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Categorizing the stage of glaucoma from pre-diagnosis to end-stage disease.

Publication ,  Journal Article
Mills, RP; Budenz, DL; Lee, PP; Noecker, RJ; Walt, JG; Siegartel, LR; Evans, SJ; Doyle, JJ
Published in: Am J Ophthalmol
January 2006

PURPOSE: To provide a reliable, comprehensive staging system to assess glaucoma stage in the absence of an universally accepted glaucoma staging system (GSS) on the basis of visual field results. DESIGN: Literature review and GSS adaptation. METHODS: After a review of published GSSs was conducted, the Bascom Palmer (Hodapp-Anderson-Parrish) GSS was selected as an appropriate platform for a retrospective GSS on the basis of visual fields. The system was modified by a panel of glaucoma specialists, and additional modifications were made after pilot testing to cover the full range of disease progression, from preglaucoma diagnosis to complete blindness; the ordered stages reflect the typical progression of glaucoma. RESULTS: The GSS is comprised of six ordered stages and is on the basis of the Humphrey visual field. The completed GSS was validated by reviewing patient charts from 12 US glaucoma centers. CONCLUSIONS: The GSS allows accurate staging of 100% of glaucoma on the basis of visual fields and other data, enabling evaluation of disease progression and resource utilization at various glaucoma stages. Additionally, treatment costs may be assigned to determine cost-effectiveness of treatment. Research utilizing the GSS has found that cost of care increases with increasing disease severity. The GSS may be used as the basis for creating treatment guidelines, which have the potential to delay glaucoma progression and lower treatment costs.

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Published In

Am J Ophthalmol

DOI

ISSN

0002-9394

Publication Date

January 2006

Volume

141

Issue

1

Start / End Page

24 / 30

Location

United States

Related Subject Headings

  • Severity of Illness Index
  • Retrospective Studies
  • Ophthalmology & Optometry
  • Humans
  • Glaucoma, Open-Angle
  • Diagnostic Techniques, Ophthalmological
  • 3212 Ophthalmology and optometry
  • 1117 Public Health and Health Services
  • 1113 Opthalmology and Optometry
  • 1103 Clinical Sciences
 

Citation

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Mills, R. P., Budenz, D. L., Lee, P. P., Noecker, R. J., Walt, J. G., Siegartel, L. R., … Doyle, J. J. (2006). Categorizing the stage of glaucoma from pre-diagnosis to end-stage disease. Am J Ophthalmol, 141(1), 24–30. https://doi.org/10.1016/j.ajo.2005.07.044
Mills, Richard P., Donald L. Budenz, Paul P. Lee, Robert J. Noecker, John G. Walt, Lisa R. Siegartel, Stacy J. Evans, and John J. Doyle. “Categorizing the stage of glaucoma from pre-diagnosis to end-stage disease.Am J Ophthalmol 141, no. 1 (January 2006): 24–30. https://doi.org/10.1016/j.ajo.2005.07.044.
Mills RP, Budenz DL, Lee PP, Noecker RJ, Walt JG, Siegartel LR, et al. Categorizing the stage of glaucoma from pre-diagnosis to end-stage disease. Am J Ophthalmol. 2006 Jan;141(1):24–30.
Mills, Richard P., et al. “Categorizing the stage of glaucoma from pre-diagnosis to end-stage disease.Am J Ophthalmol, vol. 141, no. 1, Jan. 2006, pp. 24–30. Pubmed, doi:10.1016/j.ajo.2005.07.044.
Mills RP, Budenz DL, Lee PP, Noecker RJ, Walt JG, Siegartel LR, Evans SJ, Doyle JJ. Categorizing the stage of glaucoma from pre-diagnosis to end-stage disease. Am J Ophthalmol. 2006 Jan;141(1):24–30.
Journal cover image

Published In

Am J Ophthalmol

DOI

ISSN

0002-9394

Publication Date

January 2006

Volume

141

Issue

1

Start / End Page

24 / 30

Location

United States

Related Subject Headings

  • Severity of Illness Index
  • Retrospective Studies
  • Ophthalmology & Optometry
  • Humans
  • Glaucoma, Open-Angle
  • Diagnostic Techniques, Ophthalmological
  • 3212 Ophthalmology and optometry
  • 1117 Public Health and Health Services
  • 1113 Opthalmology and Optometry
  • 1103 Clinical Sciences