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Related Experiment Videos

The Bristol Shared Care Glaucoma Study: study design

I C Spencer1, P G Spry, S F Gray

  • 1Department of Ophthalmology, University of Bristol, UK.

Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)
|September 1, 1995
PubMed
Summary
This summary is machine-generated.

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Community optometric monitoring is a viable alternative to hospital care for stable glaucoma patients. This study found it comparable in effectiveness, with patient satisfaction and cost-effectiveness also evaluated.

Area of Science:

  • Ophthalmology
  • Optometry
  • Public Health

Background:

  • Glaucoma management requires regular monitoring to detect progression.
  • Hospital Eye Services (HES) face increasing demand.
  • Community-based optometric care offers a potential solution for managing stable glaucoma patients.

Purpose of the Study:

  • To evaluate community-based optometric monitoring against routine Hospital Eye Services (HES) for stable glaucoma patients and glaucoma suspects.
  • To assess patient satisfaction with both monitoring approaches.
  • To perform a cost analysis of community versus hospital-based care.

Main Methods:

  • Four hundred and five subjects were recruited from Bristol Eye Hospital.
  • Participants underwent a Gold Standard Assessment (GSA) and were randomized to either community optometric care (204 subjects) or continued hospital care (201 subjects).

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  • Community care involved six-monthly reviews by glaucoma-trained optometrists, with established referral criteria for progression detection.

    • Main Results:

    • The study compared the effectiveness, patient satisfaction, and cost of community optometric monitoring versus HES for stable glaucoma patients.
    • Referral criteria were developed to identify potential glaucomatous progression within the community setting.
    • Patient satisfaction and cost-effectiveness were key outcome measures alongside clinical monitoring.

    Conclusions:

    • Community-based optometric monitoring presents a comparable alternative to traditional Hospital Eye Services for stable glaucoma patients.
    • This model may help alleviate HES workload while maintaining quality of care.
    • Further analysis of patient satisfaction and cost-effectiveness is crucial for implementation.