Variations in medical practice of retinopathy of prematurity among 8 Asian countries from an international survey
Advances in perinatal care have led to the increased survival of preterm infants with subsequent neonatal morbidities, such as retinopathy of prematurity (ROP). This study aims to compare the differences of neonatal healthcare systems, resources, and clinical practice concerning ROP in Asia with rev...
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th-mahidol.902462023-09-30T01:02:31Z Variations in medical practice of retinopathy of prematurity among 8 Asian countries from an international survey Youn Y.A. Mahidol University Multidisciplinary Advances in perinatal care have led to the increased survival of preterm infants with subsequent neonatal morbidities, such as retinopathy of prematurity (ROP). This study aims to compare the differences of neonatal healthcare systems, resources, and clinical practice concerning ROP in Asia with review of current literature. An on-line survey at the institutional level was sent to the directors of 336 neonatal intensive care units (NICU) in 8 collaborating national neonatal networks through the Asian Neonatal Network Collaboration (AsianNeo). ROP screening was performed in infants born at < 34 weeks in Indonesia and Japan. In South Korea, Malaysia, and Taiwan, most screened for ROP in infants born at < 32 weeks. In all networks, majority of NICUs conducted ROP screening to infants with birth weight < 1500 g. In most NICU's in-hospital ophthalmologists performed indirect ophthalmoscopy and some were supplemented with digital imaging. Both laser photocoagulation and anti-vascular endothelial growth factor injection are performed for treatment and, vitreous surgeries are conducted less frequently in all countries. Despite limited information collected by the survey, this first study to compare ROP practices implemented in eight Asian countries through AsianNeo will enable an understanding of the differences and facilitate quality improvement by sharing better practices. 2023-09-29T18:02:31Z 2023-09-29T18:02:31Z 2023-09-20 Article Scientific reports Vol.13 No.1 (2023) , 15602 10.1038/s41598-023-42432-3 20452322 37730731 2-s2.0-85171810959 https://repository.li.mahidol.ac.th/handle/123456789/90246 SCOPUS |
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Multidisciplinary Youn Y.A. Variations in medical practice of retinopathy of prematurity among 8 Asian countries from an international survey |
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Advances in perinatal care have led to the increased survival of preterm infants with subsequent neonatal morbidities, such as retinopathy of prematurity (ROP). This study aims to compare the differences of neonatal healthcare systems, resources, and clinical practice concerning ROP in Asia with review of current literature. An on-line survey at the institutional level was sent to the directors of 336 neonatal intensive care units (NICU) in 8 collaborating national neonatal networks through the Asian Neonatal Network Collaboration (AsianNeo). ROP screening was performed in infants born at < 34 weeks in Indonesia and Japan. In South Korea, Malaysia, and Taiwan, most screened for ROP in infants born at < 32 weeks. In all networks, majority of NICUs conducted ROP screening to infants with birth weight < 1500 g. In most NICU's in-hospital ophthalmologists performed indirect ophthalmoscopy and some were supplemented with digital imaging. Both laser photocoagulation and anti-vascular endothelial growth factor injection are performed for treatment and, vitreous surgeries are conducted less frequently in all countries. Despite limited information collected by the survey, this first study to compare ROP practices implemented in eight Asian countries through AsianNeo will enable an understanding of the differences and facilitate quality improvement by sharing better practices. |
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Mahidol University |
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Mahidol University Youn Y.A. |
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Youn Y.A. |
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Youn Y.A. |
title |
Variations in medical practice of retinopathy of prematurity among 8 Asian countries from an international survey |
title_short |
Variations in medical practice of retinopathy of prematurity among 8 Asian countries from an international survey |
title_full |
Variations in medical practice of retinopathy of prematurity among 8 Asian countries from an international survey |
title_fullStr |
Variations in medical practice of retinopathy of prematurity among 8 Asian countries from an international survey |
title_full_unstemmed |
Variations in medical practice of retinopathy of prematurity among 8 Asian countries from an international survey |
title_sort |
variations in medical practice of retinopathy of prematurity among 8 asian countries from an international survey |
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2023 |
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https://repository.li.mahidol.ac.th/handle/123456789/90246 |
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