National survey of antimetabolite use in glaucoma surgery in the United Kingdom.

نویسندگان

  • D Siriwardena
  • B Edmunds
  • R P L Wormald
  • P T Khaw
چکیده

AIMS To assess the pattern of use of antimetabolites in trabeculectomy surgery by all consultant ophthalmologists in the United Kingdom. METHODS A postal questionnaire of 12 questions regarding antimetabolite use in trabeculectomy surgery was sent to all 749 consultant ophthalmologists in the United Kingdom. The consultants were asked to estimate the number of trabeculectomies they performed per year, how often they used 5-fluorouracil (5-FU) in primary and redo surgery, their usual method of administration of 5-FU, how often they used mitomycin (MMC) in primary and redo surgery, and their usual dosage regimen of MMC. Factors that influenced the decision to use or not use antimetabolites were also assessed. RESULTS The response rate of consultants returning the questionnaire was 82% (615 out of 749); 87% (533) of these consultants perform trabeculectomy surgery. Of these 533 consultants, 98 (18%) never use an antimetabolite. Most consultants (82%) use antimetabolites, but use them infrequently (only 9% using antimetabolites in more than half their cases). The preferred antimetabolite is 5-FU rather than MMC. Of the 435 consultants performing trabeculectomy surgery and using antimetabolites, 402 (93%) use 5-FU and 179 (41%) use MMC. Various factors influenced the decision to use or not use an antimetabolite, but experience of complications associated with their use was a factor for 34% of consultants. CONCLUSION The use of antimetabolites, particularly MMC, in the United Kingdom is much less than in America or Japan, where trabeculectomy with MMC is the surgical procedure preferred by glaucoma specialists.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Re-organising Junior Doctors During the COVID-19 Outbreak: A Single Centre Experience in the United Kingdom

متن کامل

Public Spending on Health Service and Policy Research in Canada, the United Kingdom, and the United States: A Modest Proposal

Health services and policy research (HSPR) represent a multidisciplinary field which integrates knowledge from health economics, health policy, health technology assessment, epidemiology, political science among other fields, to evaluate decisions in health service delivery. Health service decisions are informed by evidence at the clinical, organizational, and policy level, levels with distinct...

متن کامل

Phacotrabeculectomy and Implantation of Intraocular Lenses with Releasable Sutures and Antimetabolite Agents: Efficacy and Safety

Abstract Background: The aim of this study was to evaluate the efficacy and safety of phacoemulsification and the implantation of intraocular lenses (IOL) combined with trabeculectomy supplemented by releasable sutures and antimetabolite agents. Methods:Phacotrabeculectomy was performed in 36 eyes of 30 patients who hadmedically uncontrolle...

متن کامل

A glance at the move from complementary alternative medicine (CAM) to integrative medicine in the United Kingdom (UK), United States (US), and World Health Organization (WHO)'s health care systems

Today's medical world has gained a growing appeal towards CAM/TM which can be seen in the strategies of US in the form of establishing National Center for Complementary and Alternative Medicine (NCCAM) at the National Institutes of Health (NIH) and White House Commission on Complementary and Alternative Medicine Policy (WHCCAMP) at the White House, the annual increase of integration of CAM clas...

متن کامل

A glance at the move from complementary alternative medicine (CAM) to integrative medicine in the United Kingdom (UK), United States (US), and World Health Organization (WHO)'s health care systems

Today's medical world has gained a growing appeal towards CAM/TM which can be seen in the strategies of US in the form of establishing National Center for Complementary and Alternative Medicine (NCCAM) at the National Institutes of Health (NIH) and White House Commission on Complementary and Alternative Medicine Policy (WHCCAMP) at the White House, the annual increase of integration of CAM clas...

متن کامل

ذخیره در منابع من

ذخیره در منابع من قبلا به منابع من ذحیره شده

{@ msg_add @}


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • The British journal of ophthalmology

دوره 88 7  شماره 

صفحات  -

تاریخ انتشار 2004