Predictors of patient compliance with follow-up visits after cataract surgery
| Autor: | Ravilla D. Ravindran, Sachin Gupta, Thulasiraj Ravilla, Ashok Vardhan S, Ganesh-Babu B. Subburaman |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty medicine.medical_treatment Visual Acuity MEDLINE Aftercare India Patient characteristics After cataract Cataract Extraction Refraction Ocular Tertiary Care Centers 03 medical and health sciences Sex Factors 0302 clinical medicine Lens Implantation Intraocular medicine Humans Patient compliance Aged Retrospective Studies Phacoemulsification business.industry Age Factors Retrospective cohort study Targeted interventions Middle Aged Cataract surgery Sensory Systems Surgery Ophthalmology 030221 ophthalmology & optometry Patient Compliance Female business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Cataract and Refractive Surgery. 45:1105-1112 |
| ISSN: | 0886-3350 |
| DOI: | 10.1016/j.jcrs.2019.02.024 |
| Popis: | To identify patient characteristics associated with follow-up compliance and to draw implications for better cataract treatment services.Aravind Eye Hospital, Madurai, India.Retrospective case study.The data of all cataract surgeries performed in 2015 were analyzed. After each surgery, patients were asked to return for follow-up after 1 month. The follow-up rates were compared between patients with different demographic characteristics, surgical factors, and preoperative and discharge visual acuities. The behaviors of patients who complied with the follow-up advice were analyzed, including the number of days from surgery to follow-up and number of follow-up visits. Multivariate regression models were used to identify predictors associated with these behaviors.The overall follow-up rate for the 86 776 surgeries analyzed was 85.6%. Patients more likely to follow-up were women, younger than 70 years, and paying (versus subsidized or free) and had phacoemulsification rather than manual small-incision cataract surgery (all P .001). Patients who had complications, reoperations, or poorer visual acuity at discharge were less likely to comply with the follow-up advice (P .001).Targeted interventions to boost follow-up rates should be directed to patients with the characteristics found in this study. Furthermore, average measures of visual outcomes at 4 weeks are likely to be overstated relative to the truth. |
| Databáze: | OpenAIRE |
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