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Submitted: 06 March 2014 Modified: 06 March 2014
HERDIN Record #: PCHRD14030616532338

Awareness and practice patterns of pediatricians regarding retinopathy of prematurity: A multicenter study.

1Nikki Doreen Angbue Te,
2Marie Joan Loy,
3Carlos Emmanuel Chua,
4Jose Melvin Jimenez,
5Rachelle Anzures
International Eye Institute - St. Luke's Medical Center

Abstract

Objective: To assess the level of awareness and practice patterns of pediatricians in various government and private hospitals in the Philippines regarding retinopathy of prematurity (ROP).

Methods: This is a prospective, multicenter, cross-sectional study of the practice profile and awareness of pediatricians of the Philippine Pediatric Society (PPS) ROP screening recommendations. Six hundred self administered questionnaires were distributed to pediatricians from 40 randomly selected government and private hospitals in the Philippines between July and September 2013. Frequency distribution for each data was noted. Association of referral rates, distribution of barriers, and availability of protocol among the subgroups were analyzed using chi square.

Results: A total of 409 eligible surveys were analyzed with a response rate of 68.1%. 92% of the respondents referred their at-risk preterm babies to ophthalmologists for ROP screening. Of those who referred, 57% considered a cut-off value of less than 32 weeks age of gestation, and 45% considered a cut-off value of less than 1500g birth weight. 47% referred at 4-6 weeks post-natal age, and 48% had a protocol for ROP screening. Only 19% were aware of the PPS ROP screening recommendations. The major barrier encountered was the inability of the families to follow up after discharge (41%). Higher referral rates were noted from private institutions (p=0.013) and tertiary hospitals (p=0.019), including those with a protocol on ROP screening (p=0.002).

Conclusion: Majority of the respondents referred their at-risk preterm babies for ROP screening. A significant proportion was unaware of the PPS ROP screening guidelines. More than half do not have an established protocol. There were variations in practice patterns of the pediatricians in referring babies at-risk for ROP. Based on these, there is still a need to increase awareness among pediatricians. A uniform, national, published guideline on ROP screening, establishment of referral systems, and training of qualified ophthalmologists are recommended.

1.
Publication Type:
Journal
Publication Sub Type:
Journal Article, Original
Title:
Philippine Journal of Ophthalmology
Frequency:
Semi-Annual
Publication Date:
July-December 2013
Volume:
38
Issue:
2
Page(s):
86-93
Publisher:
Philippine Academy of Ophthalmology

LocationCall NumberAvailable FormatAvailability
Philippine Council for Health Research and Development Library Fulltext pdf (Request Document)
Philippine Council for Health Research and Development Library Box No. 62 Fulltext Print Format (Request Document)
Philippine Academy of Ophthalmology Abstract External Link (View)