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General Internal Medicine • Rheumatology • Hydroxychloroquine • General Rheumatology • Ophthalmology • Dermatology • General Dermatology • Systemic autoimmune diseases • RheumMadness
How do you optimize retinopathy screening schedules for patients on hydroxychloroquine while also prioritizing cost-effectiveness?
This question is part of a collaboration with RheumMadness and is specifically in reference to: Cost Effectiveness of HCQ Screening.
Answer from: at Community Practice
I'll approach this from the cost-effectiveness standpoint as I agree with Drs. @Erica L. Benvenutti and @James Rosenbaum on their excellent points.Patients with SLE have remarkably high costs when you add up copays, medications, imaging studies, travel, missing work, etc. Anything we can do to help ...
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Answer from: at Community Practice
The American College of Rheumatology joined with the American Academy of Dermatology, the Rheumatologic Dermatology Society, and the American Academy of Ophthalmology to accept the recommendations of the American Academy of Ophthalmology (Rosenbaum et al., PMID 33559327) regarding this screening for...
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at Mobile Medical Care Inc
The practical side of me asks the patient to get a...
The practical side of me asks the patient to get a...
at Hill Country Dermatology
Thank you from the source "all things EYES".
Thank you from the source "all things EYES".
Answer from: at Academic Institution
I usually recommend an eye exam within the first year of starting TX. HCQ takes time to kick in, up to 6 months, so there is a chance I am seeing these patients biannually. I do check HCQ levels to guide dosing/compliance. I do recommend they get OCT macula and 10-2 HVF to monitor the central vision...