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ArticleInternational ophthalmology2025

Evaluation of the clinical management of Graves' Orbitopathy according to severity: a real-life Analysis.

Antonio Manuel Garrido-Hermosilla, María Concepción Díaz-Ruiz, Reyes Ravé-García, Francisco Javier Torres-García, María Leticia Lledó-de-Villar, Tomás Martín-Hernández, Virginia Moreira-Navarrete, Francisco Javier Toyos-Sáenz-de-Miera, Irene Martínez-Alberquilla, Mariola Méndez-Muros

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Article in International ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Antonio Manuel Garrido-HermosillaDepartment of Ophthalmology, Virgen Macarena University Hospital, Av. Dr. Fedriani, 3, 41009, Seville, Spain. drgarridopublicaciones@gmail.com.
María Concepción Díaz-RuizDepartment of Ophthalmology, Virgen Macarena University Hospital, Av. Dr. Fedriani, 3, 41009, Seville, Spain.
Reyes Ravé-GarcíaDepartment of Endocrinology and Nutrition, Virgen Macarena University Hospital, Seville, Spain.
Francisco Javier Torres-GarcíaDepartment of Ophthalmology, Virgen Macarena University Hospital, Av. Dr. Fedriani, 3, 41009, Seville, Spain.
María Leticia Lledó-de-VillarDepartment of Ophthalmology, Virgen Macarena University Hospital, Av. Dr. Fedriani, 3, 41009, Seville, Spain.
Tomás Martín-HernándezDepartment of Endocrinology and Nutrition, Virgen Macarena University Hospital, Seville, Spain.
Virginia Moreira-NavarreteDepartment of Rheumatology, Virgen Macarena University Hospital, Seville, Spain.
Francisco Javier Toyos-Sáenz-de-MieraDepartment of Rheumatology, Virgen Macarena University Hospital, Seville, Spain.
Irene Martínez-AlberquillaClinical and Experimental Eye Research (CEER) Group, Faculty of Optics and Optometry, Complutense University of Madrid, Madrid, Spain.
Mariola Méndez-MurosDepartment of Endocrinology and Nutrition, Virgen Macarena University Hospital, Seville, Spain.

Funding

Instituto de Salud Carlos III RD16/0008/0010
6 · The paper itself

Abstract

purposeDue to the clinical and prognostic implications of Graves' Orbitopathy (GO), clinical care needs to be tailored to current recommendations, but real-life information is scarce. We aim to describe GO management in a real-life setting for health care improvement.

methodsThis is a retrospective cohort study evaluating the clinical performance of clinicians attending patients diagnosed with GO. All cases with GO from 2018 to 2021 were included in the analysis, with no exclusion criteria. We performed an evaluation of the healthcare provided to these patients, with clinical performance evaluated from diagnostic and therapeutic viewpoints. A backwards stepwise multivariate binomial logistic regression analysis was run to assess the variables associated with severity.

resultsThis was a cohort of 151 cases, predominantly of women in the fifth decade of life, most of whom had hyperthyroidism. There were 50 (33.1%) cases with moderate-severe GO, but none of them with sight-threatening disease. Total annualized visits were more frequent to endocrinologists than ophthalmologists, except for moderate-severe cases. Active smoking (57 cases; 37.7%), unstable hyperthyroidism (59 cases; 39.1%), and elevated maximum TSI levels (136; 90.1%) conditioned clinical care. Altogether, the performance of an imaging technique, the use of systemic corticosteroid therapy and eyelid surgery were significantly different in those with more severe GO.

conclusionClinical care provided to patients with GO is variable and influenced by several variables. Both endocrinologists and ophthalmologists must coordinate to ensure a unified patient-tailored protocol that covers all these patients' needs.

Indexed as

Disease ManagementGraves OphthalmopathyAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesSeverity of Illness IndexAuditClinical careClinical performanceGraves’ OrbitopathyThyroid eye disease

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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.