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M.M. Bikbov, A.E. Babushkin, E.N. Matyukhina
Evaluation of epidemiological indices of glaucoma and efficiency of prophylactic medical examination in the Republic of Bashkortostan
ABSTRACT
Evaluation of epidemiological indices of glaucoma and efficiency of prophylactic medical examination in the Republic of Bashkortostan
M.M. Bikbov, A.E. Babushkin, E.N. Matyukhina
The Ufa Research Institute of Ocular Diseases of the Academy of Sciences of the Republic of Bashkortostan, Ufa
Purpose. To study basic epidemiological indices of glaucoma for 1999 and 2012 and an efficiency of the prophylactic medical examination in the Republic of Bashkortostan (RB).
Material and methods. The study was performed on the basis of the data of annual republic reports of the Ufa Research Institute of Ocular Diseases for 1999 and 2012, reports of the Principal Bureau of Medical-Social Examination of the Republic of Bashkortostan as well as an analysis of outpatient treatment protocols of 300 POAG patients (598 eyes).
Results. There was revealed an increase in quantity of glaucoma patients in the Republic of Bashkortostan — by 63.8% (from 15852 in 1999 to 25968 in 2012), the incidence of primary open angle glaucoma (POAG) — by 37.5% (from 89.8 to 123.5 cases per 10,000 population over 40 years), the morbidity — by 66.7% (from 9.3 to 15.5), primary disability due to glaucoma — 2.7 times (from 14.3% to 38.7%, respectively). The POAG progression after 2-4 years of dispensary follow up, took place in 24.8% of cases, 5-9 years — in 50.2% of cases and more than 10 years in 65.6% of cases.
At the time of dispensary registration of the patients and their last examination the monotherapy was administered as a hyportensive treatment in the majority of cases (84.6% and 75.1%), which was presented by beta adrenoblockers almost 90%.
The target IOP level was not achieved in 57.0% of cases.
Administered hypotensive drops are not always regularly used by patients (20.0%). Within the period of dispensary follow up the surgical treatment was required in 13.7% of cases, thereat 59.8% in the stages III and IV. Neuroprotective therapy was regularly carried out only in 16% of cases.
Conclusion. It was noted an increase in the POAG incidence during the past 14 years. The share of glaucoma in the structure of primary vision disability increased in 2.7 times for the examined period. The study revealed an insufficient efficacy in the system of dispensary follow up and outpatient phase of treatment in POAG patients.
Key words: glaucoma, prevalence, disease incidence, primary disability, prophylactic medical examination.
Evaluation of epidemiological indices of glaucoma and efficiency of prophylactic medical examination in the Republic of Bashkortostan
M.M. Bikbov, A.E. Babushkin, E.N. Matyukhina
The Ufa Research Institute of Ocular Diseases of the Academy of Sciences of the Republic of Bashkortostan, Ufa
Purpose. To study basic epidemiological indices of glaucoma for 1999 and 2012 and an efficiency of the prophylactic medical examination in the Republic of Bashkortostan (RB).
Material and methods. The study was performed on the basis of the data of annual republic reports of the Ufa Research Institute of Ocular Diseases for 1999 and 2012, reports of the Principal Bureau of Medical-Social Examination of the Republic of Bashkortostan as well as an analysis of outpatient treatment protocols of 300 POAG patients (598 eyes).
Results. There was revealed an increase in quantity of glaucoma patients in the Republic of Bashkortostan — by 63.8% (from 15852 in 1999 to 25968 in 2012), the incidence of primary open angle glaucoma (POAG) — by 37.5% (from 89.8 to 123.5 cases per 10,000 population over 40 years), the morbidity — by 66.7% (from 9.3 to 15.5), primary disability due to glaucoma — 2.7 times (from 14.3% to 38.7%, respectively). The POAG progression after 2-4 years of dispensary follow up, took place in 24.8% of cases, 5-9 years — in 50.2% of cases and more than 10 years in 65.6% of cases.
At the time of dispensary registration of the patients and their last examination the monotherapy was administered as a hyportensive treatment in the majority of cases (84.6% and 75.1%), which was presented by beta adrenoblockers almost 90%.
The target IOP level was not achieved in 57.0% of cases.
Administered hypotensive drops are not always regularly used by patients (20.0%). Within the period of dispensary follow up the surgical treatment was required in 13.7% of cases, thereat 59.8% in the stages III and IV. Neuroprotective therapy was regularly carried out only in 16% of cases.
Conclusion. It was noted an increase in the POAG incidence during the past 14 years. The share of glaucoma in the structure of primary vision disability increased in 2.7 times for the examined period. The study revealed an insufficient efficacy in the system of dispensary follow up and outpatient phase of treatment in POAG patients.
Key words: glaucoma, prevalence, disease incidence, primary disability, prophylactic medical examination.
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