Philadelphia glaucoma detection and treatment project: ocular outcomes and adherence to follow-up at a single health centre
| Autor: | Frederick V. Ramsey, Rita Eburuoh, Jeffrey D Henderer, Helayna Brown, Daohai Yu, Caroline Heres, Michael Waisbourd, Alisha Maity, Lisa A Hark, Katherine Donches, L. Jay Katz, Jonathan S. Myers, Jennifer Adeghate, Danielle Chuang, Kunal Malik, Jeanne Molineaux, Martin Schardt |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Visual acuity genetic structures Ocular Pathology medicine.medical_treatment Visual Acuity Glaucoma Aftercare Medically Underserved Area Trabeculectomy 03 medical and health sciences Underserved Population Tonometry Ocular 0302 clinical medicine medicine Humans Community Health Services Antihypertensive Agents Intraocular Pressure Aged Retrospective Studies Philadelphia Laser Coagulation medicine.diagnostic_test business.industry Retrospective cohort study General Medicine Middle Aged medicine.disease eye diseases Ophthalmology Eye examination Family medicine 030221 ophthalmology & optometry Patient Compliance Female sense organs medicine.symptom business Laser coagulation Glaucoma Open-Angle Follow-Up Studies |
| Zdroj: | Canadian journal of ophthalmology. Journal canadien d'ophtalmologie. 54(6) |
| ISSN: | 1715-3360 |
| Popis: | To determine ocular outcomes and factors associated with adherence to ophthalmic follow-up in a medically underserved population at a single health centre in Philadelphia.Retrospective chart review.Patients from a community glaucoma screening program.Chart review was conducted for participants who received a complete eye examination at the Philadelphia District Health Center 5 between January 1, 2012 and May 31, 2014 within the Philadelphia Glaucoma Detection and Treatment Project. Multivariate logistic regression was used to determine factors related to ophthalmic follow-up adherence.A total of 249 participants completed an eye examination (mean age = 57.7 ± 6.9 years). Most were African American (n = 220; 88.4%); female (n = 129; 51.8%). Forty-seven participants (18.9%) received glaucoma-related diagnoses, 20 (8.0%) were prescribed ocular medication, and 26 (10.4%) underwent laser therapy. Ninety (36.1%) attended their recommended follow-up eye examination at the health centre. Glaucoma-related diagnosis (p ≤ 0.001), recommendation of a 4- to 6-week follow-up period (p0.001), prescribed eye drops (p0.001), or received laser therapy (p = 0.047) were factors most predictive of ophthalmic follow-up adherence.The collaborative effort of eye care providers and health centres offers an important opportunity to detect, treat, and manage glaucoma and other ocular pathology in medically underserved communities. Having a glaucoma-related diagnosis, initiating treatment, and scheduling regular follow-up visits are the most important factors influencing adherence to follow-up eye appointments. |
| Databáze: | OpenAIRE |
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