Customized clinical practice guidelines for management of adult cataract in Iran

Rajavi, Z. and Javadi, M. A. and Daftarian, N. and Safi, S. and Nejat, F. and Shirvani, A. and Ahmadieh, H. and Shahraz, S. and Ziaei, H. and Moein, H. and Motlagh, B. and Feizi, S. and Foroutan, A. and Hashemi, H. and Hashemian, S. and Jabbarvand, M. and Jafarinasab, M. and Karimian, F. and Mohammad-Rabei, H. and Mohammadpour, M. and Nassiri, N. and Panahi-Bazaz, M. and Rohani, M. R. and Sedaghat, M. R. and Sheibani, K. (2015) Customized clinical practice guidelines for management of adult cataract in Iran. Journal of Ophthalmic and Vision Research, 10 (4). pp. 445-460.

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Abstract

Purpose: To customize clinical practice guidelines (CPGs) for cataract management in the Iranian population. Methods: First, four CPGs (American Academy of Ophthalmology 2006 and 2011, Royal College of Ophthalmologists 2010, and Canadian Ophthalmological Society 2008) were selected from a number of available CPGs in the literature for cataract management. All recommendations of these guidelines, together with their references, were studied. Each recommendation was summarized in 4 tables. The first table showed the recommendation itself in clinical question components format along with its level of evidence. The second table contained structured abstracts of supporting articles related to the clinical question with their levels of evidence. The third table included the customized recommendation of the internal group respecting its clinical advantage, cost, and complications. In the fourth table, the internal group their recommendations from 1 to 9 based on the customizing capability of the recommendation (applicability, acceptability, external validity). Finally, customized recommendations were sent one month prior to a consensus session to faculty members of all universities across the country asking for their comments on recommendations. Results: The agreed recommendations were accepted as conclusive while those with no agreement were discussed at the consensus session. Finally, all customized recommendations were codified as 80 recommendations along with their sources and levels of evidence for the Iranian population. Conclusion: Customization of CPGs for management of adult cataract for the Iranian population seems to be useful for standardization of referral, diagnosis and treatment of patients. © 2015 Journal of Ophthalmic and Vision Research | Published by Wolters Kluwer - Medknow.

Item Type: Article
Additional Information: Export Date: 16 February 2020 Correspondence Address: Javadi, M.A.; Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences, Pasdaran Ave., Iran; email: majavadi@yahoo.com
Uncontrolled Keywords: Adult Cataract Iran Practice Guideline
Subjects: WW Ophthalmology
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib5 lib5
Date Deposited: 04 May 2020 03:58
Last Modified: 04 May 2020 03:58
URI: http://eprints.mums.ac.ir/id/eprint/19058

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