在美国初步眼病评估期间记录的视镜的模式和差异
Jun Hui Lee1, Kristy Yoo2, Khristina Lung3
1From the Roski Eye Institute, Department of Ophthalmology, Keck School of Medicine at the University of Southern California (J.H.L., G.A., B.T., B.X.), Los Angeles, California.
American journal of ophthalmology
|February 29, 2024
概括
在美国,70%以上的初始格劳科马评估中缺乏镜记录,特别是在老年人,非西班牙裔白人和伪白色患者中. 这种使用不足可能导致错误诊断和较差的结果.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
背景情况:
- 视野镜对于诊断和管理青光瘤至关重要,通过可视化前腔角.
- 目前的实践指南建议在初步的绿眼病评估期间进行视镜检查.
研究的目的:
- 评估模式,并确定因子,在美国初步眼评估期间缺乏眼镜相关的因素.
主要方法:
- 追溯病例控制研究分析了2009年至2020年期间198995名患者的数据.
- 后勤回归模型使用当前程序术语 (CPT) 代码识别了与没有记录的视镜相关的因素.
主要成果:
- 只有20.4%的患者在诊断之日进行了透镜检查,而在6个月内只有29.5%的患者进行了透镜检查.
- 在非西班牙裔白人,老年患者 (≥60),伪性/非伪性个体以及东北地区以外的人群中,记录视镜的几率较低.
- 与解剖狭视角患者相比,患有各种青光眼类型的患者不太可能进行视镜检查.
结论:
- 在美国,绝大多数初步的青光眼评估都缺乏镜记录.
- 这种利用不足,特别是在特定的人口统计和地区,偏离了指导方针,并可能导致错误诊断和低于最佳的患者护理.
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