Comparison of Outcomes of Glaucoma Screening in Primary Care and Community Settings.
Ophthalmic Epidemiol
; 26(5): 355-359, 2019 10.
Article
em En
| MEDLINE
| ID: mdl-31204530
ABSTRACT
Purpose:
To compare outcomes of glaucoma screening in primary care and community settings, including the follow-up rates of subjects with positive screening results.Methods:
This was a comparative, prospective, non-randomized study. Subjects were recruited by medical students in community-based and primary care settings and screened for glaucoma using the same screening strategy.Results:
Two hundred and fifteen total patients were screened, 117 in community settings and 98 in primary care settings. Positive screenings were seen in 34% of patients in the community setting group (n = 40) and 40% of patients in the primary care setting group (n = 39). Of the patients who screened positive, 74% completed their initial follow-up appointment in the primary care setting group compared with 47.5% in the community-based setting group (p = .015). In the primary care setting, 18% were lost to follow up compared with 42.5% in the community-setting (P = .018). African-Americans were more likely to follow-up (P = .025) and less likely to be lost to follow-up (P = .033) in the primary care setting compared with the community-based setting.Conclusion:
Patients with a positive glaucoma screening result in a primary care setting are more likely to follow up than those in a community-based setting.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
/
Glaucoma
/
Centros Comunitários de Saúde
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article