Evidence map›Paper›PMID 34014814›Full record

Trial reportPreventing chronic disease2021

A Randomized Trial to Improve Adherence to Follow-up Eye Examinations Among People With Glaucoma.

Benjamin E Leiby, Sarah E Hegarty, Tingting Zhan, Jonathan S Myers, L Jay Katz, Julia A Haller, Michael Waisbourd, Christine Burns, Meskerem Divers, Jeanne Molineaux and 3 more

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Preventing chronic disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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.

NCT02390245 nacompletednot on this map

Philadelphia Telemedicine Glaucoma Detection and Follow-Up Study

TypeinterventionalSponsorWills EyeRan2014 to 2020Enrolled906ConditionsGlaucoma, Glaucoma Suspect, Diabetic Retinopathy, Ocular HypertensionArmsFree Eye Screenings, Enhanced Intervention, Usual Care
NCT04271709 naactive not recruitingnot on this map

The Manhattan Vision Screening and Follow-Up Study (NYC-SIGHT)

TypeinterventionalSponsorColumbia UniversityRan2019 to 2026Enrolled749ConditionsGlaucoma, Vision Impairment and Blindness, Cataract, Diabetic RetinopathyArmsEnhanced Intervention Using Patient Navigators, Usual Care
3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Complexity and Barriers to Vision Care: A Narrative Review Informed by a Mobile Eye Program.International journal of environmental research and public health · 2025
    Review
  7. Observational
  8. Article
  9. Article
  10. Review
  11. Article
  12. Factors Associated with Follow-Up Adherence After Teleophthalmology for Diabetic Eye Screening Before and During the COVID-19 Pandemic.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Addressing Social Determinants of Vision Health.Ophthalmology and therapy · 2022
    Review
  17. 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

13 authors.

Benjamin E LeibyThomas Jefferson University, Sidney Kimmel Medical College, Department of Pharmacology and Experimental Therapeutics, Division of Biostatistics, Philadelphia, Pennsylvania.
Sarah E HegartyThomas Jefferson University, Sidney Kimmel Medical College, Department of Pharmacology and Experimental Therapeutics, Division of Biostatistics, Philadelphia, Pennsylvania.
Tingting ZhanThomas Jefferson University, Sidney Kimmel Medical College, Department of Pharmacology and Experimental Therapeutics, Division of Biostatistics, Philadelphia, Pennsylvania.
Jonathan S MyersWills Eye Hospital, Glaucoma Research Center, Philadelphia, Pennsylvania.
L Jay KatzWills Eye Hospital, Glaucoma Research Center, Philadelphia, Pennsylvania.
Julia A HallerThomas Jefferson University, Sidney Kimmel Medical College, Department of Ophthalmology, Philadelphia, Pennsylvania.
Michael WaisbourdDepartment of Ophthalmology, Tel Aviv Medical Center, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Israel.
Christine BurnsWills Eye Hospital, Glaucoma Research Center, Philadelphia, Pennsylvania.
Meskerem DiversWills Eye Hospital, Glaucoma Research Center, Philadelphia, Pennsylvania.
Jeanne MolineauxWills Eye Hospital, Glaucoma Research Center, Philadelphia, Pennsylvania.
Jeffrey HendererTemple University School of Medicine, Department of Ophthalmology, Philadelphia, Pennsylvania.
Charles BrodowskiWills Eye Hospital, Glaucoma Research Center, Philadelphia, Pennsylvania.
Lisa A HarkWills Eye Hospital, Glaucoma Research Center, Philadelphia, Pennsylvania.

Funding

Wills Eye Community Intervention to Improve Glaucoma Detection and Follow-up CareU01DP005127 · DP · WILLS EYE HEALTH SYSTEM · PI HALLER, JULIA A · 2014 to 2018
$3.0M
NCCDPHP CDC HHS U01 DP005127
6 · The paper itself

Abstract

introductionAppointment nonadherence is common among people with glaucoma, making it difficult for eye care providers to monitor glaucoma progression. Our objective was to determine whether the use of patient navigators, in conjunction with social worker support, could increase adherence to recommended follow-up eye appointments.

methodsA randomized, controlled trial evaluated the effectiveness of an intervention that used patient navigators and social workers to improve patient adherence to follow-up eye care compared with usual care. Participants with glaucoma and other eye diseases (N = 344) were identified at primary care clinics in community settings through telemedicine screening of imaging and then randomized to enhanced intervention (EI) or usual care (UC). Data on participants' visits with local ophthalmologists were collected for up to 3 years from randomization. Groups were compared for timely attendance at the first visit with the local ophthalmologist and adherence to recommended follow-up visits.

resultsTimely attendance at the first visit was higher for EI than UC (74.4% vs 39.0%; average relative risk [aRR] = 1.85; 95% CI, 1.51-2.28; P < .001). Rates of adherence to recommended annual follow-up during year 1 were 18.6% in the EI group and 8.1% in the usual care group (aRR = 2.08; 95% CI, 1.14-3.76; P = .02). The aRR across years 2 and 3 was 3.92 (95% CI, 1.24-12.43; P = .02).

conclusionAn intervention using patient navigators and social workers doubled the rate of adherence to annual recommended follow-up eye care compared with usual care in community settings, and was effective at increasing connections with local ophthalmologists. Interventions to further improve long-term adherence are needed.

Indexed as

GlaucomaTelemedicineAppointments and SchedulesFollow-Up StudiesHumansPatient Compliance

Identifiers

PMID34014814
PMCPMC8139485

What OpenQuestion holds

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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.