Evidence map›Paper›PMID 31383993›Full record

GuidelineEye (London, England)2020

Seeking a practical definition of stable glaucoma: a Delphi consensus survey of UK glaucoma consultants.

B K Lakhani, K Giannouladis, P Leighton, A J King

Open access · bronzeAbstract readPractice Guideline
In one paragraph

Guideline in Eye (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.5field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

B K LakhaniDepartment of Ophthalmology, Nottingham University Hospital, Derby Rd, Nottingham, NG7 2UH, UK. bansrilakhani11@gmail.com.
K GiannouladisDepartment of Ophthalmology, Nottingham University Hospital, Derby Rd, Nottingham, NG7 2UH, UK.ORCID http://orcid.org/0000-0003-4819-234X
P LeightonSchool of Medicine, University of Nottingham, Kings Meadow Campus, Nottingham, NG7 2NR, UK.
A J KingDepartment of Ophthalmology, Nottingham University Hospital, Derby Rd, Nottingham, NG7 2UH, UK.ORCID http://orcid.org/0000-0002-3091-911X
University of Nottingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo generate a practical and clinically useful consensus definition of 'stable glaucoma' to aid provision of glaucoma services in the UK and to provide guidance for the criteria that should be used for monitoring of glaucoma patients in primary care services.

methodsA Delphi exercise was undertaken to derive consensus through an online questionnaire. Participants were asked to score their strength of agreement for a series of clinical parameters. Results and comments from each round were used to inform subsequent rounds. A total of 3 rounds were undertaken.

resultsThirty-two glaucoma experts participated in the study with over 90% completion rate achieved over three rounds. The consensus was reached for the following parameters: IOP levels to be used for defining stability, visual field-testing techniques to define stability, the number of medication changes acceptable to define stability and the number of treatment medications allowed to define stability. No consensus was reached on the period of time over which stability was defined, however, there was considerable agreement that longer durations of follow up (36-48 months) were required. A combination of optic disc photos and ocular coherence topography (OCT) retinal nerve fibre layer (RNFL) assessment/ OCT disc structural evaluation are the preferred imaging methods for the assessment of structural stability. Oversight by a glaucoma consultant was considered important for glaucoma monitoring schemes.

conclusionThe consensus definition of glaucoma stability generated through this Delphi exercise provides guidance for allocation of patients suitable for monitoring in primary care glaucoma monitoring schemes.

Indexed as

ConsultantsGlaucomaConsensusHumansIntraocular PressureNerve FibersSurveys and QuestionnairesTomography, Optical CoherenceUnited KingdomVisual Fields

Identifiers

PMID31383993
PMCPMC7002606
OpenAlexW2964732631

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.