title: [Treatment delay in patients with first episode of retinal detachment in the studied eye in Midi-Pyrénées].
abstract: BACKGROUND
  Retinal detachment (RD) is a potentially blinding condition. Delay in management is a major prognostic factor. In our study, we analyzed the treatment delay for retinal detachments in the Midi-Pyrenees area, and factors which may influence it.
  
  
  METHODS
  Observational, cross-sectional, multicentric study, carried out over a 6-month period.
  
  
  METHODS
  time between diagnosis and surgery. Secondary outcome: time between first symptoms and surgery. Non-parametric tests were used to analyze the influence of sociodemographic features, clinical features, distance between home and surgical center, and occurrence over a weekend.
  
  
  RESULTS
  One hundred and fiftty-nine patients were included. The mean time between diagnosis and surgery was 4.4 ± 12.3 days (2.7 ± 4.3 for recent RD, less than 1 month), and was increased by the presence of a weekend (P<0.001), or of a weekend with public holiday (P=0.023), and by macular detachment (P=0.008). The mean time between first symptoms and surgery was 12.0 days and was increased by the absence of RD history (P=0.023), and by macular detachment (P=0.046). No association was observed between these times to surgery and the distance between the patient's home address and the place of surgery.
  
  
  CONCLUSIONS
  The time between diagnosis and surgery was relatively short in the Midi-Pyrénées area, but we often noted a delayed diagnosis, which may be due to the patient's lack of awareness of the symptoms and difficult access to specialty consultations. However, no relationship was found between this time-to-surgery and the distance between the patient's home and the surgical center.
authors.affiliation: Unité rétine, CHU Toulouse-Purpan, pavillon Pierre-Paul-Riquet, place du Docteur-Baylac, TSA 40031, 31059 Toulouse, France. Electronic address: caroline.tolou@ymail.com.
authors.forename: C
authors.initials: C
authors.lastname: Tolou
authors.affiliation: Unité rétine, CHU Toulouse-Purpan, pavillon Pierre-Paul-Riquet, place du Docteur-Baylac, TSA 40031, 31059 Toulouse, France.
authors.forename: L
authors.initials: L
authors.lastname: Mahieu-Durringer
authors.affiliation: Unité rétine, CHU Toulouse-Purpan, pavillon Pierre-Paul-Riquet, place du Docteur-Baylac, TSA 40031, 31059 Toulouse, France.
authors.forename: M
authors.initials: M
authors.lastname: Cassagne
authors.affiliation: Unité rétine, CHU Toulouse-Purpan, pavillon Pierre-Paul-Riquet, place du Docteur-Baylac, TSA 40031, 31059 Toulouse, France.
authors.forename: S
authors.initials: S
authors.lastname: Hamid
authors.affiliation: Unité de soutien méthodologique à la recherche, service d'épidémiologie, CHU de Toulouse, 31000 Toulouse, France.
authors.forename: R
authors.initials: R
authors.lastname: Billette de Villemeur
authors.affiliation: Clinique Caves, 82000 Montauban, France.
authors.forename: V
authors.initials: V
authors.lastname: Gualino
authors.affiliation: Clinique de l'Union, 31240 Saint-Jean, France.
authors.forename: A
authors.initials: A
authors.lastname: Susini
authors.affiliation: Unité rétine, CHU Toulouse-Purpan, pavillon Pierre-Paul-Riquet, place du Docteur-Baylac, TSA 40031, 31059 Toulouse, France.
authors.forename: V
authors.initials: V
authors.lastname: Pagot Mathis
authors.affiliation: Unité de soutien méthodologique à la recherche, service d'épidémiologie, CHU de Toulouse, 31000 Toulouse, France.
authors.forename: A
authors.initials: A
authors.lastname: Gallini
authors.affiliation: Unité rétine, CHU Toulouse-Purpan, pavillon Pierre-Paul-Riquet, place du Docteur-Baylac, TSA 40031, 31059 Toulouse, France; Laboratoire GR2DE, EA4555, centre de physiopathologie Toulouse-Purpan, 31000 Toulouse, France.
authors.forename: V
authors.initials: V
authors.lastname: Soler
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D015897:Comorbidity; D003430:Cross-Sectional Studies; D057210:Delayed Diagnosis; D019468:Disease Management; D005602:France / Q000453:epidemiology; D006801:Humans; D009216:Myopia / Q000453:epidemiology; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D011379:Prognosis; D019591:Pseudophakia; D012163:Retinal Detachment / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology / Q000601:surgery*; D012189:Retrospective Studies; D012959:Socioeconomic Factors; D018709:Statistics, Nonparametric; D013531:Surgicenters / Q000600:supply & distribution; D013997:Time Factors; D014195:Travel
chemical_list: D000925:Anticoagulants; D010975:Platelet Aggregation Inhibitors
keywords: Chirurgie; Décollement de rétine rhegmatogène; Délai de prise en charge; Emergency; Rhegmatogenous retinal detachment; Surgery; Timing; Treatment delay; Urgence