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| Name | Class |
|---|---|
| Norwegian University of Science and Technology | OTHER |
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Anti-VEGF agents are given for a variety of previously untreatable eye diseases. The last years indications for their use and consequently the number of patients needing treatment, have been increasing. Most patients require multiple injections. This has resulted in many eye departments administering thousands of injections per year, also at St Olavs University Hospital Trondheim. To cope with this increase in workload, it would be helpful if injections would be given not only by the physicians but also by the nurses. This study's objective is to compare efficiency, patient satisfaction and cost per patient of injections given by nurses and physicians.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| nurse | Experimental | intravitreal injections with anti-VEGF agents given by a nurse |
|
| physician | Active Comparator | intravitreal injections with anti-VEGF agents given by a physician |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| intravitreal injections given by a nurse | Procedure |
| ||
| intravitreal injections given by a physician |
| Measure | Description | Time Frame |
|---|---|---|
| change in visual acuity | Mean change in visual acuity from baseline to 12 months, tested on ETDRS letter chart | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| incidence of ocular adverse events | from baseline to 12 months | |
| patient satisfaction | questionnaire after the first treatment will be compared with questionnaire after 12 months | 12 months |
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Inclusion Criteria:
Exclusion Criteria:
-
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| Name | Affiliation | Role |
|---|---|---|
| Marit Fagerli, md | St. Olavs Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St Olavs Hospital, Department of Ophthalmology | Trondheim | Norway |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27716253 | Background | Austeng D, Morken TS, Bolme S, Follestad T, Halsteinli V. Nurse-administered intravitreal injections of anti-VEGF: study protocol for noninferiority randomized controlled trial of safety, cost and patient satisfaction. BMC Ophthalmol. 2016 Oct 1;16(1):169. doi: 10.1186/s12886-016-0348-4. | |
| 31267688 | Result |
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| ID | Term |
|---|---|
| D005128 | Eye Diseases |
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| ID | Term |
|---|---|
| D058449 | Intravitreal Injections |
| ID | Term |
|---|---|
| D056965 | Injections, Intraocular |
| D007267 | Injections |
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
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| Procedure |
|
| Intravitreal injections | Procedure |
|
| Anti-VEGF agents | Drug |
|
|
| Bolme S, Morken TS, Follestad T, Sorensen TL, Austeng D. Task shifting of intraocular injections from physicians to nurses: a randomized single-masked noninferiority study. Acta Ophthalmol. 2020 Mar;98(2):139-144. doi: 10.1111/aos.14184. Epub 2019 Jul 3. |
| 36890535 | Derived | Bolme S, Austeng D, Morken TS, Follestad T, Halsteinli V. Cost consequences of task-shifting intravitreal injections from physicians to nurses in a tertiary hospital in Norway. BMC Health Serv Res. 2023 Mar 8;23(1):229. doi: 10.1186/s12913-023-09186-0. |
| D013812 |
| Therapeutics |