Glaucoma - the significant challenge for the healthcare system in Poland
DOI:
https://doi.org/10.12775/JEHS.2022.12.07.004Keywords
glaucoma, glaucoma epidemiology, ophtalmic care, health care in PolandAbstract
Introduction
Glaucoma is a group of optic neuropathies characterized by progressive degeneration of retinal ganglion cells (RGCs) and visual field loss. Glaucoma is the leading cause of irreversible blindness in the world. The World Health Organization classifies it as a social and civilization disease and emphasizes the need to improve ophthalmic care systems in order to meet the constantly growing challenge for public health, which is glaucoma. The aim of this article is to identify the main problems that affect the health care system of patients with glaucoma in Poland.
Review methods
The review of literature on glaucoma was performed using the PubMed and Google Scholar databases. The latest available epidemiological data and the current legal acts concerning the health care system of patients with glaucoma in Poland were also analyzed.
Abbreviated description of the state of knowledge
The incidence of glaucoma in Poland is constantly increasing, due to the aging of the population. The insidious course of the disease, low public awareness and difficulties in access effective ophthalmic services mean that the disease is diagnosed too late, when significant damage to the optic nerve has already occurred. In addition, the poor mental health of patients, treatment difficulties related to the frequent comorbidity of general diseases and the use of other drug therapies, complicate the course of glaucoma and make it difficult to inhibit its progression.
Summary
Glaucoma is a significant challenge for public health and the healthcare system in Poland. Therefore, it is very important to take systemic measures as soon as possible that contribute to improve public awareness of eye diseases, increase the availability of ophthalmic care, early detection and appropriate monitoring of the course of glaucoma.
References
Weinreb RN, Aung T, Medeiros FA. The pathophysiology and treatment of glaucoma: a review. JAMA. 2014; 311(18): 1901–1911. https://doi.org/10.1001/jama.2014.3192
Nickells RW, Howell GR, Soto I, John SW. Under pressure: cellular and molecular responses during glaucoma, a common neurodegeneration with axonopathy. Annu Rev Neurosci. 2012; 35: 153–179. https://doi.org/10.1146/annurev.neuro.051508.135728
Kosior-Jarecka E, Żarnowski T. Jaskra. [Glaucoma]. In: Grzybowski A. Okulistyka. [Ophthalmology]. Wrocław. Edra Urban & Partner. 2018. 160-170. Polish.
European Glaucoma Society Terminology and Guidelines for Glaucoma, 5th Edition. Br J Ophthalmol. 2021; 105: 1-169. https://doi.org/10.1136/bjophthalmol-2021-egsguidelines.
GBD 2019 Blindness and Vision Impairment Collaborators; Vision Loss Expert Group of the Global Burden of Disease Study. Causes of blindness and vision impairment in 2020 and trends over 30 years, and prevalence of avoidable blindness in relation to VISION 2020: the Right to Sight: an analysis for the Global Burden of Disease Study. Lancet Glob Health. 2021; 9(2): 144-160. https://doi.org/10.1016/S2214-109X(20)30489-7.
Tham YC, Li X, Wong TY et al. Global prevalence of glaucoma and projections of glaucoma burden through 2040: a systematic review and meta-analysis. Ophthalmology. 2014; 121(11): 2081-2090. https://doi.org/10.1016/j.ophtha.2014.05.013.
World Health Organization. World report on vision. Geneva: WHO; 2019. https://apps.who.int/iris/handle/10665/328717 (access: 2022.04.15)
Zhang N, Wang J, Li Y et al. Prevalence of primary open angle glaucoma in the last 20 years: a meta-analysis and systematic review. Sci Rep. 2021; 11(1): 13762. https://doi.org/10.1038/s41598-021-92971-w.
Central Statistical Office of Poland. Demographic Yearbook of Poland 2021. Size and structure of population. Warsaw. Statistics Poland. 2021. 71-172. https://stat.gov.pl/en/topics/statistical-yearbooks/statistical-yearbooks/demographic-yearbook-of-poland-2021,3,15.html (access: 2022.04.16)
Central Statistical Office of Poland. Population projection 2014 – 2050. Warsaw. 2014. 126–153. https://stat.gov.pl/en/topics/population/population-projection/population-projection-2014-2050,2,5.html (access: 2022.04.16)
Główny Urząd Statystyczny. Stan zdrowia ludności Polski w przekroju terytorialnym w 2004 r. [Health status of the Polish population in 2014] Warszawa: GUS; 2007: 144-155. Polish. https://stat.gov.pl/obszary-tematyczne/zdrowie/zdrowie/stan-zdrowia-ludnosci-polski-w-przekroju-terytorialnym-w-2004-r,5,1.html (access: 2022.04.16)
Szmurło D, Fundament T, Kopeć G, et al. Dostęp do opieki okulistycznej w Polsce. Podejście systemowe. Najważniejsze problemy związane z dostępem doświadczeń okulistycznych. [Access to ophthalmic care in Poland. Systems approach. The most important problems related to the access of ophthalmic experiments]. CEESTAHC. Kraków, 2012. Polish. https://www.ceestahc.org/pliki/nasze_publikacje/raporty/Dostep_do_opieki_okulistycznej_w_Polsce.pdf (access: 2022.04.20)
Polskie Towarzystwo Okulistyczne. Jaskra – podstawowe informacje. [Glaucoma - basic information]. Medycyna Praktyczna, 2015. Polish. https://www.mp.pl/okulistyka/okulistyka-dla-nieokulistow/artykuly/117640,jaskra-podstawowe-informacje (access: 2022.04.20)
Marshall LL, Hayslett RL, Stevens GA. Therapy for Open-Angle Glaucoma. Consult Pharm. 2018; 33(8): 432-445. https://doi.org/10.4140/TCP.n.2018.432.
