Title of article
Diabetic Retinopathy Clinical Practice Guidelines: Customized for Iranian Population
Author/Authors
Rajavi, Zhalea Ophthalmic Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Safi, Sare Ophthalmic Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Javadi, Mohammad Ali Ophthalmic Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Azarmina, Mohsen Ophthalmic Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Moradian, Siamak Ophthalmic Epidemiology Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Entezari, Mortez Ophthalmic Epidemiology Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Nourinia, Ramin Ophthalmic Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Ahmadieh, Hamid Ophthalmic Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Shirvani, Armin Standardization and CPG Development Office - Deputy of Curative Affairs - Ministry of Health and Medical Education, Tehran, Iran , Shahraz, Saeid Tufts Medical Center, Boston, Massachusetts, USA , Ramezani, Alireza Ophthalmic Epidemiology Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Dehghan, Mohammad Hossein Ophthalmic Epidemiology Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Shahsavari, Mohsen Department of Ophthalmology - Labbafinejad Medical Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Soheilian, Masoud Ophthalmic Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Nikkhah, Homayoun Ophthalmic Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Ziaei, Hossein Ophthalmic Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Behboudi, Hasan Department of Ophthalmology - Gilan University of Medical Sciences, Rasht, Iran , Farrahi, Fereydoun Department of Ophthalmology - Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran , Ghasemi Falavarjani, Khalil Department of Ophthalmology - Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran , Parvaresh, Mohammad Mehdi Department of Ophthalmology - Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran , Fesharaki, Hamid Department of Ophthalmology - Isfahan University of Medical Sciences, Isfahan, Iran , Abrishami, Majid Department of Ophthalmology - Mashhad University of Medical Sciences, Mashhad, Iran , Shoeibi, Nasser Department of Ophthalmology - Mashhad University of Medical Sciences, Mashhad, Iran , Rahimi, Mansour Department of Ophthalmology - Shiraz University of Medical Sciences, Shiraz, Iran , Javadzadeh, Alireza Department of Ophthalmology - Tabriz University of Medical Sciences, Tabriz, Iran , Karkhaneh, Reza Department of Ophthalmology - Farabi Eye Hospital - Tehran University of Medical Sciences, Tehran, Iran , Riazi-Esfahani, Mohammad Department of Ophthalmology - Farabi Eye Hospital - Tehran University of Medical Sciences, Tehran, Iran , Manaviat, Masoud Reza Department of Ophthalmology - Yazd University of Medical Sciences, Yazd, Iran , Maleki, Alireza Department of Ophthalmology - Al Zahra Eye Center - Zahedan University of Medical Sciences, Zahedan, Iran , Kheiri, Bahareh Ophthalmic Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Golbafian, Faegheh Victoria Family Medical Centre, UWO, London, ON, Canada
Pages
21
From page
394
To page
414
Abstract
Purpose: To customize clinical practice guidelines (CPGs) for management of diabetic retinopathy (DR) in
the Iranian population.
Methods: Three DR CPGs (The Royal College of Ophthalmologists 2013, American Academy of
Ophthalmology [Preferred Practice Pattern 2012], and Australian Diabetes Society 2008) were selected from
the literature using the AGREE tool. Clinical questions were designed and summarized into four tables by
the customization team. The components of the clinical questions along with pertinent recommendations
extracted from the above‑mentioned CPGs; details of the supporting articles and their levels of evidence;
clinical recommendations considering clinical benefits, cost and side effects; and revised recommendations
based on customization capability (applicability, acceptability, external validity) were recorded in 4 tables,
respectively. Customized recommendations were sent to the faculty members of all universities across the
country to score the recommendations from 1 to 9.
Results: Agreed recommendations were accepted as the final recommendations while the non‑agreed ones were
approved after revision. Eventually, 29 customized recommendations under three major categories consisting
of screening, diagnosis and treatment of DR were developed along with their sources and levels of evidence.
Conclusion: This customized CPGs for management of DR can be used to standardize the referral pathway,
diagnosis and treatment of patients with diabetic retinopathy.
Keywords
Clinical Practice Guidelines , Diabetic Retinopathy , Iran
Journal title
Astroparticle Physics
Serial Year
2016
Record number
2422505
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