Evidence map›Paper›PMID 31438884›Full record

ArticleBMC ophthalmology2019

Lessons learned from the development and implementation of a patient-reported outcome and experience measure (POEM) in an Australian glaucoma practice.

Alison Fraenkel, Graham A Lee, Stephen J Vincent, Roslyn A Vincent, Rupert R A Bourne, Peter Shah

Open access · goldAbstract read
In one paragraph

Article in BMC ophthalmology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Observational
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Alison FraenkelCity Eye Centre, 10/135 Wickham Terrace, Brisbane, Queensland, 4000, Australia.
Graham A LeeCity Eye Centre, 10/135 Wickham Terrace, Brisbane, Queensland, 4000, Australia. eye@cityeye.com.au.
Stephen J VincentQueensland University of Technology, Brisbane, Australia.
Roslyn A VincentCity Eye Centre, 10/135 Wickham Terrace, Brisbane, Queensland, 4000, Australia.
Rupert R A BourneCambridge University Hospitals, Cambridge, UK.
Peter ShahUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
City Eye Centre · AUCambridge University Hospitals NHS Foundation Trust · GBQueensland University of Technology · AUUniversity of Wolverhampton · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA patient's perception of how their glaucoma is managed will influence both adherence to their medication and outcome measures such as quality of life.

methodsProspective consecutive study using a Glaucoma Patient-reported Outcome and Experience Measure (POEM) modified for an Australian ophthalmic private clinical practice setting. The Australian Glaucoma POEM consists of eight items related to the patient's understanding of the diagnosis and management, acceptability of the treatment, whether they feel their glaucoma is getting worse, interfering with their daily life and concerns regarding loss of vision as well as addressing whether they feel safe under the care of their glaucoma team and how well their care is organised.

resultsTwo hundred and two patients (M:F 91:111) participated in the study. Mean ± standard deviation for subject age was 69 ± 13 years. Patient's overall perception of their treatment and outcome was favourable. Younger patients felt their glaucoma interfered more with their daily lives and were more worried about losing vision from glaucoma. The greater the number of medications in use, the more they felt their glaucoma was getting worse and that glaucoma interfered with their daily lives. With all other variables accounted for by the multivariate linear model, female patients more strongly agreed that they understood their glaucoma diagnosis and glaucoma management. The patients with a severe visual defect in their worse eye, reported a greater perceived understanding of their glaucoma diagnosis and management and that they felt that glaucoma had a greater interference on their daily life. They were also more concerned about losing vision from glaucoma than their fellow glaucoma patients with less severe or no visual field deficit in the worse eye.

conclusionsThe modified POEM demonstrates potential to capture the concerns of a practice's glaucoma cohort with a view to enhancing the quality of glaucoma care delivered.

Indexed as

Patient Reported Outcome MeasuresQuality of Health CareVisual AcuityActivities of Daily LivingAdultAgedAged, 80 and overCross-Sectional StudiesFemaleGlaucomaHumansIntraocular PressureMaleMiddle AgedMorbidityProspective StudiesGlaucomaPatient engagementPatient-reported outcome experience measure

Identifiers

PMID31438884
PMCPMC6704624
OpenAlexW2969291165

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.