov;27(11):999-1008. doi: 10.1097/IJG.0000000000001082.
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Am J Ophthalmol. 2018 Apr;188:19-28. doi: 10.1016/j.ajo.2018.01.008. Epub 2018 Jan 31.
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Philadelphia Telemedicine Glaucoma Detection and Follow-up Study: Methods and Screening Results.
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A randomized, controlled trial to test the effectiveness of a glaucoma patient navigator to improve appointment adherence.
Patient Prefer Adherence. 2016 Sep 8;10:1739-48. doi: 10.2147/PPA.S108391. eCollection 2016.

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