Compliance to topical anti-glaucoma medications among patients at a tertiary hospital in North India

Rajurkar, Ketaki; Dubey, Suneeta; Gupta, Parmatma Prasad; John, Denny; Chauhan, Lokesh

doi:10.1016/j.joco.2017.09.002

Cited by 47 publications

(42 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“… 20 This variation might be due to inconsistency of definition given to the level of drug adherence and a study done in Jimma used a small sample size which had only 200 glaucoma patients. This result is also higher than studies done in India (50%), 11 Iran (34%), 21 Ghana (9.9%), 22 Egypt (46.6%), 23 and Arab (50%). 24 This variation might be due to inconsistency of the definition given for the level of adherence and differences in patients group.…”

Section: Discussioncontrasting

confidence: 55%

“…This is in line with other studies done in different countries. 11 , 23 , 30 , 31 The disease condition is painless, progressive, and no immediate disability unless the disease reaches the end stage, due to these reason patients may not consider becoming blind and may not give attention. The other reason might be due to patient's perception of glaucoma as a curable disease after they gain a good vision secondary to mature cataract surgery was done for them.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

<p>Level of Glaucoma Drug Adherence and Its Associated Factors Among Adult Glaucoma Patients Attending Felege Hiwot Specialized Hospital, Bahir Dar City, Northwest Ethiopia</p>

Assem¹,

Fekadu²,

Yigzaw³

et al. 2020

OPTO

View full text Add to dashboard Cite

Background Glaucoma is a chronic optic nerve disease, often asymptomatic in an early stage, which is usually associated with elevated intraocular pressure. Good adherence to ocular hypotensive agents is essential to control the intraocular pressure and optic nerve damage. There is limited information on glaucoma drug adherence and associated factors in Ethiopia, particularly in the study area. Objective To determine the level of glaucoma drug adherence and associated factors among adult glaucoma patients attending Felege Hiwot Specialized Hospital, Northwest Ethiopia, 2019. Materials and Methods A hospital-based cross-sectional study was conducted at Felege Hiwot specialized Hospital from March 2019 to May 2019. A systematic random sampling method was used to select 402 study participants. A structured questionnaire was prepared, and adherence was assessed by using self-report questions. The collected data were entered into Epi data version 4.2.2.1 and exported into Statistical Package for Social Science version 23 for analysis. Tables, graphs, frequency, mean, and standard deviation were used for descriptive statistics. Variables with a p-value of <0.2 in the bivariable logistic regression were entered in the multivariable logistic regression, and variables with a p-value of <0.05 under multivariable analysis were taken as statistically significant factors for glaucoma drug adherence. Results Among a total of 390 study participants, 212 (56.2%) were adherent to their topical medication. Early glaucoma (AOR=2.8: 95% CI =1.29–5.91), normal vision (AOR=1.9: 95% CI=1.15–3.09), urban residence (AOR=1.6: 95% CI=1.03–2.51), family support (AOR=1.7: 95% CI=1.06–2.76) and information from pharmacist (AOR=1.8: 95% CI=1.11–2.99) were significantly associated with adherence. Conclusion The level of glaucoma drug adherence was 56.2% among patients attending Felege Hiwot Specialized Hospital. Early glaucoma, normal visual acuity, family support, information on medication from the pharmacist, and urban residence were positively associated with adherence.

show abstract

Section: Discussioncontrasting

confidence: 55%

Section: Discussionmentioning

confidence: 99%

<p>Level of Glaucoma Drug Adherence and Its Associated Factors Among Adult Glaucoma Patients Attending Felege Hiwot Specialized Hospital, Bahir Dar City, Northwest Ethiopia</p>

Assem¹,

Fekadu²,

Yigzaw³

et al. 2020

OPTO

View full text Add to dashboard Cite

show abstract

“…Glaucoma is unique in that adherence and persistence rates in the treatment of glaucoma are relatively low compared to other chronic diseases which require lifelong therapeutic interventions [36]. Self-reported adherence rates tend to be lower than actually measured adherence rates.…”

