Medical decision, persistence of initial treatment, and glaucoma progression in a Brazilian reference hospital
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos brasileiros de oftalmologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492010000200008 |
Resumo: | PURPOSE: To evaluate the initial medical decision regarding primary open-angle glaucoma (POAG) treatment in a referral center, and to assess the relationship between the persistence of treatment and the disease progression in cases managed exclusively with medication. METHODS: A retrospective chart review was performed for 65 patients with primary open-angle glaucoma referred to a tertiary hospital. The following clinical data were analyzed: initial medication, persistence of treatment, best corrected visual acuity, visual field mean deviation index, cup/disc ratio, and intraocular pressure. Patients were classified into four categories in order to verify the clinical evolution. RESULTS: The mean number of visits/ year was 4.4 ± 3.5, and the follow-up period was 40.7 ± 22.8 months. Mean persistence time was 12.9 ± 13.9 months. By six and twelve months, respectively, 39.1% and 62.5% of patients had discontinued the initially prescribed regimen, mainly by adding to (42%) or changing (26%) the course of treatment. Thirteen patients (21%) were reclassified to a worse category of primary open-angle glaucoma, however, despite this trend, no significant correlation was found between shorter persistence and primary open-angle glaucoma worsening. CONCLUSIONS: Persistence rates with initial therapy schemes were low, as measured by medical decisions to change the course of treatment. Therefore, improvement in the initial medical decision is crucial in order to offer a more stable and effective treatment for primary open-angle glaucoma. |
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Arquivos brasileiros de oftalmologia (Online) |
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Medical decision, persistence of initial treatment, and glaucoma progression in a Brazilian reference hospitalGlaucoma, open-angle/drug therapyIntraocular pressureBlindness/prevention & controlAttitude to healthCommunicationPatient compliancePhysician-patient relationsDisease progressionPURPOSE: To evaluate the initial medical decision regarding primary open-angle glaucoma (POAG) treatment in a referral center, and to assess the relationship between the persistence of treatment and the disease progression in cases managed exclusively with medication. METHODS: A retrospective chart review was performed for 65 patients with primary open-angle glaucoma referred to a tertiary hospital. The following clinical data were analyzed: initial medication, persistence of treatment, best corrected visual acuity, visual field mean deviation index, cup/disc ratio, and intraocular pressure. Patients were classified into four categories in order to verify the clinical evolution. RESULTS: The mean number of visits/ year was 4.4 ± 3.5, and the follow-up period was 40.7 ± 22.8 months. Mean persistence time was 12.9 ± 13.9 months. By six and twelve months, respectively, 39.1% and 62.5% of patients had discontinued the initially prescribed regimen, mainly by adding to (42%) or changing (26%) the course of treatment. Thirteen patients (21%) were reclassified to a worse category of primary open-angle glaucoma, however, despite this trend, no significant correlation was found between shorter persistence and primary open-angle glaucoma worsening. CONCLUSIONS: Persistence rates with initial therapy schemes were low, as measured by medical decisions to change the course of treatment. Therefore, improvement in the initial medical decision is crucial in order to offer a more stable and effective treatment for primary open-angle glaucoma.Conselho Brasileiro de Oftalmologia2010-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492010000200008Arquivos Brasileiros de Oftalmologia v.73 n.2 2010reponame:Arquivos brasileiros de oftalmologia (Online)instname:Conselho Brasileiro de Oftalmologia (CBO)instacron:CBO10.1590/S0004-27492010000200008info:eu-repo/semantics/openAccessPaula,Jayter SilvaRamos Filho,José AfonsoCecchetti,Daniel Felipe AlvesNagatsuyu,Daniela TiemiRodrigues,Maria de Lourdes VeroneseRocha,Eduardo Melanieng2010-08-12T00:00:00Zoai:scielo:S0004-27492010000200008Revistahttp://aboonline.org.br/https://old.scielo.br/oai/scielo-oai.phpaboonline@cbo.com.br||abo@cbo.com.br1678-29250004-2749opendoar:2010-08-12T00:00Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO)false |
dc.title.none.fl_str_mv |
Medical decision, persistence of initial treatment, and glaucoma progression in a Brazilian reference hospital |
