Back to Journals » Clinical Ophthalmology » Volume 4

Identification of noncompliant glaucoma patients using Bayesian networks and the Eye-Drop Satisfaction Questionnaire

Authors Jean-Philippe Nordmann, Christian Baudouin, Jean-Paul Renard, et al

Published 8 December 2010 Volume 2010:4 Pages 1489—1495

DOI https://doi.org/10.2147/OPTH.S11818

Review by Single-blind

Peer reviewer comments 3

Jean-Philippe Nordmann1, Christian Baudouin1, Jean-Paul Renard2, Philippe Denis3, Antoine Regnault4, Gilles Berdeaux5,6
1Hôpital des Quinzes-Vingt, Paris; 2Hôpital du Val de Grâce, Paris; 3Hôpital Edouard Herriot, Lyon; 4Mapi Values, Lyon; 5Alcon France, Rueil-Malmaison; 6Conservatoire National des Arts et Métiers, Paris, France

Objective: To identify poorly compliant glaucoma patients, using the Eye-Drop Satisfaction Questionnaire (EDSQ).
Methods: This was an observational cross-sectional study with compliance data collected by an electronic monitoring device. Patients with primary open-angle glaucoma or ocular hypertension completed the EDSQ, a six-dimension self-reported questionnaire addressing "treatment concern", "disease concern", "patient–clinician relationship", "positive beliefs", "treatment convenience", and "self-declared compliance". A Bayesian network (BN) was applied to explore compliance associations with EDSQ.
Results: Among 169 patients who completed the EDSQ, 113 had valid Travalert® data, of whom 25 (22.1%) demonstrated low compliance. All six EDSQ dimensions were associated directly, or indirectly, with compliance. Two profiles exhibited low compliance, ie, patients aged younger than 77.5 years with a poor patient–physician relationship and self-declared poor compliance and patients aged older than 77.5 years with a poor patient–physician relationship and self-declared good compliance. The third profile showed high compliance, ie, patients aged younger than 77.5 years with a good patient-physician relationship and self-declared good compliance.
Conclusion: Our results confirm a central role for the patient–physician relationship in the compliance process. Age, self-declared compliance, and patient satisfaction with the patient–physician relationship are all dimensions worth exploring before glaucoma medication is switched or proceeding to laser treatment or surgery.

Keywords: glaucoma, compliance, risk factors, patient satisfaction

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]

 

Other articles by this author:

Comparison of outcomes with multifocal intraocular lenses: a meta-analysis

Béatrice Cochener, Antoine Lafuma, Babak Khoshnood, et al

Clinical Ophthalmology 2011, 5:45-56

Published Date: 7 January 2011

Measurement of treatment compliance using a medical device for glaucoma patients associated with intraocular pressure control: a survey

Jean-Philippe Nordmann, Christophe Baudouin, Jean-Paul Renard, et al

Clinical Ophthalmology 2010, 4:731-739

Published Date: 20 July 2010

Spectacle independence and subjective satisfaction of ReSTOR® multifocal intraocular lens after cataract or presbyopia surgery in two European countries

Béatrice Cochener, Luis Fernández-Vega, Jose F Alfonso, et al

Clinical Ophthalmology 2010, 4:81-89

Published Date: 25 February 2010

Daily costs of prostaglandin analogues as monotherapy or in fixed combinations with timolol, in Denmark, Finland, Germany and Sweden

Anders Bergström, Frédérique Maurel, Claude Le Pen, et al

Clinical Ophthalmology 2009, 3:471-481

Published Date: 16 August 2009

Cost of cataract surgery after implantation of three intraocular lenses

Catherine Boureau, Antoine Lafuma, Viviane Jeanbat, Andrew F Smith, Gilles Berdeaux

Clinical Ophthalmology 2009, 3:277-285

Published Date: 25 March 2009

Readers of this article also read:

Green synthesis of water-soluble nontoxic polymeric nanocomposites containing silver nanoparticles

Prozorova GF, Pozdnyakov AS, Kuznetsova NP, Korzhova SA, Emel’yanov AI, Ermakova TG, Fadeeva TV, Sosedova LM

International Journal of Nanomedicine 2014, 9:1883-1889

Published Date: 16 April 2014

Methacrylic-based nanogels for the pH-sensitive delivery of 5-Fluorouracil in the colon

Ashwanikumar N, Kumar NA, Nair SA, Kumar GS

International Journal of Nanomedicine 2012, 7:5769-5779

Published Date: 15 November 2012

A novel preparation method for silicone oil nanoemulsions and its application for coating hair with silicone

Hu Z, Liao M, Chen Y, Cai Y, Meng L, Liu Y, Lv N, Liu Z, Yuan W

International Journal of Nanomedicine 2012, 7:5719-5724

Published Date: 12 November 2012

Cross-linked acrylic hydrogel for the controlled delivery of hydrophobic drugs in cancer therapy

Deepa G, Thulasidasan AK, Anto RJ, Pillai JJ, Kumar GS

International Journal of Nanomedicine 2012, 7:4077-4088

Published Date: 27 July 2012

Crystallization after intravitreal ganciclovir injection

Pitipol Choopong, Nattaporn Tesavibul, Nattawut Rodanant

Clinical Ophthalmology 2010, 4:709-711

Published Date: 14 July 2010