Finding the best treatments to recommend within national
and global treatment guidelines requires using systematic methods of consensusbuilding that rely on empirical evidence.
In his presentation at the EURETINA 2021 Virtual, Prof. Laurent Kodjikian of the Department of Ophthalmology, Croix Rousse University Hospital, ลาวสามัคคี
Lyon, France, shared that the Delphi methodology for consensus development is quite popular globally. It requires the categorization of stakeholders into two groups.
“The first group, the steering committee, in our case, consists of four to six healthcare providers who are representative of daily practice a
nd able to define the relevance of published studies and different clinical situations evaluated,” Prof. Kodjikian explained In Pursuit of Harmony.
“The second group, known as the rating group, comprises about 25 to 30 professionals working daily with those affected
by the recommendations, for example, physicians or ophthalmologists who treat patients with retinal disorders daily.”
Prof. Kodjikian emphasized the importance of ensuring independence between the steering committee, which formulates the proposals, and the rating group, which judges the appropriateness of the submitted proposals.
Reaching a general consensus Eight existing international consensus guidelines on diabetic macular edema (DME)
management have produced recommendations utilizing the Delphi methodology,
and Prof. Kodjikian presented a summary of these In Pursuit of Harmony.
These are the EURETINA guidelines, the French Delphi, the international algorithm published in the European Journal of Ophthalmology, the German Consensus, the Italian Consensus, the Spanish the UK consensus, and the Asian-Pacific consensus.
“Firstly, we observed that all eight international guidelines reached a consensus on the involvement of inflammation in the pathogenesis of DME,” Prof.
Kodjikian shared. “In addition, a consensus was reached by the Italian, German, French, and Spanish Delphi guideline groups on the anti-angiogenic and anti-inflammatory properties of dexamethasone.
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