Five years of treatment for retinopathy of prematurity in Sweden: results from SWEDROP, a national quality register

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Holmström, GerdUppsala universitet,Oftalmiatrik,University of Uppsala Hospital, Sweden (author)

Five years of treatment for retinopathy of prematurity in Sweden: results from SWEDROP, a national quality register

Article/chapterEnglish2016

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2016-03-11
London, UK :BMJ,2016

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LIBRIS-ID:oai:gup.ub.gu.se/248349
https://gup.ub.gu.se/publication/248349URI
https://doi.org/10.1136/bjophthalmol-2015-307263DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-83508URI
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-128949URI
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-311172URI
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-133251URI

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Language:English

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SwePubSwePub

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

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Funding Agencies|Nordstromer Foundation; Foundation for the Visually Impaired in former Malmohus county; Stig and Ragna Gorthon Foundation
Background/aims Retinopathy of prematurity (ROP) is a sight-threatening disease, requiring efficient screening and treatment. The present study aims to describe various aspects on treatment for ROP in Sweden. Methods Data on treatment for ROP in infants born in 2008-2012 were extracted from Swedish national register for retinopathy of prematurity, a web-based national register. Results During 2008-2012, 3488 infants with a gestational age (GA) at birth of <31 weeks had been screened for ROP in Sweden. Altogether, 30.3% (1057/3488) of the infants developed ROP and 5.2% (181/3488) were treated. Type 1 ROP was found in at least one eye in 83.2% (149/179) of the treated infants. One third of the eyes (32.2% right, 29.9% left eyes) were treated more than once. Laser was the only treatment in 90% of the eyes. Mean number of laser spots at first laser session was 1177 and 1386 in right and left eyes, respectively. Number of laser spots correlated negatively with GA at birth (p=0.01). There was no change in frequency of treatment or number of laser spots during the 5-year period. Anti-vascular endothelial growth factor injections were performed in 28 eyes, encircling band was used in five eyes and vitrectomies were performed in seven eyes. Twenty-six retinal surgeons performed 9.4 (range 1-37) treatment sessions in the 181 infants. Conclusions The present study reveals similar incidences of ROP and frequencies of treatment during the 5-year study period. Many surgeons were involved in treatment of a rather limited number of infants. The results call for national discussions on organisation of ROP treatment.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Pediatrik hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Pediatrics hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Oftalmologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Ophthalmology hsv//eng
infants born
guidelines
gestation
period
Ophthalmology
Child health (paediatrics)

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Hellström, Ann,1959Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience,Section of Pediatric Ophthalmology, The Queen Silvia Children's Hospital, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden,Univ Gothenburg, Sahlgrenska Acad, Queen Silvia Childrens Hosp, Sect Pediat Ophthalmol, Gothenburg, Sweden.(Swepub:gu)xheann (author)
Jakobsson, PeterLinköpings universitet,Avdelningen för neuro- och inflammationsvetenskap,Medicinska fakulteten,Region Östergötland, Ögonkliniken US(Swepub:liu)petja35 (author)
Lundgren, Pia,1967-Umeå universitet,Oftalmiatrik,Umea Univ, Ophthalmol, Dept Clin Sci, Umea, Sweden.,Umeå University, Sweden(Swepub:umu)pilu0013 (author)
Tornqvist, K.Department of Ophthalmology, Lund University Hospital, Lund, Sweden,Univ Lund Hosp, Dept Ophthalmol, Lund, Sweden. (author)
Wallin, A.St. Erik Eye Hospital, Stockholm, Sweden,St Erik Eye Hosp, Stockholm, Sweden. (author)
Uppsala universitetOftalmiatrik (creator_code:org_t)

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In:British Journal of OphthalmologyLondon, UK : BMJ100:12, s. 1656-16610007-11611468-2079

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