Restructuring Wet Age-Related Macular Degeneration Services During the COVID-19 Pandemic to Allow Social Distancing Outpatient Clinics (SDOC)

Markus Groppe,* Mandeep Singh Bindra* Retina Unit, Buckinghamshire Healthcare NHS Trust, Stoke Mandeville and Amersham Hospital, Aylesbury, HP21 8AL, UK*These authors contributed equally to this workCorrespondence: Markus GroppeRetina Unit, Buckinghamshire Healthcare NHS Trust, Stoke Mandeville and...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Groppe M, Bindra MS
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	age related macular degeneration covid-19 social distancing sdoc Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/f5e283b0b1784caa9bb08e9ea9aff40a
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:f5e283b0b1784caa9bb08e9ea9aff40a
record_format	dspace
spelling	oai:doaj.org-article:f5e283b0b1784caa9bb08e9ea9aff40a2021-12-02T14:16:02ZRestructuring Wet Age-Related Macular Degeneration Services During the COVID-19 Pandemic to Allow Social Distancing Outpatient Clinics (SDOC)1177-5483https://doaj.org/article/f5e283b0b1784caa9bb08e9ea9aff40a2021-02-01T00:00:00Zhttps://www.dovepress.com/restructuring-wet-age-related-macular-degeneration-services-during-the-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Markus Groppe,* Mandeep Singh Bindra* Retina Unit, Buckinghamshire Healthcare NHS Trust, Stoke Mandeville and Amersham Hospital, Aylesbury, HP21 8AL, UK*These authors contributed equally to this workCorrespondence: Markus GroppeRetina Unit, Buckinghamshire Healthcare NHS Trust, Stoke Mandeville and Amersham Hospital, Aylesbury, HP21 8AL, UKEmail markus.groppe@nhs.netBackground: COVID-19 has had a major impact on health-care provision. Social distancing will impact the organization of outpatient clinics (OCs) and require general restructuring of health care.Methods: Our retinal team participated in a structured fact-finding session to implement social distancing of patients and staff in wet age-related macular degeneration (wAMD) clinics. Clinic flow and performance were continually reviewed and improved. A retrospective audit of all wAMD follow-up appointments was conducted for 4 weeks from the start of the UK lockdown. A search for clinical guidance regarding retinal services was performed on the homepages of international professional bodies. The guidelines were compared to the implemented changes in our wAMD social distancing OCs (SDOCs) and potential risk examined.Results: The changes in clinic setup to achieve SDOCs are described. The average total time spent in the clinic area by each patient has reduced by 27%. The audit concluded that 65% of patients needed a treatment interval of 4– 7 weeks after their appointment, 17% at either 8 or 9 weeks, and 18% at 10 weeks or beyond. The UK, Australian–New Zealand, US, and German professional ophthalmology bodies have published divergent guidelines, but all recommended a continuation of anti-VEGF injections.Conclusion: Health-care provision will change and hospitals and outpatient facilities will have to adapt to the COVID-19 epidemic. We describe a clinic setup (SDOCs) that minimizes risk to patients and staff, while maintaining the ability to treat each patient and their disease individually.Keywords: age-related macular degeneration, COVID-19, social distancing, SDOCGroppe MBindra MSDove Medical Pressarticleage related macular degenerationcovid-19social distancingsdocOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 651-659 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	age related macular degeneration covid-19 social distancing sdoc Ophthalmology RE1-994
spellingShingle	age related macular degeneration covid-19 social distancing sdoc Ophthalmology RE1-994 Groppe M Bindra MS Restructuring Wet Age-Related Macular Degeneration Services During the COVID-19 Pandemic to Allow Social Distancing Outpatient Clinics (SDOC)
description	Markus Groppe,* Mandeep Singh Bindra* Retina Unit, Buckinghamshire Healthcare NHS Trust, Stoke Mandeville and Amersham Hospital, Aylesbury, HP21 8AL, UK*These authors contributed equally to this workCorrespondence: Markus GroppeRetina Unit, Buckinghamshire Healthcare NHS Trust, Stoke Mandeville and Amersham Hospital, Aylesbury, HP21 8AL, UKEmail markus.groppe@nhs.netBackground: COVID-19 has had a major impact on health-care provision. Social distancing will impact the organization of outpatient clinics (OCs) and require general restructuring of health care.Methods: Our retinal team participated in a structured fact-finding session to implement social distancing of patients and staff in wet age-related macular degeneration (wAMD) clinics. Clinic flow and performance were continually reviewed and improved. A retrospective audit of all wAMD follow-up appointments was conducted for 4 weeks from the start of the UK lockdown. A search for clinical guidance regarding retinal services was performed on the homepages of international professional bodies. The guidelines were compared to the implemented changes in our wAMD social distancing OCs (SDOCs) and potential risk examined.Results: The changes in clinic setup to achieve SDOCs are described. The average total time spent in the clinic area by each patient has reduced by 27%. The audit concluded that 65% of patients needed a treatment interval of 4– 7 weeks after their appointment, 17% at either 8 or 9 weeks, and 18% at 10 weeks or beyond. The UK, Australian–New Zealand, US, and German professional ophthalmology bodies have published divergent guidelines, but all recommended a continuation of anti-VEGF injections.Conclusion: Health-care provision will change and hospitals and outpatient facilities will have to adapt to the COVID-19 epidemic. We describe a clinic setup (SDOCs) that minimizes risk to patients and staff, while maintaining the ability to treat each patient and their disease individually.Keywords: age-related macular degeneration, COVID-19, social distancing, SDOC
format	article
author	Groppe M Bindra MS
author_facet	Groppe M Bindra MS
author_sort	Groppe M
title	Restructuring Wet Age-Related Macular Degeneration Services During the COVID-19 Pandemic to Allow Social Distancing Outpatient Clinics (SDOC)
title_short	Restructuring Wet Age-Related Macular Degeneration Services During the COVID-19 Pandemic to Allow Social Distancing Outpatient Clinics (SDOC)
title_full	Restructuring Wet Age-Related Macular Degeneration Services During the COVID-19 Pandemic to Allow Social Distancing Outpatient Clinics (SDOC)
title_fullStr	Restructuring Wet Age-Related Macular Degeneration Services During the COVID-19 Pandemic to Allow Social Distancing Outpatient Clinics (SDOC)
title_full_unstemmed	Restructuring Wet Age-Related Macular Degeneration Services During the COVID-19 Pandemic to Allow Social Distancing Outpatient Clinics (SDOC)
title_sort	restructuring wet age-related macular degeneration services during the covid-19 pandemic to allow social distancing outpatient clinics (sdoc)
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/f5e283b0b1784caa9bb08e9ea9aff40a
work_keys_str_mv	AT groppem restructuringwetagerelatedmaculardegenerationservicesduringthecovid19pandemictoallowsocialdistancingoutpatientclinicssdoc AT bindrams restructuringwetagerelatedmaculardegenerationservicesduringthecovid19pandemictoallowsocialdistancingoutpatientclinicssdoc
_version_	1718391759757639680

Restructuring Wet Age-Related Macular Degeneration Services During the COVID-19 Pandemic to Allow Social Distancing Outpatient Clinics (SDOC)

Ejemplares similares