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[WROPC2012]ROP筛查指南
—欧洲透视

视网膜病  作者:  AlistairRFielder  2012/11/21 18:33:00
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内容概要:英国第一个ROP筛查指南制定在1990年,在1995年他们进行了修订和扩展,在这篇文章中,我将讨论英国的指南的基本原则,并讨论是否建议将适用于所有的社区...

     The first UK guidelines for ROP screening were drawn up in 1990 In 1995 they were revised and extended to cover treat- ment, parent information and counselling, and also the man- agement of end-stage ROP The third iteration in 2008 was necessary because of both developments in the methodology of guideline development and also the revision of both ROP classification in 2005 and in 2003 the indications for treat- ment following the Early Treatment for ROP Randomized Trial (ETROP) A critical component of the guideline process was to revise any component of the previous guideline which was considered to have caused confusion or had proved to be inadequate

       In this presentation I will discuss fundamental principles of the UK guideline (as a model only) and discuss whether its recommendations will fit all communities and if it fails whether this is in principle or in detail The well-documented development of aggressive posterior ROP, over a very short time course, in relatively mature babies who have received high levels of oxygen, is an example which will be used to test the underlying principles of the UK model which has used as its inclusion criteria birthweight and gestational age but has never included a sickness or oxygen dosage criterion.


 
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