Treatment delay in patients with first episode of retinal detachment in the studied eye in Midi-Pyrénées
Retinal detachment (RD) is a potentially blinding condition. Delay in management is a major prognostic factor. In our study, we analyzed the treatment delay for retinal detachments in the Midi-Pyrenees area, and factors which may influence it. Observational, cross-sectional, multicentric study, carr...
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| Veröffentlicht in: | Journal francais d'ophtalmologie 2016-01, Vol.39 (1), p.90-97 |
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| creator | Tolou, C Mahieu-Durringer, L Cassagne, M Hamid, S Billette de Villemeur, R Gualino, V Susini, A Pagot Mathis, V Gallini, A Soler, V |
| description | Retinal detachment (RD) is a potentially blinding condition. Delay in management is a major prognostic factor. In our study, we analyzed the treatment delay for retinal detachments in the Midi-Pyrenees area, and factors which may influence it.
Observational, cross-sectional, multicentric study, carried out over a 6-month period.
time between diagnosis and surgery. Secondary outcome: time between first symptoms and surgery. Non-parametric tests were used to analyze the influence of sociodemographic features, clinical features, distance between home and surgical center, and occurrence over a weekend.
One hundred and fiftty-nine patients were included. The mean time between diagnosis and surgery was 4.4 ± 12.3 days (2.7 ± 4.3 for recent RD, less than 1 month), and was increased by the presence of a weekend (P |
| doi_str_mv | 10.1016/j.jfo.2015.07.013 |
| format | Article |
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Observational, cross-sectional, multicentric study, carried out over a 6-month period.
time between diagnosis and surgery. Secondary outcome: time between first symptoms and surgery. Non-parametric tests were used to analyze the influence of sociodemographic features, clinical features, distance between home and surgical center, and occurrence over a weekend.
One hundred and fiftty-nine patients were included. The mean time between diagnosis and surgery was 4.4 ± 12.3 days (2.7 ± 4.3 for recent RD, less than 1 month), and was increased by the presence of a weekend (P<0.001), or of a weekend with public holiday (P=0.023), and by macular detachment (P=0.008). The mean time between first symptoms and surgery was 12.0 days and was increased by the absence of RD history (P=0.023), and by macular detachment (P=0.046). No association was observed between these times to surgery and the distance between the patient's home address and the place of surgery.
The time between diagnosis and surgery was relatively short in the Midi-Pyrénées area, but we often noted a delayed diagnosis, which may be due to the patient's lack of awareness of the symptoms and difficult access to specialty consultations. However, no relationship was found between this time-to-surgery and the distance between the patient's home and the surgical center.</description><identifier>EISSN: 1773-0597</identifier><identifier>DOI: 10.1016/j.jfo.2015.07.013</identifier><identifier>PMID: 26707754</identifier><language>fre</language><publisher>France</publisher><subject>Anticoagulants - therapeutic use ; Comorbidity ; Cross-Sectional Studies ; Delayed Diagnosis ; Disease Management ; France - epidemiology ; Humans ; Myopia - epidemiology ; Platelet Aggregation Inhibitors - therapeutic use ; Prognosis ; Pseudophakia ; Retinal Detachment - diagnosis ; Retinal Detachment - drug therapy ; Retinal Detachment - epidemiology ; Retinal Detachment - surgery ; Retrospective Studies ; Socioeconomic Factors ; Statistics, Nonparametric ; Surgicenters - supply & distribution ; Time Factors ; Travel</subject><ispartof>Journal francais d'ophtalmologie, 2016-01, Vol.39 (1), p.90-97</ispartof><rights>Copyright © 2015. Published by Elsevier Masson SAS.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26707754$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tolou, C</creatorcontrib><creatorcontrib>Mahieu-Durringer, L</creatorcontrib><creatorcontrib>Cassagne, M</creatorcontrib><creatorcontrib>Hamid, S</creatorcontrib><creatorcontrib>Billette de Villemeur, R</creatorcontrib><creatorcontrib>Gualino, V</creatorcontrib><creatorcontrib>Susini, A</creatorcontrib><creatorcontrib>Pagot Mathis, V</creatorcontrib><creatorcontrib>Gallini, A</creatorcontrib><creatorcontrib>Soler, V</creatorcontrib><title>Treatment delay in patients with first episode of retinal detachment in the studied eye in Midi-Pyrénées</title><title>Journal francais d'ophtalmologie</title><addtitle>J Fr Ophtalmol</addtitle><description>Retinal detachment (RD) is a potentially blinding condition. Delay in management is a major prognostic factor. In our study, we analyzed the treatment delay for retinal detachments in the Midi-Pyrenees area, and factors which may influence it.
