The Finnish current care guideline for open‐angle glaucoma

Leinonen, Sanna; Harju, Mika; Hagman, Juha; Honkamo, Marja; Marttila, Liisa; Määttä, Marko; Saarela, Villa; Vaajanen, Anu; Vesti, Eija; Komulainen, Jorma

doi:10.1111/aos.16612

Cited by 6 publications

(1 citation statement)

References 229 publications

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“…Finally, nine CPG were selected. The selected guidelines were developed by: the Finnish Association of Ophthalmologists and the Finnish Glaucoma Society 19 published in English in January 2024 and in Finnish in March 2023 20 , Swedish Ophthalmological Society 21 published in English in January 2024 and in Swedish in September 2022 22 , Japanese Glaucoma Society 23 published in English in February 2023 and in Japanese in February 2022 24 , National Institute for Health and Care Excellence (NICE) 25 rst version published in 2017 with an update published in 2022, European Glaucoma Society 1 , Instituto de Evaluación de Tecnologías en Salud e Investigación -EsSalud (IETSI) 26 , American academy of Ophthalmology 5 , Ministerio de Sanidad, Servicios Sociales e Igualdad de España and Agència de Qualitat i Avaluació Sanitàries de Catalunya 27 , and Malaysian Health Technology Assessment Section -Medical Development Division -Ministry of Health Malaysia 28 (Tables 1 and 2).…”

Section: Guideline Selectionmentioning

confidence: 99%

Systematic review of clinical practice guidelines for the diagnosis and management of open angle glaucoma

Galvez-Olortegui,

Bernales-Urbina,

Jarroudi

et al. 2024

Preprint

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Précis: Clinical Practice Guidelines(CPGs) for Open Angle Glaucoma(OAG) have evolved through the years and differ in their methodological quality. NICE, IETSI and SNSG have a high methodological quality, appraised with AGREE-II. Topic: To assess the methodological quality of Clinical Practice Guidelines (CPG) for the diagnosis and management of open angle glaucoma (OAG). Clinical relevance: An assessment of the methodological quality of Clinical Practice Guidelines (CPG) for the diagnosis and management of open angle glaucoma (OAG) is reported. Methods: A systematic review of CPGs for the diagnosis and management of OAG, published between January-2017 and November-2023, was carried out with a search in databases, metasearch engines, CPG development institutions, ophthalmology associations and CPG repositories. A search update was run in January 2024. Protocol was registered in the International Prospective Register of Systematic Reviews PROSPERO: CRD42024510656. Nine CPGs published in English/Spanish, between 2017 and 2024 were selected, and 5 authors evaluated them independently, using the Appraisal of Guidelines for Research and Evaluation (AGREE-II) instrument. An individual assessment by domain (AGREE-II), an overall assessment of the guide, and its use with or without modifications was performed. Additionally, a meta-synthesis of the recommendations for the most relevant outcomes of each CPG was performed. Results: The lowest scores were in applicability and rigour of development (mean 47.9% and 48% respectively). The highest score (mean 72.1%) was for domain 4 ‘clarity of presentation’. NICE (92.1%), IETSI (77.5%) and SNSG (75.8%) presented the best score in domain 3 ‘Rigour of development’. When evaluating the overall quality of the CPGs analysed, only NICE, EGS-5-TGG, SNS and MaHTAS could be recommended with modifications. All the CPGs used GRADE approach for making recommendations. In the meta-synthesis, recommendations are similar between CPG, however variability was found in selective laser trabeculoplasty and minimally invasive glaucoma surgery indications (MIGS). Conclusions: NICE, IETSI and SNSG CPGs for the diagnosis and management of OAG, have a high methodological quality, appraised with AGREE-II. NICE, EGS-5-TGG, IETSI and SNSG have high scores in applicability.

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Section: Guideline Selectionmentioning

confidence: 99%

Systematic review of clinical practice guidelines for the diagnosis and management of open angle glaucoma

Galvez-Olortegui,

Bernales-Urbina,

Jarroudi

et al. 2024

Preprint

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Users of reimbursed glaucoma medications in Finland in 1986–2023: A nationwide study

Lehtonen,

Tuulonen,

Leinonen

et al. 2024

Acta Ophthalmologica

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PurposeThe study evaluates the long‐term trends in the number of patients using reimbursed glaucoma medications in Finland.MethodsReimbursement data of 193 082 new glaucoma patients in 1986–2023 were collected from the registry of Finnish Insurance Institution (Kela). The numbers of new, current and deceased users of reimbursed glaucoma medications in Finland at end of each year were analysed by gender and in different age groups.ResultsThe number of glaucoma reimbursees per total Finnish population increased 2.5‐fold during 37 years. However, in 2015–2023 the data demonstrated an unexpected decelerating trend in the difference between the number of new and deceased users of glaucoma medications (i.e. ‘net change’ in the medication users). In addition, differences in glaucoma medication users between Finland, other Nordic countries and Scotland were detected.ConclusionsThe 37‐year period demonstrates an overall increasing trend in the number of glaucoma medication reimbursees in Finland. However, the slowing growth in the net change during the recent years is to the contrary to what has generally been forecasted in Finland and globally. Future studies, including an updated prediction model, will be required to clarify whether the number of glaucoma patients under treatment will increase, or decrease in Finland in future as well as to figure out the reasons for the variations.

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Minimally Invasive Glaucoma Surgery (MIGS) recommendations in Clinical Practice Guidelines for open angle glaucoma and MIGS procedures: A scoping review

Galvez-Olortegui,

Burgueño-Montañes,

Silva-Ocas

et al. 2024

European Journal of Ophthalmology

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Introduction: To assess the recommendations of open angle glaucoma Clinical Practice Guidelines (CPG) addressing Minimally Invasive Glaucoma Surgery (MIGS) or MIGS procedures CPG. Methods: A scoping review of CPG was conducted, based on an ongoing systematic review (CRD42024510656). A systematic literature search of CPG was carried out in November 2023, with an update in January 2024. CPG published in the last 8 years, full text available and addressing MIGS were selected. CPG details and recommendations concerning MIGS were extracted. Results: 13 CPG addressing MIGS were selected (8 recovered from databases and 5 from registers). Four health Technology Assessments were assessed but recommendations were not considered. Finnish and Swedish guidelines, published in 2024, and Japanese guidelines, published in 2023, are English versions of their native language guidelines, but none of them make specific recommendations about MIGS. The Spanish Glaucoma Society – Advanced Glaucoma guideline (2023) describes the available techniques but does not make recommendations about MIGS. The European Glaucoma Society (2023) guideline only makes recommendations for 4 devices and the National Institute for Health and Care Excellence Interventional procedures guidance makes recommendations both for specific procedures and devices. Conclusion: MIGS is a relevant topic that has not been adequately addressed in terms of updated evidence, available procedures, and recommendations in open angle glaucoma CPG or MIGS procedures CPG.

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The Finnish current care guideline for open‐angle glaucoma

Cited by 6 publications

References 229 publications

Systematic review of clinical practice guidelines for the diagnosis and management of open angle glaucoma

Systematic review of clinical practice guidelines for the diagnosis and management of open angle glaucoma

Users of reimbursed glaucoma medications in Finland in 1986–2023: A nationwide study

Minimally Invasive Glaucoma Surgery (MIGS) recommendations in Clinical Practice Guidelines for open angle glaucoma and MIGS procedures: A scoping review

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