Section: Discussionmentioning

confidence: 98%

Influence of new treatment modalities on adherence in glaucoma

Meier-Gibbons

Berlin

Töteberg‐Harms

2019

Current Opinion in Ophthalmology

View full text Add to dashboard Cite

PURPOSE OF REVIEW It is well known that glaucoma patients are not adherent to their therapeutic regimens. The issue of nonadherence is multifactorial and includes inadequate communication between doctors and patients, resulting in significant costs associated with enhanced disease progression. Therapeutic regimens are risk factors which often influences adherence rates. Thus, alternative treatment modalities, especially those risk factors that do not rely on patients' cooperation, may enable improvements in long-term outcomes of glaucoma in patient. RECENT FINDINGS The studies selected for this review were divided into new medications, especially advancements in pharmaceutical approaches to treat glaucoma and new ways of delivering the medication, new surgical methods, especially minimally invasive surgery methods for glaucoma, and new studies about adherence in glaucoma. SUMMARY Surprisingly, a very few studies on glaucoma medication or surgery addressed the concept of adherence. However, adherence is discussed in studies which consider psychological aspects of patients or communication issues between doctors and patients. Although these studies were performed in clinical settings, the issue of adherence is not addressed; despite it has significant effect on long-term outpatient care. A combination of both aspects, adherence and miscommunication, should be considered in studies.

show abstract

“…For example, the overall rate of adherence was 60% in USA, 72.1% in Canada and 72.7% in Dutch [11][12][13]. Similarly hospital based cross-sectional studies showed that in Iran 32.5%, in north India 51.6% and in Egypt 46.4% of glaucoma patients were adherent to their glaucoma medical treatment [ 5,14,15]. In Ethiopia the level of glaucoma medical treatment adherence was 32.5% at Jima University Specialized Hospital and 42.6% at Menelik II Referral Hospital [ 2,16].…”

Section: Introductionmentioning

confidence: 99%

Treatment adherence and associated factors among glaucoma patients attending ophthalmic unit of Debre Markos Referral and Felege Hiwot Comprehensive Specialized Hospitals

Ayenew

Alem

Tesfa

et al. 2019

Preprint

View full text Add to dashboard Cite

Background Glaucoma is one of the common eye disorders resulting from optic neuropathy which leads to irreversible blindness if left untreated. Poor adherence to glaucoma medical treatments leads to serious consequences such as progressive visual impairment and blindness. Despite its serious consequences, the level of glaucoma treatment adherence and associated factors have been poorly explored in Ethiopia particularly in the selected study areas. Hence, the objective of this study was to assess the level of adherence to treatment and associated factors among glaucoma patients attending at Debre Markos referral and Felege Hiwot comprehensive specialized Hospitals.Methods Institution based cross-sectional study was conducted from March 1st 2019 to April 30th 2019 among 414 consecutive glaucoma patients attending at ophthalmic units of Debre Markos Referral and Felege Hiwot Comprehensive Specialized hospitals. Data about adherence to glaucoma treatment was collected by using Morisky Medication adherence scale-8. Each collected data were coded and entered into Epi-Data version 4.2 and analysis was done using STATA version 14.0 statistical software. Descriptive analysis was done and binary logistic regression model was fitted to assess the effect of independent variable on the dependent variable. This was done using odds ratio within 95% confidence limits. A p-value < 0.05 was considered to declare statistically significant association.Results this study revealed that 189 (49.5%) of participants were adherent to glaucoma medical treatment. The result of multivariate logistic regression analysis showed that factors such as occupation (farmer), good knowledge, favorable attitude, a short distance from patients’ home to hospitals, and schedule problems for glaucoma medical follow-up visits were significantly associated with adherence to glaucoma medical treatments.Conclusion In this study almost one in two patients were adherent to glaucoma medical treatment which is low. Patient-related and health care system-related factors were significantly associated with adherence to glaucoma treatments. Policy-makers need to give attention to patient education and develop strategies to improve patients’ adherence to glaucoma medical treatment.

show abstract

Compliance to topical anti-glaucoma medications among patients at a tertiary hospital in North India

Cited by 47 publications

References 23 publications

<p>Level of Glaucoma Drug Adherence and Its Associated Factors Among Adult Glaucoma Patients Attending Felege Hiwot Specialized Hospital, Bahir Dar City, Northwest Ethiopia</p>

<p>Level of Glaucoma Drug Adherence and Its Associated Factors Among Adult Glaucoma Patients Attending Felege Hiwot Specialized Hospital, Bahir Dar City, Northwest Ethiopia</p>

Influence of new treatment modalities on adherence in glaucoma

Treatment adherence and associated factors among glaucoma patients attending ophthalmic unit of Debre Markos Referral and Felege Hiwot Comprehensive Specialized Hospitals

Contact Info

Product

Resources

About