Approach of Turkish ophthalmologists to micronutrition in age-related macular degeneration

Şahin, Muhamm ed; Yüksel, Harun; Şahin, Alparslan; Cingü, Abdullah Kürşat; Türkçü, Fatih Mehmet; Özkurt, Zeynep; Çaça, İhsan

doi:10.5935/0004-2749.20150004

Cited by 3 publications

(3 citation statements)

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“…AREDS2 further examined the effects of carotenoids and omega-3 long-chain fatty acids in patients at risk of ARMD (4) . The present study by Sahin et al shows that the results of the aforementioned valuable studies have not been accurately understood and analyzed by most ophthalmologists, even by retina and uvea specialists (1) . The authors report that micronutrients are mostly prescribed by general ophthalmologists.…”

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confidence: 64%

“…Dear Editor: We read with interest the article "Approach of Turkish ophthalmologists to micronutrition in age-related macular degeneration" by Şahın et al (1) They aimed to evaluate the knowledge and behavior of ophthalmologists in Turkey with regard to micronutrition support in patients with age-related macular degeneration (ARMD). We congratulate the authors on their well-designed study.…”

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confidence: 99%

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A review of “approach of Turkish ophthalmologists to micronutrition in age-related macular degeneration”

Aksoy¹,

Sevinc²

2015

Arquivos Brasileiros De Oftalmologia

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confidence: 99%

A review of “approach of Turkish ophthalmologists to micronutrition in age-related macular degeneration”

Aksoy¹,

Sevinc²

2015

Arquivos Brasileiros De Oftalmologia

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“…We thank the authors for their interest regarding our article (1) . In our country, we have observed that a proportion of patients with ARMD were improperly treated with regard to micronutrition, and a number of them were left untreated.…”

Section: Resposta Dos Autores: Abordagem à Micronutrição Na Degeneraçmentioning

confidence: 98%

Author reply: approach to micronutrition in age-related macular degeneration

Şahin¹,

Şahin²,

Türkçü³

2015

Arquivos Brasileiros De Oftalmologia

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Resposta dos autores: abordagem à micronutrição na degeneração macular relacionada à idadeDear Editor, We read with great interest the correspondence generated by our article regarding the approach of Turkish ophthalmologists to micronutrition in age-related macular degeneration (ARMD). We thank the authors for their interest regarding our article (1) . In our country, we have observed that a proportion of patients with ARMD were improperly treated with regard to micronutrition, and a number of them were left untreated. Therefore, we aimed to further examine this topic in the present study. As the authors mentioned, many of our participants did not use the recommendations of evidence-based medicine studies, particularly AREDS (2) . We investigated the frequency of micronutrition recommendations by Turkish ophthalmologists.We completely agree with the authors that retina and uvea specialists see more patients with ARMD than others. Moreover, these specialists are more experienced in the treatment of ARMD. A number of these specialists do not prescribe due to increased treatment costs and failure to meet patient expectations of prescribed drug. Besides, many specialists do not believe the reported effects of micronutrition in cases of ARMD. Lower rates of micronutrition prescriptions can likely be explained by these factors.We partially agree with the authors' comment regarding the frequency of micronutrient prescription in our study. The aim of our study was to evaluate the use of micronutrition for the treatment of ARMD in Turkey. It is well known that surveys are subjective in nature. Grading from 1 to 10 can be used; however, we preferred to assess frequency according to responses of "always, " "frequently, " "occasionally, " and "never. "Finally, the authors reported some discordance in our article. The numbers vary according to the number of replies to each of the questions in our study. In our study, 249 participants accepted and completed the survey. A number of participants did not respond to all of the questions, and this may have led to a misunderstanding. The difference in the total numbers is the result of these missing participant answers, not discordance.We hope we have clarified each of the points related to the authors' comments and thank them again for their contribution.

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Systematic review of the appropriateness of eye care delivery in eye care practice

Stapleton

Wiles

et al. 2019

BMC Health Serv Res

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Background Health care systems are continually being reformed, however care improvement and intervention effectiveness are often assumed, not measured. This paper aimed to review findings from published studies about the appropriateness of eye care delivery, using existing published evidence and/or experts’ practice and to describe the methods used to measure appropriateness of eye care. Methods A systematic search was conducted using Medline, Embase and CINAHL (2006 to September 2016). Studies reporting the processes of eye care delivery against existing published evidence and/or experts’ practice were selected. Data was extracted from published reports and the methodological quality using a modified critical appraisal tool. The primary outcomes were percentage of appropriateness of eye care delivery. This study was registered with PROSPERO, reference CRD42016049974. Results Fifty-seven studies were included. Most studies assessed glaucoma and diabetic retinopathy and the overall methodological quality for most studies was moderate. The ranges of appropriateness of care delivery were 2–100% for glaucoma, 0–100% for diabetic retinopathy and 0–100% for other miscellaneous conditions. Published studies assessed a single ocular condition, a sample from a single centre or a single domain of care, but no study has attempted to measure the overall appropriateness of eye care delivery. Conclusions These findings indicated a wide range of appropriateness of eye care delivery, for glaucoma and diabetic eye care. Future research would benefit from a comprehensive approach where appropriateness of eye care is measured across multiple conditions with a single methodology, to guide priorities within eye care delivery and monitor quality improvement initiatives. Electronic supplementary material The online version of this article (10.1186/s12913-019-4493-3) contains supplementary material, which is available to authorized users.

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Approach of Turkish ophthalmologists to micronutrition in age-related macular degeneration

Cited by 3 publications

References 7 publications

A review of “approach of Turkish ophthalmologists to micronutrition in age-related macular degeneration”

A review of “approach of Turkish ophthalmologists to micronutrition in age-related macular degeneration”

Author reply: approach to micronutrition in age-related macular degeneration

Systematic review of the appropriateness of eye care delivery in eye care practice

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