[青光眼、老年性黄斑变性和糖尿病性眼病的筛查建议]。

Lukas Schloesser, Focke Ziemssen, Alexander K Schuster, Somar Hasan, Robert P Finger
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引用次数: 0

摘要

背景:由于人口的发展,致盲的主要原因,年龄相关性黄斑变性(AMD)、青光眼和糖尿病性眼病(DED),在卫生经济学方面变得越来越重要。目的:介绍目前对这些疾病的筛查建议和潜在的证据。材料和方法:进行了详细的文献检索,总结了德国科学医学学会协会(AWMF)相关指南的建议。结果:目前有青光眼和DED的筛查建议,但对于AMD的筛查仍未达成共识。DED筛查由法定健康保险(SHI)资助,并作为常规护理的一部分提供。青光眼筛查只有在存在某些危险因素且尚未全面实施的情况下才被纳入SHI。结论:在SHI的资助下,已经建立了针对DED的筛查项目;然而,有AWMF对青光眼的推荐,但没有世卫组织资助的筛查项目,也没有AWMF对AMD的筛查建议。筛查项目是否以及在何种程度上被各自的目标人群使用还有待进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Screening recommendations for glaucoma, age-related macular degeneration and diabetic eye diseases].

Background: The main causes of blindness, age-related macular degeneration (AMD), glaucoma and diabetic eye diseases (DED), are becoming increasingly more important in terms of health economics due to the demographic developments.

Objective: The current screening recommendations for these diseases and the underlying evidence are presented.

Material and methods: A detailed literature search was conducted and the recommendations of the relevant guidelines of the Association of the Scientific Medical Societies in Germany (AWMF) were summarized.

Results: There are current screening recommendations for glaucoma and DED but there is still no consensus with respect to AMD. Screening for DED is financed by the statutory health insurance (SHI) and offered as part of routine care. Glaucoma screening is only covered by the SHI if certain risk factors are present and is not yet implemented across the board.

Conclusion: There are established screening programs for DED that are financed by the SHI; however, there are AWMF recommendations for glaucoma but no SHI-financed screening programs and there are still no AWMF screening recommendations for AMD. Whether and to what extent screening programs are used by the respective target populations should be further investigated in studies.

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