Glaucoma-service provision in Scotland: introduction and need for Scottish Intercollegiate Guidelines Network guidelines

Andreas Syrogiannis,1 Alan P Rotchford,2 Pankaj Kumar Agarwal,1 Manjula Kumarasamy,1 Donald Montgomery,1 Jennifer Burr,1 Roshini Sanders1,2 On behalf of the SIGN working group 1SIGN Working Group, SIGN Guidelines for Glaucoma Referral and Safe Discharge, 2Healthcare Improvement Scotland, Edinburgh...

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Autores principales:	Syrogiannis A, Rotchford AP, Agarwal PK, Kumarasamy M, Montgomery D, Burr J, Sanders R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/be57dddc55424812a1e38d5dbe7ff86e
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spelling	oai:doaj.org-article:be57dddc55424812a1e38d5dbe7ff86e2021-12-02T09:47:37ZGlaucoma-service provision in Scotland: introduction and need for Scottish Intercollegiate Guidelines Network guidelines1177-5483https://doaj.org/article/be57dddc55424812a1e38d5dbe7ff86e2015-09-01T00:00:00Zhttps://www.dovepress.com/glaucoma-service-provision-in-scotland-introduction-and-need-for-scott-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Andreas Syrogiannis,1 Alan P Rotchford,2 Pankaj Kumar Agarwal,1 Manjula Kumarasamy,1 Donald Montgomery,1 Jennifer Burr,1 Roshini Sanders1,2 On behalf of the SIGN working group 1SIGN Working Group, SIGN Guidelines for Glaucoma Referral and Safe Discharge, 2Healthcare Improvement Scotland, Edinburgh, Scotland Purpose: To describe the pattern of glaucoma-service delivery in Scotland and identify areas for improvement, taking into account Scottish General Ophthalmic Services (GOS) arrangements and the Eye Care Integration project, and to design Scottish Intercollegiate Guidelines Network (SIGN) guidelines to refine the primary and secondary interface of glaucoma care.Materials and methods: A glaucoma-survey questionnaire was sent to all consultant glaucomatologists in Scotland. The design of SIGN guidelines was based on the results of the questionnaire using SIGN methodology.Results: Over 90% of Scottish glaucoma care is triaged and delivered within hospital services. Despite GOS referral, information is variable. There are no consistent discharge practices to the community. These results led to defined research questions that were answered, thus formulating the content of the SIGN guidelines. The guideline covers the assessment of patients in primary care, referral criteria to hospital, discharge criteria from hospital to community, and monitoring of patients at risk of glaucoma.Conclusion: With increasing age and limitations to hospital resources, refining glaucoma pathways between primary and secondary care has become a necessity. Scotland has unique eye care arrangements with both the GOS and Eye Care Integration project. It is hoped that implementation of SIGN guidelines will identify glaucoma at the earliest opportunity and reduce the rate of false-positive referrals to hospital. Keywords: glaucoma, referral, community care, SIGN guidelinesSyrogiannis ARotchford APAgarwal PKKumarasamy MMontgomery DBurr JSanders RDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 1835-1843 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Syrogiannis A Rotchford AP Agarwal PK Kumarasamy M Montgomery D Burr J Sanders R Glaucoma-service provision in Scotland: introduction and need for Scottish Intercollegiate Guidelines Network guidelines
description	Andreas Syrogiannis,1 Alan P Rotchford,2 Pankaj Kumar Agarwal,1 Manjula Kumarasamy,1 Donald Montgomery,1 Jennifer Burr,1 Roshini Sanders1,2 On behalf of the SIGN working group 1SIGN Working Group, SIGN Guidelines for Glaucoma Referral and Safe Discharge, 2Healthcare Improvement Scotland, Edinburgh, Scotland Purpose: To describe the pattern of glaucoma-service delivery in Scotland and identify areas for improvement, taking into account Scottish General Ophthalmic Services (GOS) arrangements and the Eye Care Integration project, and to design Scottish Intercollegiate Guidelines Network (SIGN) guidelines to refine the primary and secondary interface of glaucoma care.Materials and methods: A glaucoma-survey questionnaire was sent to all consultant glaucomatologists in Scotland. The design of SIGN guidelines was based on the results of the questionnaire using SIGN methodology.Results: Over 90% of Scottish glaucoma care is triaged and delivered within hospital services. Despite GOS referral, information is variable. There are no consistent discharge practices to the community. These results led to defined research questions that were answered, thus formulating the content of the SIGN guidelines. The guideline covers the assessment of patients in primary care, referral criteria to hospital, discharge criteria from hospital to community, and monitoring of patients at risk of glaucoma.Conclusion: With increasing age and limitations to hospital resources, refining glaucoma pathways between primary and secondary care has become a necessity. Scotland has unique eye care arrangements with both the GOS and Eye Care Integration project. It is hoped that implementation of SIGN guidelines will identify glaucoma at the earliest opportunity and reduce the rate of false-positive referrals to hospital. Keywords: glaucoma, referral, community care, SIGN guidelines
format	article
author	Syrogiannis A Rotchford AP Agarwal PK Kumarasamy M Montgomery D Burr J Sanders R
author_facet	Syrogiannis A Rotchford AP Agarwal PK Kumarasamy M Montgomery D Burr J Sanders R
author_sort	Syrogiannis A
title	Glaucoma-service provision in Scotland: introduction and need for Scottish Intercollegiate Guidelines Network guidelines
title_short	Glaucoma-service provision in Scotland: introduction and need for Scottish Intercollegiate Guidelines Network guidelines
title_full	Glaucoma-service provision in Scotland: introduction and need for Scottish Intercollegiate Guidelines Network guidelines
title_fullStr	Glaucoma-service provision in Scotland: introduction and need for Scottish Intercollegiate Guidelines Network guidelines
title_full_unstemmed	Glaucoma-service provision in Scotland: introduction and need for Scottish Intercollegiate Guidelines Network guidelines
title_sort	glaucoma-service provision in scotland: introduction and need for scottish intercollegiate guidelines network guidelines
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/be57dddc55424812a1e38d5dbe7ff86e
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Glaucoma-service provision in Scotland: introduction and need for Scottish Intercollegiate Guidelines Network guidelines

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