ArticleFamily practice2014
Factors associated with adherence to glaucoma pharmacotherapy in the primary care setting.
Article in Family practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.
- Pooled it
- The Effect of an Educational Intervention on Adherence to Intraocular Pressure-Lowering Medications in a Large Cohort of Older Adults with Glaucoma.Journal of managed care & specialty pharmacy · 2018Trial
- Clinical recommendations for early identification of patients with open-angle glaucoma at higher risk of low adherence to topical treatment: An Italian Delphi consensus.Acta ophthalmologica · 2026Article
- The association between glaucoma treatment adherence with disease progression and loss to follow-up.Scientific reports · 2024Article
- Impact of Sociodemographic and Psychological Factors on Adherence to Glaucoma Treatment - A Cross-Sectional Study.Clinical ophthalmology (Auckland, N.Z.) · 2024Article
- Treatment adherence and associated factors among glaucoma patients attending Ophthalmic units of referral hospitals in North West Ethiopia, 2019.Frontiers in ophthalmology · 2022Article
- An exploratory study of compliance to anti-glaucoma medications among literate primary glaucoma patients at an urban tertiary eye care center in South India.Indian journal of ophthalmology · 2021Article
- Medication Adherence and Persistence of Open-Angle Glaucoma Patients in Korea: A Retrospective Study Using National Health Insurance Claims Data.International journal of environmental research and public health · 2021Article
- Glaucoma Care of Prison Inmates at an Academic Hospital.JAMA ophthalmology · 2020Article
- Adherence to Medical Treatment and Its Determinants Among Adult Saudi Glaucoma Patients in Riyadh City.Cureus · 2020Article
- Modeling the Pharmacotherapy Cost and Outcomes of Primary Open-Angle Glaucoma With Dry Eye.Frontiers in public health · 2019Article
- Access to and Experiences with, e-Health Technology Among Glaucoma Patients and Their Relationship with Medication Adherence.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2018Article
- Compliance to topical anti-glaucoma medications among patients at a tertiary hospital in North India.Journal of current ophthalmology · 2018Article
- Drop instillation and glaucoma.Current opinion in ophthalmology · 2018Review
- Glaucoma therapy: preservative-free for all?Clinical ophthalmology (Auckland, N.Z.) · 2018Review
- Changes in adherence and associated factors among patients on newly introduced prostaglandin analog and timolol fixed-combination therapy.Patient preference and adherence · 2018Article
- Electronic medical record and glaucoma medications: connecting the medication reconciliation with adherence.Clinical ophthalmology (Auckland, N.Z.) · 2016Article
- Primary care physicians' role perception and self-reported performance in glaucoma care: a survey study.BMC research notes · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrimary open-angle glaucoma is a leading cause of irreversible blindness.
objectivesTo identify factors associated with adherence to glaucoma pharmacotherapy in the primary care setting, focusing on physicians' role.
methodsPatients were recruited from primary care clinics and telephone-interviewed using a structured questionnaire that addressed patient-, medication-, environment- and physicians-related factors. Patients' data on pharmacy claims were retrieved to calculate the medication possession ratio for measuring adherence.
resultsSeven hundred thirty-eight glaucoma patients were interviewed. The multivariate analysis identified eight variables that were associated independently with adherence. Barriers to adherence were found to be low income, believing that 'It makes no difference to my vision whether I take the drops or not' and relying on someone else for drop instillation (exp(B) = 1.91, P = 0.002; exp(B) = 2.61, P < 0.0001; exp(B) = 2.17, P = 0.001, respectively). Older age, having a glaucoma patient among close acquaintances, taking a higher number of drops per day, taking a prostaglandin drug and reporting that the ophthalmologist had discussed the importance of taking eye drops as prescribed, were found to promote adherence (exp(B) = 0.96, P < 0.0001; exp(B) = 0.54, P = 0.014; exp(B) = 0.81, P = 0.001; exp(B) = 0.37, P < 0.0001; exp(B) = 0.60, P = 0.034, respectively). No association was found between the patient's relationship with the family physician and adherence to glaucoma treatment.
conclusionAdherence to glaucoma pharmacotherapy is associated with patient-related, medication-related, physician-related and environmental factors. Ophthalmologists have a significant role in promoting adherence. However, the potential role of family physicians is unfulfilled and unrecognized.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.