Titre du document / Document title

Retinopathy of prematurity in the UK. I: The organisation of services for screening and treatment

Auteur(s) / Author(s)

Royal College of Paediatrics and Child Health, ROYAUME-UNI
Royal College of Ophthalmologists, ROYAUME-UNI
British Association of Perinatal Medicine, ROYAUME-UNI
HAINES L. ⁽¹⁾ ; FIELDER A. R. ⁽²⁾ ; SCRIVENER R. ⁽¹⁾ ; WILKINSON A. R. ⁽³⁾ ; POLLOCK J. I. ⁽¹⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ Royal College of Paediatrics and Child Health, London, ROYAUME-UNI
⁽²⁾ Department of Ophthalmology, Imperial College School of Medicine, London, ROYAUME-UNI
⁽³⁾ Department of Paediatrics, University of Oxford, Oxford, ROYAUME-UNI

Résumé / Abstract

Aims To ascertain how closely services for the screening and treatment of retinopathy of prematurity (ROP) were organised on a national level in 1995. Methods Questionnaires about the local arrangements for the screening and treatment of retinopathy of prematurity (ROP) were sent to the entire consultant membership (n = 648) of the Royal College of Ophthalmologists (RCOphth) and to the clinical directors (n = 259) of neonatal units and other units caring for preterm babies in the UK in 1995. Results 568/648 of UK consultants (88%) and 15 non-consultant ophthalmologists and 210/259 paediatricians (81%) and 19% paediatricians in non-neonatal units responded. Thirty-one per cent responding ophthalmologists were involved in the ROP service: of these 64% screened babies, 34% screened and treated babies, while 1% ophthalmologists treated ROP but did not screen., Ninety-six per cent units caring for preterm babies had their babies screened for ROP and for almost 95% of the screening took place in the neonatal unit. About 8200 babies were screened in 1994; 277 developed stage 3, of whom 54% received treatment. Nine per cent (n = 14) and 5% (n = 8) treated babies became blind in one and both eyes respectively. A sessional commitment was identified for 9% ophthalmologists, but for less than half this was included in the contracted work programme. Sixty-five ophthalmologists treated babies with ROP, but only 10 treated more than five babies in 1994. Training needs were identified by 71 respondents. Conclusions Several aspects of ROP screening and treatment services require improvement. Hopefully, reducing the number of identified screeners would increase skills, confidence and the ability to recognise severe disease requiring treatment, and also facilitate incorporation of this work into consultant work plans.

Revue / Journal Title

Eye   ISSN 0950-222X   CODEN EYEEEC 

Source / Source

2002, vol. 16, n^o1, pp. 33-38 (9 ref.)

Langue / Language

Anglais

Editeur / Publisher

Nature Publishing Group, Basingstoke, ROYAUME-UNI  (1987) (Revue)

Mots-clés anglais / English Keywords

Public health ; Newborn diseases ; Eye disease ; Europe ; Human ; Audit ; Public health organization ; Treatment ; Medical screening ; United Kingdom ; Newborn ; Premature ; Retinopathy ;

Mots-clés français / French Keywords

Santé publique ; Nouveau né pathologie ; Oeil pathologie ; Europe ; Homme ; Audit ; Organisation santé ; Traitement ; Dépistage ; Royaume Uni ; Nouveau né ; Prématuré ; Rétinopathie ;

Mots-clés espagnols / Spanish Keywords

Salud pública ; Recién nacido patología ; Ojo patología ; Europa ; Hombre ; Audit ; Organización salud ; Tratamiento ; Descubrimiento ; Reino Unido ; Recién nacido ; Prematuro ; Retinopatía ;

Localisation / Location

INIST-CNRS, Cote INIST : 21076, 35400010076850.0060