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革新年龄相关性黄斑变性的患者监测:AMD VIEWER必要性与效率的比较研究

Revolutionizing Patient Monitoring in Age-Related Macular Degeneration: A Comparative Study on the Necessity and Efficiency of the AMD VIEWER.

作者信息

Tabuchi Hitoshi, Yamauchi Tomofusa, Nagasawa Toshihiko, Deguchi Hodaka, Tanabe Mao, Tanaka Hayato, Yasukawa Tsutomu

机构信息

Department of Technology and Design Thinking for Medicine, Hiroshima University, Hiroshima 734-0037, Japan.

Department of Ophthalmology, Tsukazaki Hospital, Himeji 671-1227, Japan.

出版信息

Bioengineering (Basel). 2023 Dec 15;10(12):1426. doi: 10.3390/bioengineering10121426.

Abstract

(1) Background: Age-related Macular Degeneration (AMD) is a critical condition leading to blindness, necessitating lifelong clinic visits for management, albeit with existing challenges in monitoring its long-term progression. This study introduced and assessed an innovative tool, the AMD long-term Information Viewer (AMD VIEWER), designed to offer a comprehensive display of crucial medical data-including visual acuity, central retinal thickness, macular volume, vitreous injection treatment history, and Optical Coherent Tomography (OCT) images-across an individual eye's entire treatment course. (2) Methods: By analyzing visit frequencies of patients with a history of invasive AMD treatment, a comparative examination between a Dropout group and an Active group underscored the clinical importance of regular visits, particularly highlighting better treatment outcomes and maintained visual acuity in the Active group. (3) Results: The efficiency of AMD VIEWER was proven by comparing it to manual data input by optometrists, showing significantly faster data display with no errors, unlike the time-consuming and error-prone manual entries. Furthermore, an elicited Net Promoter Score (NPS) of 70 from 10 ophthalmologists strongly endorsed AMD VIEWER's practical utility. (4) Conclusions: This study underscores the importance of regular clinic visits for AMD patients. It suggests the AMD VIEWER as an effective tool for improving treatment data management and display.

摘要

(1)背景:年龄相关性黄斑变性(AMD)是一种导致失明的严重疾病,需要终身就诊进行管理,尽管在监测其长期进展方面存在现有挑战。本研究引入并评估了一种创新工具,即AMD长期信息查看器(AMD VIEWER),旨在全面展示关键医学数据,包括视力、视网膜中央厚度、黄斑体积、玻璃体注射治疗史以及光学相干断层扫描(OCT)图像,贯穿个体眼睛的整个治疗过程。(2)方法:通过分析有侵入性AMD治疗史患者的就诊频率,对失访组和活跃组进行比较检查,强调了定期就诊的临床重要性,尤其突出了活跃组更好的治疗效果和维持的视力。(3)结果:将AMD VIEWER与验光师手动输入数据进行比较,证明了其效率,显示数据显示明显更快且无错误,不像耗时且容易出错的手动输入。此外,10位眼科医生给出的净推荐值(NPS)为70,强烈认可了AMD VIEWER的实际效用。(4)结论:本研究强调了AMD患者定期就诊的重要性。它表明AMD VIEWER是改善治疗数据管理和展示的有效工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de14/10740730/7758b23429f0/bioengineering-10-01426-g001.jpg

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