Abstract:
PURPOSE:To report the results of a Latin American consensus panel regarding the diagnosis and management of primary open-angle glaucoma and to compare these results with those from a similar panel in the United States. DESIGN:A RAND-like (Research and Development) appropriateness methodology was used to assess glaucoma practice in Latin America. METHODS:The 148 polling statements created for the RAND- like analysis in the United States and 10 additional statements specific to glaucoma care in Latin America were presented to a panel of Latin American glaucoma experts. Panelists were polled in private using the RAND- like methodology before and after the panel meeting. RESULTS:Consensus agreement or disagreement among Latin American experts was reached for 51.3% of statements before the meeting and increased to 66.5% in the private, anonymous meeting after polling (79.0% agreement, 21.0% disagreement). Although there was a high degree of concordance (111 of 148 statements; 75%) between the results of this Latin American panel and the United States panel, there were some notable exceptions relating to diagnostic and therapeutic decision making. CONCLUSIONS:This RAND-like consensus methodology provides a perspective of how Latin American glaucoma practitioners view many aspects of glaucoma and compares these results with those obtained using a similar methodology from practitioners in the United States. These findings may be helpful to ophthalmologists providing glaucoma care in Latin America and in other regions of the world.
journal_name
Am J Ophthalmoljournal_title
American journal of ophthalmologyauthors
Lerner SF,Singh K,Susanna R Jr,Wilson MR,Lee BL,Maul E,Latin America Glaucoma Rand Study Group.doi
10.1016/j.ajo.2012.03.015subject
Has Abstractpub_date
2012-09-01 00:00:00pages
460-465.e7issue
3eissn
0002-9394issn
1879-1891pii
S0002-9394(12)00206-1journal_volume
154pub_type
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