Patient ignorance is the main reason for treatment delay in primary rhegmatogenous retinal detachment in The Netherlands
| Autor: | A Kijlstra, Fred Hendrikse, Albert T.A. Liem, E. C. La Heij, Fleur Goezinne, Tos T. J. M. Berendschot, C. A. B. Webers, L S Koetsier, J. G. M. M. Hoevenaars, Nayyirih G. Tahzib |
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| Přispěvatelé: | Oogheelkunde, RS: CAPHRI School for Public Health and Primary Care, RS: NUTRIM - R1 - Metabolic Syndrome |
| Jazyk: | angličtina |
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male Health Knowledge Attitudes Practice medicine.medical_specialty Adolescent Referral Eye disease Posterior vitreous detachment Health Services Accessibility surgery Young Adult medicine Humans In patient Prospective Studies Aged Netherlands Aged 80 and over business.industry Reason for Treatment Research posterior vitreous detachment Retinal Detachment Retinal detachment Middle Aged Patient Acceptance of Health Care visual recovery medicine.disease eye diseases Surgery Ophthalmology Vitreous hemorrhage symptoms Female business Wageningen Livestock Research Onderzoek Retinopathy |
| Zdroj: | Eye, 23(6), 1393-1399. Nature Publishing Group Eye, 23(6), 1393-1399 Eye 23 (2009) 6 |
| ISSN: | 0950-222X |
| DOI: | 10.1038/eye.2008.272 |
| Popis: | Aims Treatment delay of progressive vision-threatening conditions should be minimal. In this study, the treatment delay of patients with a rhegmatogenous retinal detachment (RRD) undergoing retinal detachment surgery was quantified, and causes for this delay were evaluated. Materials and methods Consecutive patients (n = 205) presenting with a primary RRD between June 2006 and June 2007 at the tertiary referral center (TRC) were interviewed. Five categories of delay were discerned in the following: 'patient delay,' 'general practitioner's delay,' 'referring ophthalmologist's delay,' 'delay at the TRC' and 'delay before surgery at the TRC'. In addition, overall delay was calculated. Results In total, 186 eyes were included in the analysis. Median overall delay between the patients' first symptoms and RRD surgery was 10 days. Almost 60% of this overall delay time was due to patient delay and the delay of the general practitioner. More than 50% of patients had a delay owing to unawareness of the symptoms. The median patient delay was significantly lower in patients with a vitreous hemorrhage and in patients with a history of a RRD in the fellow eye. Conclusions The major reason for patient delay with a RDD was the patients' unawareness and unfamiliarity with the symptoms of a retinal detachment. Eye (2009) 23, 1393-1399; doi:10.1038/eye.2008.272; published online 12 September 2008 |
| Databáze: | OpenAIRE |
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