Evidence map›Paper›PMID 34328589›Full record

ArticleInternational ophthalmology2021

Quality of referrals for glaucoma assessment: a cross-sectional survey of clinical data and outcomes.

Kira J Szulborski, Daniel S Weintraub, Shiyoung Roh, Amer Mosa Alwreikat, Michael Lee Cooper, Paul R Cotran, David J Ramsey

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Article in International ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

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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

7 authors at 3 institutions in 1 country.

Kira J SzulborskiDepartment of Ophthalmology, Lahey Hospital and Medical Center, One Essex Center Drive, Peabody, MA, 01960, USA.
Daniel S WeintraubDepartment of Ophthalmology, Lahey Hospital and Medical Center, One Essex Center Drive, Peabody, MA, 01960, USA.
Shiyoung RohDepartment of Ophthalmology, Lahey Hospital and Medical Center, One Essex Center Drive, Peabody, MA, 01960, USA.
Amer Mosa AlwreikatDepartment of Ophthalmology, Lahey Hospital and Medical Center, One Essex Center Drive, Peabody, MA, 01960, USA.
Michael Lee CooperDepartment of Ophthalmology, Lahey Hospital and Medical Center, One Essex Center Drive, Peabody, MA, 01960, USA.
Paul R CotranDepartment of Ophthalmology, Lahey Hospital and Medical Center, One Essex Center Drive, Peabody, MA, 01960, USA.
David J RamseyDepartment of Ophthalmology, Lahey Hospital and Medical Center, One Essex Center Drive, Peabody, MA, 01960, USA. David.J.Ramsey@lahey.org.ORCID http://orcid.org/0000-0002-5504-812X
Tufts University · USAugusta University · USLahey Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study assessed the completeness of clinical information provided by ophthalmological and optometric referrals to glaucoma specialists consulting for open-angle glaucoma (OAG).

methodsA retrospective, cross-sectional study of 72 internal referrals for evaluation of OAG in a multispecialty group practice was performed. The quality of the referral was assessed based on: (1) the completeness of the clinical triad of intraocular pressure measurement, visual field (VF), and cup-to-disk ratio for each eye; (2) the availability of the data necessary to calculate an ocular hypertension treatment study (OHTS) score; and (3) the presence of retinal nerve fiber layer (RNFL) imaging by mean of optical coherence tomography.

resultsThe clinical triad was available in 57% of referrals, whereas an OHTS score was calculable in 24% of referrals (p < 0.001); RNLF imaging was available in 51% of referrals (p = 0.859). The completeness of clinical information was similar for ophthalmological and optometric referrals. From the date of referral to the time of the consultation, there was a significant increase in the availability of the clinical triad (57-65%; p = 0.013) and the OHTS score (24-5%; p = 0.004) but not for RNFL imaging (51-56%; p = 0.618). The most common missing clinical information was VF testing, which was absent in 42% of referrals.

conclusionsKey clinical data necessary for effective diagnosis and staging of OAG was lacking for many patients referred to glaucoma specialists.

Indexed as

GlaucomaGlaucoma, Open-AngleCross-Sectional StudiesHumansIntraocular PressureNerve FibersReferral and ConsultationRetinal Ganglion CellsRetrospective StudiesTomography, Optical CoherenceOphthalmologistOptometristOutcomePrimary open-angle glaucoma

Identifiers

PMID34328589
OpenAlexW3183556935

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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.