Most Read Articles
Roshini Claire Anthony, 3 days ago

The combined use of piperacillin and tazobactam does not appear to be a suitable alternative to meropenem for patients with bloodstream infections caused by ceftriaxone-resistant Escherichia coli (E. coli) or Klebsiella pneumoniae (K. pneumoniae), according to results of the MERINO* trial.

Tristan Manalac, 6 days ago
Taking oral antibiotics appears to increase the risk of nephrolithiasis, according to a recent study. Moreover, the risk seems to be compounded for individuals with recent antibiotic exposure and those who were exposed at a younger age.
Yesterday
Patients with inflammatory bowel disease are at increased risk of developing acute myocardial infarction (AMI) or heart failure, although the prevalence of traditional risk factors for such cardiovascular disorders appears to be low, as reported in a recent study.
2 days ago
Early renin-angiotensin-aldosterone system (RAAS) blockade with renin-angiotensin system inhibitors (RASI) leads to better short- and long-term renal outcomes in systemic lupus erythematosus (SLE) patients with antiphospholipid-associated nephropathy (aPLN), according to a study, adding that this renal protective effect is independent of RASI’s antihypertensive and antiproteinuric effects.

Predictors of attendance to follow-up ophthalmic care

03 Feb 2018

Factors such as obesity, short distance between screening sites and hospital, poor presenting visual acuity (VA) in the better eye, and an abnormal macula on fundus photography are all associated with a higher rate of attendance to follow-up ophthalmic care, according to data from the SToP Glaucoma Study.

The ongoing study, which is aimed at developing an eye screening paradigm and increasing follow-up attendance rates, focused on African Americans aged ≥50 years. The total number of referred patients presenting for a free eye exam (attendance rate) overall was 885 (57.0 percent), including 686 (55.0 percent) during the first phase and 199 (63.8 percent) during the second phase.

In fully adjusted multivariable logistic regression models, attendance to the follow-up visit was associated with the following: screening in second vs first phase (odds ratio [OR], 1.82; 95 percent CI, 1.19–2.79), screening sites that were 3 to <5 miles vs <1 mile from the hospital (OR, 0.62; 0.39–0.99), BMI ≥30 vs <25 kg/m2 (OR, 1.70; 1.12–2.59), presentation of VA <20/40 vs ≥20/40 (OR, 2.03; 1.28–3.21), and an abnormal vs normal macula (OR, 2.32; 1.24–4.34).

Previous studies have consistently reported poor attendance to follow-up ophthalmic care, and some of the barriers associated with poor attendance included having less understanding of the mechanism and trajectory of one's eye disease, patient or escort difficulty getting time off work for appointments, and legal blindness. [Invest Ophthalmol Vis Sci 2015;56:4324-4331]

Chronic degenerative diseases such as AMD, diabetic retinopathy and glaucoma (GL) require regular follow-up appointments to optimally monitor a patient's course and adjust therapy. Commonly reported patient- and system-level factors that impede timely follow-up include advanced age, distance from clinic and transportation. [Am J Health Syst Pharm 2007;64:S8-S14; Arch Ophthalmol 2003;121:1303-1310; Am J Otolaryngol 2015;36:441-444; J Community Health 2013;38:976-993]

Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Doctor - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
Roshini Claire Anthony, 3 days ago

The combined use of piperacillin and tazobactam does not appear to be a suitable alternative to meropenem for patients with bloodstream infections caused by ceftriaxone-resistant Escherichia coli (E. coli) or Klebsiella pneumoniae (K. pneumoniae), according to results of the MERINO* trial.

Tristan Manalac, 6 days ago
Taking oral antibiotics appears to increase the risk of nephrolithiasis, according to a recent study. Moreover, the risk seems to be compounded for individuals with recent antibiotic exposure and those who were exposed at a younger age.
Yesterday
Patients with inflammatory bowel disease are at increased risk of developing acute myocardial infarction (AMI) or heart failure, although the prevalence of traditional risk factors for such cardiovascular disorders appears to be low, as reported in a recent study.
2 days ago
Early renin-angiotensin-aldosterone system (RAAS) blockade with renin-angiotensin system inhibitors (RASI) leads to better short- and long-term renal outcomes in systemic lupus erythematosus (SLE) patients with antiphospholipid-associated nephropathy (aPLN), according to a study, adding that this renal protective effect is independent of RASI’s antihypertensive and antiproteinuric effects.