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与失去格朗瘤护理后不回归相关的因素:一个IRIS®注册表追溯分析

Lauren M Wasser¹, Julie Cassidy², Hsing-Hua Sylvia Lin³

¹Department of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; Department of Ophthalmology, Shaare Zedek Medical Center, Affiliated with the Hebrew University, Hadassah School of Medicine, Jerusalem, Israel.

Ophthalmology. Glaucoma

|July 22, 2024

概括

一半的初级开角青光眼 (POAG) 患者经历了跟踪损失 (LTFU). 三分之二的这些LTFU患者没有回到护理中,这突出了需要重新参与POAG的脆弱个体.

科学领域:

眼科医生眼科眼科
公共卫生公共卫生

背景情况:

在初级开角青光眼 (POAG) 管理中,失去随访 (LTFU) 可能导致治疗不足,疾病进展和不可逆转的视力丧失.
成为LTFU的患者可能会重新建立护理或无限期地失去随访.

研究的目的:

确定POAG患者在LTFU后返回护理的比例.
确定与POAG患者LTFU后不复发相关的人口和临床因素.

主要方法:

使用IRIS®注册表 (视觉智能研究) 进行的回顾性纵向队列研究.
分析了在2014年遇到POAG的553,663名POAG患者,追踪到2019年的随访模式.
LTFU定义为超过一个日历年没有遭遇;患者被分类为在LTFU后返回或不返回.

主要成果:

50%的POAG患者在6年研究期间至少经历过一次LTFU发作.
在LTFU组中,33%的人重返护理,而67%的人没有.
在LTFU后的不返回与年龄较大 (>80岁),未知/缺失保险和严重阶段的POAG有关. 观察到POAG严重程度/视力障碍和非复发之间存在剂量依赖的关系.

结论:

在IRIS注册表中,一半的POAG患者经历了LTFU,其中三分之二的人没有返回护理.
需要作出努力,以重新参与易受伤害的POAG患者,成为LTFU.
大多数返回护理的患者是在他们最后一次预约后两年内这样做.

关键词:

坚持的坚持坚持的坚持预约的出席率预约的出席率对后续行动的损失没有回报的禁令.主要的开放角光眼.

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