The Impact of Changing Physicians on Compliance with Management of Myopia Progression.

IF 0.8 4区医学 Q4 OPHTHALMOLOGY

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2025-04-01 Epub Date: 2025-01-28 DOI:10.1055/a-2493-9295

Fabian Schibli, Anja Palmowski-Wolfe

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引用次数: 0

Abstract

Background: The global incidence of high myopia is increasing, with projections indicating a rise from 3 to 10% of the global population by 2050. Effective treatment options exist to reduce myopia progression, but their success is contingent on patient adherence. This study assesses the impact of changes in treating physicians on adherence to therapy to control myopia progression.

Patients and methods: This retrospective observational study analyzed data from the Myopia Clinic at the University Eye Hospital of Basel from 2020 to 2023. Adherence rates were compared between consultations with and without a change in the treating physician, as well as between resident and senior physicians. Statistical analysis was performed using unpaired t-tests and chi-squared tests.

Results: A total of 73 patients, with a mean age of 10.76 years, who had at least three axial length measurements were included. Overall, 84.79% of consultations adhered to the recommended treatment. A significantly higher nonadherence rate of 21.43% was observed in consultations following a change in physician, compared to 6.42% with physician stability (p = 0.0037). Nonadherence was also higher with resident physicians (18.31%) compared to senior physicians (8.70%; p = 0.0310). No significant difference in adherence was found between optical and medical treatment options (p = 0.6293). Age and gender did not significantly influence adherence.

Discussion: The study reveals a significant negative impact of physician changes on patient adherence in therapy to control myopia progression control. The findings emphasize the importance of consistent physician care, particularly in avoiding frequent rotations among resident physicians, in order to enhance treatment adherence. While the study's limitations include a small sample size and single-center data, the results suggest that strategies to minimize changes in treating physicians could improve adherence outcomes.

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更换医生对近视进展管理依从性的影响。

背景：全球高度近视的发病率正在上升，预计到2050年将从全球人口的3%上升到10%。现有有效的治疗方案可以减少近视的进展，但其成功与否取决于患者的坚持。本研究评估了治疗医师的改变对坚持治疗以控制近视进展的影响。患者和方法：本回顾性观察性研究分析了巴塞尔大学眼科医院2020年至2023年近视诊所的数据。依从率比较了会诊时是否更换主治医师，以及住院医师和资深医师之间的依从率。采用非配对t检验和卡方检验进行统计分析。结果：共纳入73例患者，平均年龄10.76岁，至少进行了3次轴向长度测量。总体而言，84.79%的咨询坚持推荐治疗。更换医生后的不依从率为21.43%，而更换医生后的不依从率为6.42% （p = 0.0037）。住院医师的不依从率（18.31%）也高于高级医师(8.70%；p = 0.0310)。光学治疗方案和药物治疗方案的依从性无显著差异（p = 0.6293）。年龄和性别对依从性没有显著影响。讨论：本研究揭示了医师改变对患者坚持治疗以控制近视进展的显著负面影响。研究结果强调了一致的医师护理的重要性，特别是避免住院医师之间频繁的轮转，以提高治疗依从性。虽然该研究的局限性包括样本量小和单中心数据，但结果表明，将治疗医生的变化最小化的策略可以改善依从性结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Klinische Monatsblatter fur Augenheilkunde 医学-眼科学

CiteScore

1.30

自引率

0.00%

发文量

235

审稿时长

4-8 weeks

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