Philadelphia glaucoma detection and treatment project: ocular outcomes and adherence to follow-up at a single health centre.
Can J Ophthalmol
; 54(6): 717-722, 2019 12.
Article
em En
| MEDLINE
| ID: mdl-31836105
ABSTRACT
OBJECTIVES:
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.DESIGN:
Retrospective chart review.PARTICIPANTS:
Patients from a community glaucoma screening program.METHODS:
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.RESULTS:
A total of 249 participants completed an eye examination (mean ageâ¯=â¯57.7 ± 6.9 years). Most were African American (nâ¯=â¯220; 88.4%); female (nâ¯=â¯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 (p < 0.001), prescribed eye drops (p < 0.001), or received laser therapy (pâ¯=â¯0.047) were factors most predictive of ophthalmic follow-up adherence.CONCLUSIONS:
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.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Glaucoma de Ângulo Aberto
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Cooperação do Paciente
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Serviços de Saúde Comunitária
Tipo de estudo:
Diagnostic_studies
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Guideline
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Can J Ophthalmol
Ano de publicação:
2019
Tipo de documento:
Article