Clinical impact of 8 prospective, randomized, multicenter glaucoma trials.

Abstract:

PURPOSE:To determine the impact of 8 multicenter randomized clinical trials (RCTs) on glaucoma practice. METHODS:An electronic survey was distributed to the members of the American Glaucoma Society (AGS). Each participant was asked 2 study-specific questions and 1 standard question common to all 8 RCTs assessing the study's impact on clinical practice. RCTs included in the survey were the Advanced Glaucoma Intervention Study (AGIS), Collaborative Initial Glaucoma Treatment Study (CIGTS), Collaborative Normal Tension Glaucoma (CNTG) Study, European Glaucoma Prevention Study (EGPS), Early Manifest Glaucoma Trial (EMGT), Glaucoma Laser Trial (GLT), Ocular Hypertension Treatment Study (OHTS), and Tube Versus Trabeculectomy (TVT) Study. A 5-point Likert scale was used for rating all responses. The practice setting and duration of glaucoma practice was determined for all AGS members who responded. RESULTS:A total of 206 (23.0%) of 894 AGS members participated in the survey. Among those who responded, 46.4% were self classified as academic practitioners and 53.6% worked in a private practice setting. Mean Likert scores for the standard question evaluating the overall impact of the RCT were OHTS 4.47, CNTG Study 4.13, AGIS 3.78, TVT Study 3.53, EMGT 3.48, CIGTS 3.44, GLT 3.39, and 2.69 EGPS. CONCLUSIONS:Substantial differences were observed in the clinical impact of several RCTs in glaucoma. The reported impact of each study likely reflects several factors including study timing, design, conduct, and interpretation of results.

journal_name

J Glaucoma

journal_title

Journal of glaucoma

authors

Panarelli JF,Banitt MR,Sidoti PA,Budenz DL,Singh K

doi

10.1097/IJG.0b013e318295200b

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

64-8

issue

1

eissn

1057-0829

issn

1536-481X

journal_volume

24

pub_type

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