Philadelphia glaucoma detection and treatment project: ocular outcomes and adherence to follow-up at a single health centre

Adeghate, Jennifer; Hark, Lisa A; Brown, Helayna; Henderer, Jeffrey; Waisbourd, Michael; Molineaux, Jeanne; Malik, Kunal; Maity, A.; Chuang, Danielle; Donches, Katherine; Heres, Caroline; Eburuoh, Rita; Schardt, Martin; Yu, Daohai; Ramsey, Frederick V.; Myers, Jonathan S.; Katz, L. Jay

doi:10.1016/j.jcjo.2019.03.003

Cited by 5 publications

(10 citation statements)

References 31 publications

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“… 7 Six articles were based on the same multiyear Philadelphia Glaucoma Detection and Treatment project. 9 10 11 12 13 14 …”

Section: Resultsmentioning

confidence: 99%

“… 12 19 20 22 Additional barriers to follow-up included cost 18 19 20 and lack of insurance 19 20 22 23 or transportation. 13 17 18 19 20 22 Lastly, some were simply forgetful 12 14 17 21 22 or no longer interested in being a part of a study. 16 …”

Section: Resultsmentioning

confidence: 99%

“…Patient characteristics that were positively associated with compliance included white race, 10 older age, 10 24 higher BMI, 25 higher education level, 7 15 26 knowing one's glycated hemoglobin level, 24 uncontrolled glucose levels, 27 poorer presenting visual acuity, 25 increased intraocular pressure, 10 moderate-to-severe nonproliferative diabetic retinopathy and proliferative diabetic retinopathy, 23 and a diagnosis of glaucoma, 10 13 cataract, 12 or age-related macular degeneration. 10 12 Furthermore, compliance was shown to be more likely if a shorter follow-up time period was recommended, 11 the patient was prescribed eye drops, 13 or the patient received laser therapy. 10 13 …”

Section: Resultsmentioning

confidence: 99%

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Follow-Up Adherence After Community Health Vision Screening Programs: A Review of the Literature

Zeng,

LaMattina

2023

Journal of Academic Ophthalmology

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Objective Although the purpose of community eye screening programs is to reduce health care disparities, the effectiveness of these programs is limited by the follow-up adherence of their participants. The aim of this review is to investigate factors that may promote or hinder participants from attending follow-up ophthalmological exams after community eye screenings and identify interventions to increase follow-up rates. Methods For literature review, PubMed, Web of Science, Embase, Proquest/Global Health Library, and Google Scholar databases were searched to identify studies of community eye screenings published between January 2000 and May 2023. Data from these articles were analyzed to identify barriers and facilitators of follow-up adherence after community eye screenings in the United States and to examine strategies used to increase follow-up rates. Only published manuscripts were included. We excluded studies of school screenings and clinic-based screenings. Results A total of 28 articles were included. Follow-up rates ranged from 12.5 to 89%. Nineteen articles reviewed facilitators and barriers to follow-up. Eighteen articles were non interventional and seven (see Table 1 and 2, respectively) articles described interventions that were tested to improve follow-up rates after screening. Interventions included prescheduled appointments, transportation assistance, patient education, and patient navigators. Conclusion Several interventions are promising to increase follow-up adherence in community eye screenings, but more evidence is needed. Future research should focus on randomized trials of isolated interventions to improve follow-up adherence of disadvantaged populations, although this may be limited given ethical considerations and documented lack of follow-up after screening.

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“… 7 Six articles were based on the same multiyear Philadelphia Glaucoma Detection and Treatment project. 9 10 11 12 13 14 …”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Follow-Up Adherence After Community Health Vision Screening Programs: A Review of the Literature

Zeng,

LaMattina

2023

Journal of Academic Ophthalmology

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“…Regarding glaucoma, follow-up in our study sample was high when compared to a previous glaucoma specific community outreach program. 10 In another vison screening program for glaucoma, vision loss, namely poor presenting vision and abnormal macular findings on fundus photography were associated with increased clinic follow-up. 11 Appointment adherence is especially important for patients with glaucoma due to the asymptomatic nature of the disease which often reduces disease awareness and prevents patients from seeking early diagnosis and treatment.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Clinic Attendance After Community-Based Vision Screening

Wasser,

Cassidy,

Cecconi

et al. 2023

Trans. Vis. Sci. Tech.

