RAND-like appropriateness methodology consensus for primary open-angle glaucoma in Latin America.

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 Ophthalmol

authors

Lerner SF,Singh K,Susanna R Jr,Wilson MR,Lee BL,Maul E,Latin America Glaucoma Rand Study Group.

doi

10.1016/j.ajo.2012.03.015

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

460-465.e7

issue

3

eissn

0002-9394

issn

1879-1891

pii

S0002-9394(12)00206-1

journal_volume

154

pub_type

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