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Management of ocular hypertension and open-angle glaucoma: clinical practice and computer-assisted decision-making
St. Erik's Eye Hospital, Stockholm, Sweden.
Stockholm Univ. Coll. of Hlth. Sci., Stockholm, Sweden .ORCID iD: 0000-0002-5976-5193
1997 (English)In: Acta Ophthalmologica Scandinavica, ISSN 1395-3907, E-ISSN 1600-0420, Vol. 75, no 6, 700-704 p.Article in journal (Refereed) Published
Abstract [en]

Purpose: To evaluate the feasibility of computerized decision support in the management of patients with open angle glaucoma or ocularhypertension. Method: Based on a Swedish consensus document a computer program was developed, which provided one of 25 different recommendations for appropriate action. In 373 patient visits to seven different eye clinics, the program's recommendations were compared to the actual decisions made by the responsible ophthalmologists. Results: Notable differences were observed between the clinics' managementstrategies, especially regarding follow-up frequency and start or increase of antiglaucoma treatment. The program's recommendations conformed with the clinical decisions in 23 to 92% of the cases when a standard management strategy was simulated. The concordance increased to 93 to 100%, when policy differences between the clinics were taken into account. Conclusion: Clinical decision-making in the management of patients with ocular hypertension or open angle glaucoma can be implemented in a computer program. The optimum management protocol remains to be defined.

Place, publisher, year, edition, pages
1997. Vol. 75, no 6, 700-704 p.
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:mdh:diva-12042ISI: 000072263900019PubMedID: 9527335Scopus ID: 2-s2.0-0031427057OAI: oai:DiVA.org:mdh-12042DiVA: diva2:407523
Available from: 2011-03-30 Created: 2011-03-30 Last updated: 2016-01-11Bibliographically approved

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