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Diabetic Retinopathy Clinical Practice Guidelines: Customized for Iranian Population Publisher



Rajavi Z1, 2 ; Safi S1, 2 ; Javadi M1 ; Azarmina M1 ; Moradian S2 ; Entezari M2 ; Nourinia R1 ; Ahmadieh H1 ; Shirvani A3 ; Shahraz S4 ; Ramezani A2, 5 ; Dehghan M2, 6 ; Shahsavari M6 ; Soheilian M1, 6 Show All Authors
Authors
  1. Rajavi Z1, 2
  2. Safi S1, 2
  3. Javadi M1
  4. Azarmina M1
  5. Moradian S2
  6. Entezari M2
  7. Nourinia R1
  8. Ahmadieh H1
  9. Shirvani A3
  10. Shahraz S4
  11. Ramezani A2, 5
  12. Dehghan M2, 6
  13. Shahsavari M6
  14. Soheilian M1, 6
  15. Nikkhah H1, 7
  16. Ziaei H1, 2
  17. Behboudi H8
  18. Farrahi F9
  19. Falavarjani K10
  20. Parvaresh M10
  21. Fesharaki H11
  22. Abrishami M12
  23. Shoeibi N12
  24. Rahimi M13
  25. Javadzadeh A14
  26. Karkhaneh R15
  27. Riaziesfahani M15
  28. Manaviat M16
  29. Maleki A17
  30. Kheiri B1
  31. Golbafian F18
Show Affiliations
Authors Affiliations
  1. 1. Knowledge Management Unit, Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences, No 23, Paidarfard St., Boostan 9 St. Pasdaran Ave., Tehran, 16666, Iran
  2. 2. Ophthalmic Epidemiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  3. 3. Standardization and CPG Development Offce, Deputy of Curative Affairs, Ministry of Health and Medical Education, Tehran, Iran
  4. 4. Tufts Medical Center, Boston, MA, United States
  5. 5. Department of Ophthalmology, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  6. 6. Department of Ophthalmology, Labbafnejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  7. 7. Department of Ophthalmology, Torfeh Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  8. 8. Department of Ophthalmology, Gilan University of Medical Sciences, Rasht, Iran
  9. 9. Department of Ophthalmology, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  10. 10. Department of Ophthalmology, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
  11. 11. Department of Ophthalmology, Isfahan University of Medical Sciences, Isfahan, Iran
  12. 12. Department of Ophthalmology, Mashhad University of Medical Sciences, Mashhad, Iran
  13. 13. Department of Ophthalmology, Shiraz University of Medical Sciences, Shiraz, Iran
  14. 14. Department of Ophthalmology, Tabriz University of Medical Sciences, Tabriz, Iran
  15. 15. Department of Ophthalmology, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran
  16. 16. Department of Ophthalmology, Yazd University of Medical Sciences, Yazd, Iran
  17. 17. Department of Ophthalmology, Al Zahra Eye Center, Zahedan University of Medical Sciences, Zahedan, Iran
  18. 18. Victoria Family Medical Centre, UWO, London, ON, Canada

Source: Journal of Ophthalmic and Vision Research Published:2016


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 benefts, 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 fnal 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. © 2016 Journal of Ophthalmic and Vision Research.
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