title |
Medical decision, persistence of initial treatment, and glaucoma progression in a Brazilian reference hospital |
spellingShingle |
Medical decision, persistence of initial treatment, and glaucoma progression in a Brazilian reference hospital Paula,Jayter Silva Glaucoma, open-angle/drug therapy Intraocular pressure Blindness/prevention & control Attitude to health Communication Patient compliance Physician-patient relations Disease progression |
title_short |
Medical decision, persistence of initial treatment, and glaucoma progression in a Brazilian reference hospital |
title_full |
Medical decision, persistence of initial treatment, and glaucoma progression in a Brazilian reference hospital |
title_fullStr |
Medical decision, persistence of initial treatment, and glaucoma progression in a Brazilian reference hospital |
title_full_unstemmed |
Medical decision, persistence of initial treatment, and glaucoma progression in a Brazilian reference hospital |
title_sort |
Medical decision, persistence of initial treatment, and glaucoma progression in a Brazilian reference hospital |
author |
Paula,Jayter Silva |
author_facet |
Paula,Jayter Silva Ramos Filho,José Afonso Cecchetti,Daniel Felipe Alves Nagatsuyu,Daniela Tiemi Rodrigues,Maria de Lourdes Veronese Rocha,Eduardo Melani |
author_role |
author |
author2 |
Ramos Filho,José Afonso Cecchetti,Daniel Felipe Alves Nagatsuyu,Daniela Tiemi Rodrigues,Maria de Lourdes Veronese Rocha,Eduardo Melani |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Paula,Jayter Silva Ramos Filho,José Afonso Cecchetti,Daniel Felipe Alves Nagatsuyu,Daniela Tiemi Rodrigues,Maria de Lourdes Veronese Rocha,Eduardo Melani |
dc.subject.por.fl_str_mv |
Glaucoma, open-angle/drug therapy Intraocular pressure Blindness/prevention & control Attitude to health Communication Patient compliance Physician-patient relations Disease progression |
topic |
Glaucoma, open-angle/drug therapy Intraocular pressure Blindness/prevention & control Attitude to health Communication Patient compliance Physician-patient relations Disease progression |
description |
PURPOSE: To evaluate the initial medical decision regarding primary open-angle glaucoma (POAG) treatment in a referral center, and to assess the relationship between the persistence of treatment and the disease progression in cases managed exclusively with medication. METHODS: A retrospective chart review was performed for 65 patients with primary open-angle glaucoma referred to a tertiary hospital. The following clinical data were analyzed: initial medication, persistence of treatment, best corrected visual acuity, visual field mean deviation index, cup/disc ratio, and intraocular pressure. Patients were classified into four categories in order to verify the clinical evolution. RESULTS: The mean number of visits/ year was 4.4 ± 3.5, and the follow-up period was 40.7 ± 22.8 months. Mean persistence time was 12.9 ± 13.9 months. By six and twelve months, respectively, 39.1% and 62.5% of patients had discontinued the initially prescribed regimen, mainly by adding to (42%) or changing (26%) the course of treatment. Thirteen patients (21%) were reclassified to a worse category of primary open-angle glaucoma, however, despite this trend, no significant correlation was found between shorter persistence and primary open-angle glaucoma worsening. CONCLUSIONS: Persistence rates with initial therapy schemes were low, as measured by medical decisions to change the course of treatment. Therefore, improvement in the initial medical decision is crucial in order to offer a more stable and effective treatment for primary open-angle glaucoma. |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492010000200008 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492010000200008 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0004-27492010000200008 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Conselho Brasileiro de Oftalmologia |
publisher.none.fl_str_mv |
Conselho Brasileiro de Oftalmologia |
dc.source.none.fl_str_mv |
Arquivos Brasileiros de Oftalmologia v.73 n.2 2010 reponame:Arquivos brasileiros de oftalmologia (Online) instname:Conselho Brasileiro de Oftalmologia (CBO) instacron:CBO |
instname_str |
Conselho Brasileiro de Oftalmologia (CBO) |
instacron_str |
CBO |
institution |
CBO |
reponame_str |
Arquivos brasileiros de oftalmologia (Online) |
collection |
Arquivos brasileiros de oftalmologia (Online) |
repository.name.fl_str_mv |
Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO) |
repository.mail.fl_str_mv |
aboonline@cbo.com.br||abo@cbo.com.br |
_version_ |
1754209026362572800 |