Schettler Adam J, Filutowski Oliver R, Helenius Ira M, Netland Peter A
Department of Ophthalmology, University of Virginia School of Medicine , Charlottesville , VA , USA.
Department of Medicine, Division of General Medicine, University of Virginia School of Medicine , Charlottesville , VA , USA.
Ophthalmic Epidemiol. 2019 Oct;26(5):355-359. doi: 10.1080/09286586.2019.1626444. Epub 2019 Jun 17.
: To compare outcomes of glaucoma screening in primary care and community settings, including the follow-up rates of subjects with positive screening results. : This was a comparative, prospective, non-randomized study. Subjects were recruited by medical students in community-based and primary care settings and screened for glaucoma using the same screening strategy. : Two hundred and fifteen total patients were screened, 117 in community settings and 98 in primary care settings. Positive screenings were seen in 34% of patients in the community setting group (n = 40) and 40% of patients in the primary care setting group (n = 39). Of the patients who screened positive, 74% completed their initial follow-up appointment in the primary care setting group compared with 47.5% in the community-based setting group ( = .015). In the primary care setting, 18% were lost to follow up compared with 42.5% in the community-setting ( = .018). African-Americans were more likely to follow-up ( = .025) and less likely to be lost to follow-up ( = .033) in the primary care setting compared with the community-based setting. : Patients with a positive glaucoma screening result in a primary care setting are more likely to follow up than those in a community-based setting.
