Tabuchi Hitoshi, Yamauchi Tomofusa, Nagasawa Toshihiko, Deguchi Hodaka, Tanabe Mao, Tanaka Hayato, Yasukawa Tsutomu
Department of Technology and Design Thinking for Medicine, Hiroshima University, Hiroshima 734-0037, Japan.
Department of Ophthalmology, Tsukazaki Hospital, Himeji 671-1227, Japan.
Bioengineering (Basel). 2023 Dec 15;10(12):1426. doi: 10.3390/bioengineering10121426.
(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.
（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。
