1. Philadelphia glaucoma detection and treatment project: ocular outcomes and adherence to follow-up at a single health centre
- Author
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Frederick V. Ramsey, Rita Eburuoh, Jeffrey D Henderer, Helayna Brown, Daohai Yu, Caroline Heres, Michael Waisbourd, Alisha Maity, Lisa A Hark, Katherine Donches, L. Jay Katz, Jonathan S. Myers, Jennifer Adeghate, Danielle Chuang, Kunal Malik, Jeanne Molineaux, and Martin Schardt
- Subjects
Adult ,Male ,medicine.medical_specialty ,Visual acuity ,genetic structures ,Ocular Pathology ,medicine.medical_treatment ,Visual Acuity ,Glaucoma ,Aftercare ,Medically Underserved Area ,Trabeculectomy ,03 medical and health sciences ,Underserved Population ,Tonometry, Ocular ,0302 clinical medicine ,medicine ,Humans ,Community Health Services ,Antihypertensive Agents ,Intraocular Pressure ,Aged ,Retrospective Studies ,Philadelphia ,Laser Coagulation ,medicine.diagnostic_test ,business.industry ,Retrospective cohort study ,General Medicine ,Middle Aged ,medicine.disease ,eye diseases ,Ophthalmology ,Eye examination ,Family medicine ,030221 ophthalmology & optometry ,Patient Compliance ,Female ,sense organs ,medicine.symptom ,business ,Laser coagulation ,Glaucoma, Open-Angle ,Follow-Up Studies - Abstract
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.Retrospective chart review.Patients from a community glaucoma screening program.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.A total of 249 participants completed an eye examination (mean age = 57.7 ± 6.9 years). Most were African American (n = 220; 88.4%); female (n = 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 (p0.001), prescribed eye drops (p0.001), or received laser therapy (p = 0.047) were factors most predictive of ophthalmic follow-up adherence.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.
- Published
- 2018