Saturday, December 19, 2015

Pulling it all together - SLT for Glaucoma

In the past few posts we have gone through the steps to set up the diagnosis using the Diagnoses Tool™, defined the treatment in the Treatment Organizer™, and entered the data into the STAR™ Blocks. The last step is to use the Treatment Calculator™ to come up with a simple, understandable score of SLT laser for glaucoma.

Once we finish our STAR™ Blocks and return to the Treatment Score Calculator™, we will be given the Treatment Score™ based on our main statistic.  In the figure below, you'll see the Treatment Calculator™ for the evidence behind SLT for glaucoma.  Our prior posts outlined the selection of patients requiring additional therapy as the main statistic and entering the data from several studies into our STAR™ Blocks.


The left column gives us the diagnoses we entered into the Diagnoses Tool™, the main statistic, and the patient parameters. The third column analyzes our secondary statistics.  In our example here I included pain because some of the studies included this as a side effect and although it is temporary, it is something for us to consider.  This was created from a separate STAR™ Block I entered to address the statistic.  Finally, the center column delivers our Treatment Score™ and an explanation of the score. In this case, the evidence behind SLT laser entered into our Star Blocks gives us a Treatment Score™ of 70, which is assigned a grade of B. This is based on several randomized controlled trials which showed that SLT patients did not require additional therapy in the first year after laser in approximately 75% of cases and our assessment of pain as a secondary statistic.  The Treatment Calculator™ compiled and summarized these studies for us and gave us what appears to be an appropriate Treatment Score™.

While the score does reflect an objective measurement of the studies entered, we should be careful to understand that there are subjective inputs such as study selection, quality and relevance of the studies, and identification of the main and secondary statistics.  One of the beautiful things about Treatment Scores™ is that you can access this assessment and add studies, tweak subjective ratings, and assess different statistics to analyze the effects on the score.  This also underlies the reason that Treatment Scores™ must only be used as part of your assessment of the overall literature, and not to affect the diagnosis or treatment of any individual patient, whom all have specific, individual considerations that require a formal consultation with a physician.  This is the art of medicine which physicians are keenly astute to and Treatment Scores™ should not and does not influence. (See the disclaimers below.)

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You must consult your own licensed physician, or other licensed medical professional, for diagnosis, treatment, and for the interpretation of all medical statistics including SOM® Treatment Scores. Treatment Scores are for educational purposes only. Treatment Scores may be incomplete, inaccurate, harmful, or even cause death if used for treatment instead of consulting a licensed medical professional. No medical advice is being given. We DO NOT CLAIM to cure, treat, or prevent any illness or condition. Nor do our services provide medical advice or constitute a physician patient relationship. Contact a physician or other medical professional if you suspect that you are ill. Call emergency services (call 911 if available) or go to the nearest emergency room if an emergency is suspected. We are not responsible for any delays in care from using our website, our services, or for any other reason. We are not responsible for any consequential damages of any nature whatsoever. We make no warranties of any kind in connection with our writings or the use of TreatmentScoresBlog.com or TreatmentScores.com. Treatment Scores are about what happened in the past they do not predict the future.

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