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Leveraging the evidence for patient care today

Optometry times, 2017-10, Vol.9 (10), p.16-19

Copyright UBM Americas Oct 2017 ;ISSN: 0890-7080 ;EISSN: 2328-3904

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  • Title:
    Leveraging the evidence for patient care today
  • Author: Kwan, Justin
  • Subjects: Antidepressants ; Cataracts ; Edema ; Eye surgery ; Glaucoma ; Optometry ; Patients ; Pediatrics ; Studies
  • Is Part Of: Optometry times, 2017-10, Vol.9 (10), p.16-19
  • Description: When we pull the highest Level I evidence of randomized controlled trials (RCTs) and systematic reviews of those RCTs, we can become suspicious when funnel plots do not show an equal distribution around the effect size. Case in point is a Cochrane review of prophylactic non-steroidal anti-inflammatory drugs (NSAIDs) for the prevention of macular edema after cataract surgery.1 Some 28 of the 34 relevant studies selected by the authors looked at a variety of topical NSAIDs combined with steroids compared to steroids alone. World leaders in cataract surgery, as well as standard procedures of care outlined in textbooks, recommend that NSAIDs should be used more times than not even in simple cataract surgery because the sequelae of dealing with macular edema is unfavorable for both doctor and patient. At its worst, publication bias can cause harm to patients Dr. Kwan received his doctor of optometry degree from the University of California, Berkeley, School of Optometry.
  • Publisher: Monmouth Junction: MultiMedia Healthcare Inc
  • Language: English
  • Identifier: ISSN: 0890-7080
    EISSN: 2328-3904
  • Source: ProQuest Central
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