Evidence map›Paper›PMID 35798521›Full record

ArticleBMJ open2022

Ophthalmologists' and patients' perspectives on treatments for diabetic retinopathy and maculopathy in Vietnam: a descriptive qualitative study.

Katie Curran, Lynne Lohfeld, Nathan Congdon, Tunde Peto, Tung Thanh Hoang, Hue Thi Nguyen, Quan Nhu Nguyen, Van Thu Nguyen, Catherine Dardis, Hoang Tran and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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  3. Review
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 8 institutions in 5 countries.

Katie Curran *Centre of Public Health, Queen's University Belfast School of Medicine Dentistry and Biomedical Sciences, Belfast, UK K.Curran@qub.ac.uk.ORCID 0000-0002-7071-109X
Lynne Lohfeld *Centre of Public Health, Queen's University Belfast School of Medicine Dentistry and Biomedical Sciences, Belfast, UK.
Nathan CongdonCentre of Public Health, Queen's University Belfast School of Medicine Dentistry and Biomedical Sciences, Belfast, UK.
Tunde PetoCentre of Public Health, Queen's University Belfast School of Medicine Dentistry and Biomedical Sciences, Belfast, UK.ORCID 0000-0001-6265-0381
Tung Thanh HoangDepartment of Ophthalmology, Hanoi Medical University, Hanoi, Vietnam.
Hue Thi NguyenCommunications, Orbis International, Hanoi, Vietnam.
Quan Nhu NguyenDepartment of Vitreo-Retina, Ho Chi Minh City Eye Hospital, Ho Chi Minh City, Vietnam.
Van Thu NguyenMonitoring, Evaluation and Learning, Orbis International, Hanoi, Vietnam.
Catherine DardisDepartment of Ophthalmology, Belfast Health and Social Care Trust, Belfast, UK.
Hoang TranLeadership, Orbis International, Hanoi, Vietnam.
Hoang Huy TranDepartment of Community, Ho Chi Minh City Eye Hospital, Ho Chi Minh City, Vietnam.
Anh Tuan VuInstitute of Ophthalmology, Vietnam National Institute of Ophthalmology, Hanoi, Vietnam.
Mai Quoc TungDepartment of Ophthalmology, Hanoi Medical University, Hanoi, Vietnam.
Queen's University Belfast · GBCARE International in Vietnam · VNBelfast Health and Social Care Trust · GBHanoi Medical University · VNHCMC Hospital of Dermato Venereology · VNInstitute of Ophthalmology · MXThe University of Sydney · AUUniversity of Transport and Communications · VN

Funding

Wellcome Trust
6 · The paper itself

Abstract

introductionGlobally, diabetic retinopathy (DR) is the leading cause of blindness in working-aged adults. Early detection and treatment of DR is essential for preventing sight loss. Services must be available, accessible and acceptable to patients if we are to ensure they seek such care.

objectivesTo understand patients' knowledge and attitudes towards laser versus antivascular endothelial growth factor (VEGF) injections to treat DR in Vietnam, and to identify factors Vietnamese ophthalmologists consider when making treatment decisions.

methodsThis is a descriptive qualitative study based on semi-structured interviews with 18 patients (12 from Ho Chi Minh City and 6 from Hanoi) plus individual interviews with 24 ophthalmologists working in eye clinics in these cities. Thematic analysis was used to analyse the data.

resultsIn total, 10/24 (41.7%) ophthalmologists were female, and their median age was 41 years (range 29-69 years). The median age of patients was 56.5 years (range 28-72 years), and 7/18 (38.9%) were female. Briefly, factors that influence DR treatment decisions for ophthalmologists are medical considerations (ie, severity of disease, benefits and risks), availability (ie, treatment and resources) and patient-related factors (ie, costs and adherence). Patient's perceived barriers and facilitators to treatments were based on patient and family related factors (ie, treatment and transportation costs) and previous treatment experiences (ie, positive and negative). Recommendations by all participants included ensuring that both laser and anti-VEGF injections are widely available across the country and controlling costs for patients and the healthcare system.

conclusionsReducing DR treatment costs, optimising treatments options, and expanding the network of clinics offering treatment outside metropolitan areas were the main issues raised by participants. These findings can help inform policy changes in Vietnam and may be generalisable to other low-resource settings.

Indexed as

Diabetes MellitusDiabetic RetinopathyMacular DegenerationOphthalmologistsAdultAgedBlindnessFemaleHumansMaleMiddle AgedQualitative ResearchVietnamdiabetic retinopathypublic healthqualitative research

Identifiers

PMID35798521
PMCPMC9263907
OpenAlexW4284668370

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.