Evidence map›Paper›PMID 36209251›Full record

ArticleEye (London, England)2023

Adherence to topical glaucoma therapy in patients attending virtual clinics.

Kelvin K W Cheng, Su Ling Young, Sarah Donaldson, Tej Rene Malcolm, Andrew J Tatham

Abstract read
In one paragraph

Article in Eye (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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

2 citing papers in PubMed.

  1. Review
  2. Review
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

5 authors.

Kelvin K W ChengPrincess Alexandra Eye Pavilion, Edinburgh, EH16 5XR, UK.ORCID http://orcid.org/0000-0001-5618-082X
Su Ling YoungPrincess Alexandra Eye Pavilion, Edinburgh, EH16 5XR, UK.
Sarah DonaldsonPrincess Alexandra Eye Pavilion, Edinburgh, EH16 5XR, UK.
Tej Rene MalcolmPrincess Alexandra Eye Pavilion, Edinburgh, EH16 5XR, UK.
Andrew J TathamPrincess Alexandra Eye Pavilion, Edinburgh, EH16 5XR, UK. andrewjtatham@gmail.com.ORCID http://orcid.org/0000-0003-0372-3100

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesPoor adherence to medical therapy is a major challenge to the effective treatment of chronic diseases including glaucoma. Potential factors influencing adherence include treatment complexity and patient understanding of disease and health beliefs. An increasing number of patients are seen in virtual clinics, where there is no face-to-face consultation, potentially reducing opportunities for patient education and reinforcement of the importance of treatment. The aim of this study was to examine adherence among patients attending a virtual glaucoma clinic.

methods100 consecutive patients attending the virtual clinic were surveyed, with 78 using topical medications included in the analysis. All patients completed a validated adherence questionnaire with a score of >2 defined as poor adherence. The relationship between adherence and age, sex, duration since diagnosis, and disease severity was examined.

resultsThe mean age was 73.1 ± 13.4 years, with an average mean deviation of -5.9 ± 5.5 dB and duration since first diagnosis of 9.0 ± 5.7 years. 93.6% reported self-instilling eye drops. Seventy-one patients (91.0 %) had good self-reported adherence. Multivariate logistic regression revealed those instilling eye drops independently had higher odds of good adherence.

conclusionsThe level of medication adherence in the virtual glaucoma clinic was higher than adherence in previous studies examining patients attending face-to-face clinics. Virtual clinics should incorporate methods to ensure effective two-way communication with patients and strategies for patient education.

Indexed as

Antihypertensive AgentsGlaucomaAgedAged, 80 and overHumansMedication AdherenceMiddle AgedOphthalmic SolutionsSurveys and QuestionnairesAntihypertensive AgentsOphthalmic Solutions

Identifiers

PMID36209251
PMCPMC10275896

What OpenQuestion holds

Textmetadata
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Registered trials

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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.