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  • Darlow, Brian AUniv Otago, Dept Paediat, Australia & New Zealand Neonatal Network, Christchurch, New Zealand. (author)

International variations and trends in the treatment for retinopathy of prematurity

  • Article/chapterEnglish2017

Publisher, publication year, extent ...

  • 2017-03-07
  • BMJ Publishing Group Ltd,2017
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:umu-148425
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-148425URI
  • https://doi.org/10.1136/bjophthalmol-2016-310041DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-336438URI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • OBJECTIVE: To compare the rates of retinopathy of prematurity (ROP) and treatment of ROP by laser or intravitreal anti-vascular endothelial growth factor among preterm neonates from high-income countries participating in the International Network for Evaluating Outcomes (iNeo) of neonates.METHODS: weeks' gestation who were admitted to neonatal units in Australia/New Zealand, Canada, Finland, Israel, Japan, Spain, Sweden, Switzerland, Tuscany (Italy) and the UK between 2007 and 2013. Pairwise comparisons of ROP treatment in survivors between countries were evaluated by Poisson and multivariable logistic regression analyses after adjustment for confounders. A composite outcome of death or ROP treatment was compared between countries using logistic regression and standardised ratios.RESULTS: Of 48 087 infants included in the analysis, 81.8% survived to 32 weeks postmenstrual age, and 95% of survivors were screened for ROP. Rates of any ROP ranged from 25.2% to 91.0% in Switzerland and Japan, respectively, among those examined. The overall rate of those receiving treatment was 24.9%, which varied from 4.3% to 30.4%. Adjusted risk ratios for ROP treatment were lower for Switzerland in all pairwise comparisons, whereas Japan displayed significantly higher ratios. Comparisons of the composite outcome between countries revealed similar, but less marked differences.CONCLUSIONS: Rates of any ROP and ROP treatment varied significantly between iNeo members, while an overall decline in ROP treatment was observed during the study period. It is unclear whether these variations represent differences in care practices, diagnosis and/or treatment thresholds.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Lui, KeiUniv New South Wales, Australian & New Zealand Neonatal Network, Royal Hosp Women, Natl Perinatal Epidemiol & Stat Unit, Randwick, NSW, Australia. (author)
  • Kusuda, SatoshiTokyo Womens Med Univ, Maternal & Perinatal Ctr, Neonatal Res Network Japan, Shinjuku Ku, Tokyo, Japan. (author)
  • Reichman, BrianSheba Med Ctr, Israel Neonatal Network, Gertner Inst Epidemiol & Hlth Policy Res, Tel Hashomer, Israel. (author)
  • Håkansson, StellanSwedish Neonatal Quality Register, Department of Pediatrics/Neonatal Services, Umeå University Hospital, Umeå, Sweden,Umea Univ Hosp, Dept Pediat, Swedish Neonatal Qual Register, Neonatal Serv, Umea, Sweden.(Swepub:umu)stha0034 (author)
  • Bassler, DirkUniv Zurich, Univ Hosp Zurich, Dept Neonatol, Swiss Neonatal Network, Frauenklinikstr, Zurich, Switzerland. (author)
  • Modi, NeenaImperial Coll London, UK Neonatal Collaborat, Sect Neonatal Med, Dept Med,Neonatal Data Anal Unit, Chelsea & Westminster Hosp Campus, London, England. (author)
  • Lee, Shoo KMt Sinai Hosp, Dept Paediat, Toronto, ON, Canada.;Univ Toronto, Toronto, ON, Canada.;Mt Sinai Hosp, Maternal Infant Care Res Ctr, Canadian Neonatal Network, Toronto, ON, Canada. (author)
  • Lehtonen, LiisaTurku Univ Hosp, Dept Pediat, Finnish Med Birth Register, Turku, Finland.;Turku Univ Hosp, Dept Pediat, Register Congenital Malformat, Turku, Finland. (author)
  • Vento, MaximoHlth Res Inst La Fe, Spanish Neonatal Network, Ave Fernando Abril Martorell, Valencia, Spain. (author)
  • Isayama, TetsuyaMt Sinai Hosp, Dept Paediat, Toronto, ON, Canada.;Univ Toronto, Toronto, ON, Canada. (author)
  • Sjörs, GunnarUppsala universitet,Institutionen för kvinnors och barns hälsa(Swepub:uu)gunnsjor (author)
  • Helenius, Kjell KTurku Univ Hosp, Dept Pediat, Finnish Med Birth Register, Turku, Finland.;Turku Univ Hosp, Dept Pediat, Register Congenital Malformat, Turku, Finland. (author)
  • Adams, MarkUniv Zurich, Univ Hosp Zurich, Dept Neonatol, Swiss Neonatal Network, Frauenklinikstr, Zurich, Switzerland. (author)
  • Rusconi, FrancaMeyer Childrens Univ Hosp, Unit Epidemiol, TIN Toscane Online, Viale Pieraccini, Florence, Italy.;Reg Hlth Agcy, Via Pietro Dazzi, Florence, Italy. (author)
  • Morisaki, NahoNatl Ctr Child Hlth & Dev, Neonatal Res Network Japan, Dept Social Med, Setagaya Ku, Tokyo, Japan. (author)
  • Shah, Prakesh SMt Sinai Hosp, Dept Paediat, Toronto, ON, Canada.;Univ Toronto, Toronto, ON, Canada.;Mt Sinai Hosp, Maternal Infant Care Res Ctr, Canadian Neonatal Network, Toronto, ON, Canada. (author)
  • Univ Otago, Dept Paediat, Australia & New Zealand Neonatal Network, Christchurch, New Zealand.Univ New South Wales, Australian & New Zealand Neonatal Network, Royal Hosp Women, Natl Perinatal Epidemiol & Stat Unit, Randwick, NSW, Australia. (creator_code:org_t)

Related titles

  • In:British Journal of Ophthalmology: BMJ Publishing Group Ltd101:10, s. 1399-14040007-11611468-2079

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