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Purpose The purpose of this study was to analyze appointment attendance rates and patient characteristics associated with follow-up adherence after referral from a community vision screening event. Methods A retrospective chart review of patients who attended a 2021 or 2022 community vision screening event and were referred to the university clinic for further care. Appointments were offered without charge and scheduled at the event. Associations between patients’ clinical and demographic characteristics and appointment attendance were assessed by binary logistical regression. Results A total of 935 patients attended the annual community vision screening events held in 2021 and 2022. Of these patients, 117 (13%) were referred to the clinic for follow-up, of whom 56 (48%) attended their scheduled follow-up appointment. The most common reasons for clinic referral included cataract (12, 10%), diabetic retinopathy (11, 9%), glaucoma (9, 8%), and challenging refractive error (9, 8%). Health insurance and male gender were predictors of follow-up (odds ratio [OR] = 3.08, 95% confidence interval [CI] = 1.19–7.99, P = 0.021 and OR = 2.72, 95% CI = 1.10–6.61, P = 0.035, respectively). Conclusions Half of the referred patients followed up after vision screening. Providing appointment scheduling at the point of care and offering follow-up care at no cost may help to promote clinic follow-up, but further assessment of barriers to regular eye care is warranted. Health insurance most strongly predicted successful clinic attendance. Translational Relevance This study emphasizes the enduring impact of health insurance status as a barrier to accessing comprehensive vision care.

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“…Studies have investigated glaucoma medication adherence among patients from a single center or specific health centers, 19,20 from a specific region or with a specific health insurance type in the United States, 14,17,18 and from developing countries or countries with health care systems that are very different from that in the United States. 21,22 However, none have provided a population-level estimate for the United States.…”

Section: Introductionmentioning

confidence: 99%

Adherence of those With Self-Reported Glaucoma in the United States to Eye Examination Visits

Hou

Shih

2023

Journal of Glaucoma

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The adherence of American patients with self-reported glaucoma to the follow-up recommendations is extremely low. Estimated adherence rate is lower than that obtained by previous studies that did not use a US nationally representative sample.Purpose: To evaluate adherence to ophthalmic outpatient follow-up visits and vision examinations in the American population aged 40 years or above.Methods: The percentage of American patients aged ≥ 40 years who adhered to glaucoma treatment guidelines was estimated using 2015-2019 Medical Expenditure Panel Survey (MEPS) data. Adherence was defined according to the International Council of Ophthalmology guidelines. We also compared individuals with and without self-reported glaucoma who have made at least one ophthalmic outpatient visit and at least 1 vision examination visit within a year. Differences in means and percentages were estimated to account for the covariance due to the complex sampling design.Results: Approximately 4.4 million people aged or above 40 years had self-reported glaucoma in 2019 (3.21%). The rate of prevalence significantly differed with race, with Black people having the highest prevalence in all studied years. Only 7.1% (95% CI: 0.049-0.102) and 2.67% (95% CI: 0.0137-0.0519) of this population underwent at least 1 ophthalmic outpatient examination or 1 vision examination per year. Older age, never married status, higher education, eye conditions, and diabetes were significantly associated with a higher probability of ophthalmic health care use.Conclusions: Adherence to follow-up among patients with selfreported glaucoma in this population-level study was lower than that in previously reported American, non-nationally representative studies. Barriers to adherence at the population level should be assessed to inform the design of future policy or program interventions.

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Philadelphia glaucoma detection and treatment project: ocular outcomes and adherence to follow-up at a single health centre

Cited by 5 publications

References 31 publications

Follow-Up Adherence After Community Health Vision Screening Programs: A Review of the Literature

Follow-Up Adherence After Community Health Vision Screening Programs: A Review of the Literature

Predictors of Clinic Attendance After Community-Based Vision Screening

Adherence of those With Self-Reported Glaucoma in the United States to Eye Examination Visits

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