Systematic review of clinical practice guidelines for uveitis

Bibliographic Details
Title: Systematic review of clinical practice guidelines for uveitis
Authors: Stuart Keel, Iris Gordon, Nima Ghadiri, Gareth Lingham, Jennifer R Evans, Sare Safi, Ian R Reekie
Source: BMJ Open Ophthalmology, Vol 8, Iss 1 (2023)
Publisher Information: BMJ Publishing Group, 2023.
Publication Year: 2023
Collection: LCC:Ophthalmology
Subject Terms: Ophthalmology, RE1-994
More Details: To facilitate the integration of eye care into universal health coverage, the WHO is developing a Package of Eye Care Interventions (PECI). Development of the PECI involves the identification of evidence-based interventions from relevant clinical practice guidelines (CPGs) for uveitis.A systematic review of CPGs published on uveitis between 2010 and March 2020 was conducted. CPGs passing title and abstract and full-text screening were evaluated using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool and data on recommended interventions extracted using a standard data extraction sheet.Of 56 CPGs identified as potentially relevant from the systematic literature search, 3 CPGs underwent data extraction following the screening stages and appraisal with the AGREE II tool. These CPGs covered screening for, monitoring and treating juvenile idiopathic arthritis (JIA)-associated uveitis, the use of adalimumab and dexamethasone in treating non-infectious uveitis, and a top-level summary of assessment, differential diagnosis and referral recommendations for uveitis, aimed at primary care practitioners. Many of the recommendations were based on expert opinion, though some incorporated clinical study and randomised controlled trial data.There is currently sparse coverage of the spectrum of disease caused by uveitis within CPGs. This may partially be due to the large number of conditions with diverse causes and clinical presentations covered by the umbrella term uveitis, which makes numerous sets of guidelines necessary. The limited pool of CPGs to select from has implications for clinicians seeking guidance on clinical care strategies for uveitis.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2397-3269
Relation: https://bmjophth.bmj.com/content/8/1/e001091.full; https://doaj.org/toc/2397-3269
DOI: 10.1136/bmjophth-2022-001091
Access URL: https://doaj.org/article/cbe9a28ae340402d9e9e87f3938e8074
Accession Number: edsdoj.be9a28ae340402d9e9e87f3938e8074
Database: Directory of Open Access Journals
More Details
ISSN:23973269
DOI:10.1136/bmjophth-2022-001091
Published in:BMJ Open Ophthalmology
Language:English