Szaflik J, Misiuk-Hojło M, Mrukwa-Kominek E, et al. Wytyczne diagnostyki i leczenia jaskry (aktualizacja 2020). [Guidelines for the diagnosis and treatment of glaucoma (updated 2020)]. Polskie Towarzystwo Okulistyczne, 2020. Polish.
Zarządzenie Nr 182/2019/DSOZ Prezesa Narodowego Funduszu Zdrowia z dnia 31 grudnia 2019 r. w sprawie określenia warunków zawierania i realizacji umów o udzielanie świadczeń opieki zdrowotnej w rodzaju ambulatoryjna opieka specjalistyczna. [Ordinance No. 182/2019/DSOZ of the President of the National Health Fund of December 31, 2019 on determining the conditions for concluding and implementing contracts for the provision of healthcare services such as outpatient specialist]. https://sip.lex.pl/akty-prawne/dzienniki-resortowe/okreslenie-warunkow-zawierania-i-realizacji-umow-o-udzielanie-35715214 (access: 2022.04.21)
Stankiewicz A, Misiuk-Hojło M, Ulińska M, et al. Zatrzymać epidemię ślepoty. Medyczny, społeczny i ekonomiczny obraz schorzeń siatkówki oka. [Stop the epidemic of blindness. Medical, social and economic view of retinal diseases]. AMD Stowarzyszenie Zwyrodnienia Plamki Związanego Z Wiekiem, Polski Związek Niewidomych, Retina AMD Polska. Warszawa; 2012. Polish.
Załącznik do obwieszczenia Ministra Zdrowia z dnia 27 sierpnia 2021 r. (poz. 69) w sprawie mapy potrzeb zdrowotnych. Mapa potrzeb zdrowotnych na okres od 1 stycznia 2022 r. do 31 grudnia 2026 r. [Map of health needs for the period from January 1, 2022 to December 31, 2026]. Dziennik Urzędowy Ministra Zdrowia. Warszawa, 2021. http://dziennikmz.mz.gov.pl/legalact/2021/69/ (access: 2022.04.25)
Ustawa z dnia 22 lipca 2014 r. o zmianie ustawy o świadczeniach opieki zdrowotnej finansowanych ze środków publicznych oraz niektórych innych ustaw (Dz. U. 2014.1138). https://isap.sejm.gov.pl/isap.nsf/DocDetails.xsp?id=wdu20140001138 (access: 2022.04.25)
Tanaka F, Shibatani N, Fujita K, et al. Polypharmacy-associated potential contraindications of drug prescriptions in patients with primary angle closure disease in a real-world setting. J Pharm Health Care Sci. 2021; 7(1):17. https://doi.org/10.1186/s40780-021-00196-w.
Negri L, Ferreras A, Iester M. Timolol 0.1% in Glaucomatous Patients: Efficacy, Tolerance, and Quality of Life. J Ophthalmol. 2019; 4146124. https://doi.org/10.1155/2019/4146124.
Bui T, Duong H. Muscarinic Agonists. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022. https://www.statpearls.com/ArticleLibrary/viewarticle/25378 (access: 2022.04.29)
Morthen MK, Magno MS, Utheim TP, Snieder H, Hammond CJ, Vehof J. The physical and mental burden of dry eye disease: A large population-based study investigating the relationship with health-related quality of life and its determinants. Ocul Surf. 2021;21:107-117. https://doi.org/10.1016/j.jtos.2021.05.006
Wu N, Kong X, Sun X. Anxiety and depression in Chinese patients with glaucoma and its correlations with vision-related quality of life and visual function indices: a cross-sectional study. BMJ Open. 2022; 12(2): 046194. https://doi.org/10.1136/bmjopen-2020-046194.
Hill-Bator A., Niżankowska M., Kuczyńska A. Profil psychologiczny pacjentów z jaskrą pierwotną. [Psychological profile of patients with primary glaucoma]. Magazyn Lekarza Okulisty. 2008; 4: 258-259. Polish.
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Copyright (c) 2022 Natalia Osial, Agnieszka Kaczyńska, Adrianna Gorecka, Piotr Stępień, Dorota Pożarowska, Tomasz Żarnowski
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