Observational, cross-sectional, multicentric study, carried out over a 6-month period.
time between diagnosis and surgery. Secondary outcome: time between first symptoms and surgery. Non-parametric tests were used to analyze the influence of sociodemographic features, clinical features, distance between home and surgical center, and occurrence over a weekend.
One hundred and fiftty-nine patients were included. The mean time between diagnosis and surgery was 4.4 ± 12.3 days (2.7 ± 4.3 for recent RD, less than 1 month), and was increased by the presence of a weekend (P<0.001), or of a weekend with public holiday (P=0.023), and by macular detachment (P=0.008). The mean time between first symptoms and surgery was 12.0 days and was increased by the absence of RD history (P=0.023), and by macular detachment (P=0.046). No association was observed between these times to surgery and the distance between the patient's home address and the place of surgery.
The time between diagnosis and surgery was relatively short in the Midi-Pyrénées area, but we often noted a delayed diagnosis, which may be due to the patient's lack of awareness of the symptoms and difficult access to specialty consultations. However, no relationship was found between this time-to-surgery and the distance between the patient's home and the surgical center.</description><subject>Anticoagulants - therapeutic use</subject><subject>Comorbidity</subject><subject>Cross-Sectional Studies</subject><subject>Delayed Diagnosis</subject><subject>Disease Management</subject><subject>France - epidemiology</subject><subject>Humans</subject><subject>Myopia - epidemiology</subject><subject>Platelet Aggregation Inhibitors - therapeutic use</subject><subject>Prognosis</subject><subject>Pseudophakia</subject><subject>Retinal Detachment - diagnosis</subject><subject>Retinal Detachment - drug therapy</subject><subject>Retinal Detachment - epidemiology</subject><subject>Retinal Detachment - surgery</subject><subject>Retrospective Studies</subject><subject>Socioeconomic Factors</subject><subject>Statistics, Nonparametric</subject><subject>Surgicenters - supply & distribution</subject><subject>Time Factors</subject><subject>Travel</subject><issn>1773-0597</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kEtqwzAURUWhNCHNAjopGnZiV8-yJGtYQn-Q0g7SsZGtZ6LgXy2Z4iVlHdlY3d_owuWcO7iEXAGLgYG8PcSHqosTBiJmKmbAz8gSlOIRE1otyNp7VzDQMlFCwAVZJFIxpUS6JIfdgCY02AZqsTYTdS3tTXBz4emnC3taucEHir3znUXaVXTA4FpTz3ww5f5HnaWwR-rDaB1aihN-Vy_OuuhtGk7H9nREf0nOK1N7XP_lirw_3O82T9H29fF5c7eNekghRIU0qtDAVSa0NDLRmUqMEqCBaatLCSmKSqVSMFRZBkJXWYbC8rQEjmAqviI3v7v90H2M6EPeOF9iXZsWu9HnoCTTTAnGZ_T6Dx2LBm3eD64xw5T__8O_ALR4aEU</recordid><startdate>201601</startdate><enddate>201601</enddate><creator>Tolou, C</creator><creator>Mahieu-Durringer, L</creator><creator>Cassagne, M</creator><creator>Hamid, S</creator><creator>Billette de Villemeur, R</creator><creator>Gualino, V</creator><creator>Susini, A</creator><creator>Pagot Mathis, V</creator><creator>Gallini, A</creator><creator>Soler, V</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201601</creationdate><title>Treatment delay in patients with first episode of retinal detachment in the studied eye in Midi-Pyrénées</title><author>Tolou, C ; Mahieu-Durringer, L ; Cassagne, M ; Hamid, S ; Billette de Villemeur, R ; Gualino, V ; Susini, A ; Pagot Mathis, V ; Gallini, A ; Soler, V</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p141t-b6a7b91378596a629872a7519109d9c614e5f74650e788159f88e5d34c13e1af3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>fre</language><creationdate>2016</creationdate><topic>Anticoagulants - therapeutic use</topic><topic>Comorbidity</topic><topic>Cross-Sectional Studies</topic><topic>Delayed Diagnosis</topic><topic>Disease Management</topic><topic>France - epidemiology</topic><topic>Humans</topic><topic>Myopia - epidemiology</topic><topic>Platelet Aggregation Inhibitors - therapeutic use</topic><topic>Prognosis</topic><topic>Pseudophakia</topic><topic>Retinal Detachment - diagnosis</topic><topic>Retinal Detachment - drug therapy</topic><topic>Retinal Detachment - epidemiology</topic><topic>Retinal Detachment - surgery</topic><topic>Retrospective Studies</topic><topic>Socioeconomic Factors</topic><topic>Statistics, Nonparametric</topic><topic>Surgicenters - supply & distribution</topic><topic>Time Factors</topic><topic>Travel</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tolou, C</creatorcontrib><creatorcontrib>Mahieu-Durringer, L</creatorcontrib><creatorcontrib>Cassagne, M</creatorcontrib><creatorcontrib>Hamid, S</creatorcontrib><creatorcontrib>Billette de Villemeur, R</creatorcontrib><creatorcontrib>Gualino, V</creatorcontrib><creatorcontrib>Susini, A</creatorcontrib><creatorcontrib>Pagot Mathis, V</creatorcontrib><creatorcontrib>Gallini, A</creatorcontrib><creatorcontrib>Soler, V</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Journal francais d'ophtalmologie</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tolou, C</au><au>Mahieu-Durringer, L</au><au>Cassagne, M</au><au>Hamid, S</au><au>Billette de Villemeur, R</au><au>Gualino, V</au><au>Susini, A</au><au>Pagot Mathis, V</au><au>Gallini, A</au><au>Soler, V</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment delay in patients with first episode of retinal detachment in the studied eye in Midi-Pyrénées</atitle><jtitle>Journal francais d'ophtalmologie</jtitle><addtitle>J Fr Ophtalmol</addtitle><date>2016-01</date><risdate>2016</risdate><volume>39</volume><issue>1</issue><spage>90</spage><epage>97</epage><pages>90-97</pages><eissn>1773-0597</eissn><abstract>Retinal detachment (RD) is a potentially blinding condition. Delay in management is a major prognostic factor. In our study, we analyzed the treatment delay for retinal detachments in the Midi-Pyrenees area, and factors which may influence it.
Observational, cross-sectional, multicentric study, carried out over a 6-month period.
time between diagnosis and surgery. Secondary outcome: time between first symptoms and surgery. Non-parametric tests were used to analyze the influence of sociodemographic features, clinical features, distance between home and surgical center, and occurrence over a weekend.
One hundred and fiftty-nine patients were included. The mean time between diagnosis and surgery was 4.4 ± 12.3 days (2.7 ± 4.3 for recent RD, less than 1 month), and was increased by the presence of a weekend (P<0.001), or of a weekend with public holiday (P=0.023), and by macular detachment (P=0.008). The mean time between first symptoms and surgery was 12.0 days and was increased by the absence of RD history (P=0.023), and by macular detachment (P=0.046). No association was observed between these times to surgery and the distance between the patient's home address and the place of surgery.
The time between diagnosis and surgery was relatively short in the Midi-Pyrénées area, but we often noted a delayed diagnosis, which may be due to the patient's lack of awareness of the symptoms and difficult access to specialty consultations. However, no relationship was found between this time-to-surgery and the distance between the patient's home and the surgical center.</abstract><cop>France</cop><pmid>26707754</pmid><doi>10.1016/j.jfo.2015.07.013</doi><tpages>8</tpages></addata></record> |
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| subjects | Anticoagulants - therapeutic use Comorbidity Cross-Sectional Studies Delayed Diagnosis Disease Management France - epidemiology Humans Myopia - epidemiology Platelet Aggregation Inhibitors - therapeutic use Prognosis Pseudophakia Retinal Detachment - diagnosis Retinal Detachment - drug therapy Retinal Detachment - epidemiology Retinal Detachment - surgery Retrospective Studies Socioeconomic Factors Statistics, Nonparametric Surgicenters - supply & distribution Time Factors Travel |
| title | Treatment delay in patients with first episode of retinal detachment in the studied eye in Midi-Pyrénées |
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