Factors Associated with Failure to Follow Up after Glaucoma Screening

Gwira, Jane; Vistamehr, Setareh; Shelsta, Heather N.; Bashford, Kent P.; Forster, Susan; P, Palmisano; Shafranov, George; Shields, M. Bruce

doi:10.1016/j.ophtha.2006.04.017

Cited by 33 publications

(31 citation statements)

References 20 publications

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“…Though in a practical sense the difference was small (9 miles for those who had an exam versus 13 miles for those who did not), it was statistically significant. Lack of adequate transportation has often been found to be a significant limiting factor in receiving follow up medical care 20,21. One solution may be to provide free transportation.…”

Section: Discussionmentioning

confidence: 99%

Glaucoma Public Service Announcements: Factors Associated with Follow-up of Participants with Risk Factors for Glaucoma

Hoffelt¹,

Fallon²,

Wong³

et al. 2011

Ophthalmology

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Purpose-To determine the prevalence of follow-up and factors associated with completing an eye exam after a glaucoma public service announcement. Design-Cross-sectional observational studyParticipants-Individuals who participated in the Glaucoma EyeCare Program by calling a tollfree telephone number and receiving referral by meeting inclusion criteria. Methods-TheGlaucoma EyeCare Program uses public service announcements to encourage those at increased risk for glaucoma to obtain an eye exam. The program requires interested persons to dial a toll-free telephone number to collect demographic, medical, and socioeconomic information, and refers those at higher risk of glaucoma to an ophthalmologist for a free eye exam. The ophthalmologist completes an outcome form, which indicates whether the participant obtained an eye exam, and the results of this eye exam. We determined the factors associated with obtaining an eye exam. Main Outcome Measures-Sociodemographic characteristics associated with obtaining an eye exam after referral through the Glaucoma EyeCare ProgramResults-Ophthalmologists returned outcome forms for 24% (1514/6343) of participants. Of those with outcome forms, 671 (44.3%) had an eye exam, 756 (49.9%) did not make an appointment, and 87 (5.7%) made an appointment but did not complete the exam. A multivariate logistic regression model showed younger age, female gender, lack of health insurance, medical history of diabetes, and shorter distance to be associated with obtaining an eye exam. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Conclusion-Public NIH Public Access Author ManuscriptOphthalmology. Author manuscript; available in PMC 2012 July 1. We were interested in the proportion of participants who have an eye exam after the Glaucoma EyeCare Program identifies them as having a higher risk for the development of glaucoma and eligible for an eye exam. Glaucoma screenings with frequency doubling technology perimetry result in 40% to 70%5 , 6 of screening failures having an eye exam. To our knowledge, no study has reported the ability of public service announcements to encourage participants to have an eye exam and the factors associated with obtaining an eye exam. This information will provide guidance for designing and enhancing glaucoma public service announcements in the future to decrease the risk of undiagnosed glaucoma. MethodsThe Glaucoma EyeCare Program provided the authors with a de-identified database. The Institutional Review Board (IRB) of Legacy Health System approved this study. Participants and data collectionThe Glaucoma EyeCare Pro...

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Section: Discussionmentioning

confidence: 99%

Glaucoma Public Service Announcements: Factors Associated with Follow-up of Participants with Risk Factors for Glaucoma

Hoffelt¹,

Fallon²,

Wong³

et al. 2011

Ophthalmology

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“…3,4 Recently, much attention has been given to nonadherence to prescribed glaucoma medication regimens as an important predictor of adverse outcomes. 11,21 Remarkably little attention, however, has been given to inconsistent adherence to recommended follow-up visits as a predictive factor for vision loss. The physician treating glaucoma has many treatment options, including medications, laser trabeculoplasty, and incisional glaucoma surgery, all of which can lower IOP.…”

Section: Commentmentioning

confidence: 99%

Racial and Ethnic Disparities in Adherence to Glaucoma Follow-up Visits in a County Hospital Population

Murakami¹

2011

Arch Ophthalmol

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individuals with glaucoma, with 1-to-1 matching of patients (those with inconsistent follow-up) and controls (those with consistent follow-up). Data were collected via oral questionnaire. Survey results were correlated with attendance at follow-up examinations, using the t test, 2 test, and multivariate stepwise logistic regression analysis to calculate the odds ratios (ORs) and 95% confidence intervals. Results: After adjusting for covariates in the logistic regression analysis, factors independently associated with inconsistent follow-up included black race (adjusted OR, 7.16; 95% confidence interval, 1.64-31.24), Latino eth-nicity (adjusted OR, 4.77; 1.12-20.29), unfamiliarity with necessary treatment duration (adjusted OR, 3.54; 1.26-9.94), lack of knowledge of the permanency of glaucomainduced vision loss (adjusted OR, 3.09; 1.18-8.04), and perception that it is not important to attend all follow-up visits (adjusted OR, 3.54; 1.26-9.94). Conclusions: Demographic factors, including race and ethnicity, may directly or indirectly affect adherence to recommended glaucoma follow-up visits. Lack of information regarding irreversible vision loss from glaucoma, need for lifelong treatment, and lack of visual symptoms may be significant barriers to follow-up in this population. Targeted glaucoma education by physicians may improve follow-up, thereby decreasing the morbidity associated with glaucomatous disease.

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“…In the USA, a cross sectional study of 273 African-American participants in a glaucoma screening programme conducted during 2002 found that not having a car more than doubled the risk of subsequent non-adherence with follow-up. 86…”

Section: Studies From North Americamentioning

confidence: 99%

Multiple deprivation, vision loss, and ophthalmic disease in adults: global perspectives

Lane

Abbott

et al. 2018

Survey of Ophthalmology

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The association between socioeconomic position and morbidity and mortality has long been recognized. We evaluate the evidence for an association between multiple aspects of deprivation and ocular health in a global context. This is a systematic review of studies that evaluated deprivation in the adult population in the context of the major acquired causes of visual loss such as cataract, diabetic eye disease, glaucoma, age-related macular degeneration, and ocular trauma. The search strategy identified relevant studies reported between 1946 and August 2016, with randomized control trials, case-control, cohort, and cross-sectional study designs being selected for inclusion. The studies identified in this review from across the world demonstrate the extent to which the common themes such as low educational attainment and low income may be associated with increased incidence of various sight-threatening conditions and may adversely affect access to specialist assessment and delivery of treatment. Health inequality may always persist, but an increased recognition of the importance of the various impacts of deprivation may empower policy makers to target limited resources to the most vulnerable groups in order to deliver the greatest benefit.

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Factors Associated with Failure to Follow Up after Glaucoma Screening

Cited by 33 publications

References 20 publications

Glaucoma Public Service Announcements: Factors Associated with Follow-up of Participants with Risk Factors for Glaucoma

Glaucoma Public Service Announcements: Factors Associated with Follow-up of Participants with Risk Factors for Glaucoma

Racial and Ethnic Disparities in Adherence to Glaucoma Follow-up Visits in a County Hospital Population

Multiple deprivation, vision loss, and ophthalmic disease in adults: global perspectives

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