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Factors contributing to nonadherence to follow-up appointments in a resident glaucoma clinic versus primary eye care clinic

Authors Fudemberg SJ, Lee B, Waisbourd M, Murphy R, Dai Y, Leiby B, Hark LA

Received 27 May 2015

Accepted for publication 10 October 2015

Published 8 January 2016 Volume 2016:10 Pages 19—25


Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Doris Leung

Peer reviewer comments 3

Editor who approved publication: Dr Johnny Chen

Scott J Fudemberg,1 Brian Lee,1 Michael Waisbourd,1 Rachel A Murphy,1 Yang Dai,1 Benjamin E Leiby,2 Lisa A Hark1

1Glaucoma Research Center, Wills Eye Hospital, Philadelphia, PA, USA; 2Department of Pharmacology and Experimental Therapeutics, Thomas Jefferson University, Philadelphia, PA, USA

Purpose: To determine the rate of adherence to follow-up appointment recommendations in a resident glaucoma clinic with no mechanism for reminders, compared to a resident cataract and primary eye care (CPEC) clinic in which telephone reminders were used, and to identify factors that contribute to adherence in each patient group.
Methods: This retrospective cohort study included subjects in the CPEC clinic who received telephone reminders and those in the glaucoma clinic who did not. Each sample was selected to have a similar proportion of follow-up recommendations for 1, 3, and 6 months. Subjects were considered adherent if they returned within a specified timeframe.
Results: A total of 144 subjects from the glaucoma clinic and 151 subjects from the CPEC clinic were included. There was no significant difference between follow-up adherence rates of patients who received telephone reminders and those who did not (odds ratio [OR] =1.35, 95% confidence interval [CI] 0.79–2.32, P=0.28). Patients who were on more than two ocular medications were more likely to return for follow-up (OR=3.11, 95% CI 1.53–6.35, P=0.0018). Subjects between the ages 50 and 80 years were more likely to be adherent compared to their younger and older peers (P=0.02).
Conclusion: The follow-up adherence of patients in a CPEC clinic who received telephone reminders was similar to patients in a glaucoma clinic who did not receive any intervention to increase their adherence. Younger (<50 years old) and elderly (>80 years old) subjects, as well as patients using less than two glaucoma medications, were less likely to adhere to their follow-up appointments.

Keywords: glaucoma, retrospective studies, patient adherence, telephone reminders, age, medications

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