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A systematic review of clinical practice guidelines for childhood glaucoma

OBJECTIVE: To conduct a systematic review to identify and critically appraise clinical practice guidelines on the assessment, diagnosis and management of childhood glaucoma. METHODS AND ANALYSIS: A systematic literature search of databases and professional websites for clinical practice guidelines p...

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Autores principales: Lingham, Gareth, Thakur, Sahil, Safi, Sare, Gordon, Iris, Evans, Jennifer R, Keel, Stuart
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8804684/
https://www.ncbi.nlm.nih.gov/pubmed/35136841
http://dx.doi.org/10.1136/bmjophth-2021-000933
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author Lingham, Gareth
Thakur, Sahil
Safi, Sare
Gordon, Iris
Evans, Jennifer R
Keel, Stuart
author_facet Lingham, Gareth
Thakur, Sahil
Safi, Sare
Gordon, Iris
Evans, Jennifer R
Keel, Stuart
author_sort Lingham, Gareth
collection PubMed
description OBJECTIVE: To conduct a systematic review to identify and critically appraise clinical practice guidelines on the assessment, diagnosis and management of childhood glaucoma. METHODS AND ANALYSIS: A systematic literature search of databases and professional websites for clinical practice guidelines published on eye conditions between 2010 and April 2020 in English was conducted. Identified guidelines were screened for relevance to childhood glaucoma and exclusion criteria applied. Guidelines that passed the screening and quality appraisal with the Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool and, if they achieved a mean score of ≥45 and ≥3 on subsets of 9 and 5 AGREE II items, respectively, were selected for inclusion and data extracted using a standardised form. RESULTS: Following screening and critical appraisal, three guidelines were included for data extraction. None of the three guidelines was specifically developed for childhood glaucoma. A consistent recommendation was that children should undergo some form of eye screening examination or a comprehensive eye assessment to detect paediatric eye disease. Children at high risk of childhood glaucoma should undergo additional screening. One clinical practice guideline recommended interventions for childhood glaucoma consisting of tube surgery and topical beta-blockers or carbonic anhydrase inhibitors. Recommended interventions for childhood glaucoma were based on low-quality to moderate-quality evidence or expert opinion. CONCLUSION: Based on our selection criteria, we did not identify any high-quality clinical practice guidelines specifically targeted at childhood glaucoma. This is compounded by the lack of high-quality evidence on childhood glaucoma.
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spelling pubmed-88046842022-02-07 A systematic review of clinical practice guidelines for childhood glaucoma Lingham, Gareth Thakur, Sahil Safi, Sare Gordon, Iris Evans, Jennifer R Keel, Stuart BMJ Open Ophthalmol Original Research OBJECTIVE: To conduct a systematic review to identify and critically appraise clinical practice guidelines on the assessment, diagnosis and management of childhood glaucoma. METHODS AND ANALYSIS: A systematic literature search of databases and professional websites for clinical practice guidelines published on eye conditions between 2010 and April 2020 in English was conducted. Identified guidelines were screened for relevance to childhood glaucoma and exclusion criteria applied. Guidelines that passed the screening and quality appraisal with the Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool and, if they achieved a mean score of ≥45 and ≥3 on subsets of 9 and 5 AGREE II items, respectively, were selected for inclusion and data extracted using a standardised form. RESULTS: Following screening and critical appraisal, three guidelines were included for data extraction. None of the three guidelines was specifically developed for childhood glaucoma. A consistent recommendation was that children should undergo some form of eye screening examination or a comprehensive eye assessment to detect paediatric eye disease. Children at high risk of childhood glaucoma should undergo additional screening. One clinical practice guideline recommended interventions for childhood glaucoma consisting of tube surgery and topical beta-blockers or carbonic anhydrase inhibitors. Recommended interventions for childhood glaucoma were based on low-quality to moderate-quality evidence or expert opinion. CONCLUSION: Based on our selection criteria, we did not identify any high-quality clinical practice guidelines specifically targeted at childhood glaucoma. This is compounded by the lack of high-quality evidence on childhood glaucoma. BMJ Publishing Group 2022-01-31 /pmc/articles/PMC8804684/ /pubmed/35136841 http://dx.doi.org/10.1136/bmjophth-2021-000933 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Original Research
Lingham, Gareth
Thakur, Sahil
Safi, Sare
Gordon, Iris
Evans, Jennifer R
Keel, Stuart
A systematic review of clinical practice guidelines for childhood glaucoma
title A systematic review of clinical practice guidelines for childhood glaucoma
title_full A systematic review of clinical practice guidelines for childhood glaucoma
title_fullStr A systematic review of clinical practice guidelines for childhood glaucoma
title_full_unstemmed A systematic review of clinical practice guidelines for childhood glaucoma
title_short A systematic review of clinical practice guidelines for childhood glaucoma
title_sort systematic review of clinical practice guidelines for childhood glaucoma
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8804684/
https://www.ncbi.nlm.nih.gov/pubmed/35136841
http://dx.doi.org/10.1136/bmjophth-2021-000933
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