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开角型青光眼临床实践指南中的微创青光眼手术(MIGS)建议及MIGS手术:一项范围综述。

Minimally Invasive Glaucoma Surgery (MIGS) recommendations in Clinical Practice Guidelines for open angle glaucoma and MIGS procedures: A scoping review.

作者信息

Galvez-Olortegui Jose, Burgueño-Montañes Carmen, Silva-Ocas Isabel, Bernales-Urbina Susan, Galvez-Olortegui Tomas

机构信息

Evidence Based Ophthalmology Unit (Oftalmoevidencia), Scientia Clinical and Epidemiological Research Institute, Trujillo, Perú.

Service of Ophthalmology, Hospital Universitario Central de Asturias, Oviedo, Spain.

出版信息

Eur J Ophthalmol. 2025 Mar;35(2):602-610. doi: 10.1177/11206721241276223. Epub 2024 Aug 22.

Abstract

To assess the recommendations of open angle glaucoma Clinical Practice Guidelines (CPG) addressing Minimally Invasive Glaucoma Surgery (MIGS) or MIGS procedures CPG. A scoping review of CPG was conducted, based on an ongoing systematic review (CRD42024510656). A systematic literature search of CPG was carried out in November 2023, with an update in January 2024. CPG published in the last 8 years, full text available and addressing MIGS were selected. CPG details and recommendations concerning MIGS were extracted. 13 CPG addressing MIGS were selected (8 recovered from databases and 5 from registers). Four health Technology Assessments were assessed but recommendations were not considered. Finnish and Swedish guidelines, published in 2024, and Japanese guidelines, published in 2023, are English versions of their native language guidelines, but none of them make specific recommendations about MIGS. The Spanish Glaucoma Society - Advanced Glaucoma guideline (2023) describes the available techniques but does not make recommendations about MIGS. The European Glaucoma Society (2023) guideline only makes recommendations for 4 devices and the National Institute for Health and Care Excellence Interventional procedures guidance makes recommendations both for specific procedures and devices. MIGS is a relevant topic that has not been adequately addressed in terms of updated evidence, available procedures, and recommendations in open angle glaucoma CPG or MIGS procedures CPG.

摘要

为评估开角型青光眼临床实践指南(CPG)中关于微创青光眼手术(MIGS)或MIGS手术流程的建议。基于一项正在进行的系统评价(CRD42024510656),对CPG进行了范围综述。2023年11月对CPG进行了系统的文献检索,并于2024年1月进行了更新。选取了过去8年发表的、全文可获取且涉及MIGS的CPG。提取了CPG中有关MIGS的详细信息和建议。共选取了13篇涉及MIGS的CPG(8篇从数据库中检索到,5篇从登记处获得)。评估了四项卫生技术评估,但未考虑其建议。2024年发布的芬兰和瑞典指南以及2023年发布的日本指南均为其母语指南的英文版本,但均未对MIGS提出具体建议。西班牙青光眼协会 - 晚期青光眼指南(2023年)描述了可用技术,但未对MIGS提出建议。欧洲青光眼协会(2023年)指南仅对4种设备提出了建议,而英国国家卫生与临床优化研究所的介入程序指南则对特定程序和设备都提出了建议。MIGS是一个相关主题,但在开角型青光眼CPG或MIGS手术流程CPG的最新证据、可用程序和建议方面尚未得到充分探讨。

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