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Abstract #28139 Published in IGR 13-1
Identification of noncompliant glaucoma patients using Bayesian networks and the Eye-Drop Satisfaction Questionnaire
Nordmann J-P; Baudouin C; Renard J-P; Denis P; Regnault A; Berdeaux GClinical Ophthalmology 2010; 4: 1489-1496
Objective: To identify poorly compliant glaucoma patients, using the Eye-Drop Satisfaction Questionnaire (EDSQ). Methods: This was an observational cross-sectional study with compliance data collected by an electronic monitoring device. Patients with primary open-angle glaucoma or ocular hypertension completed the EDSQ, a six-dimension self-reported questionnaire addressing "treatment concern", "disease concern", "patient-clinician relationship", "positive beliefs", "treatment convenience", and "self-declared compliance". A Bayesian network (BN) was applied to explore compliance associations with EDSQ. Results: Among 169 patients who completed the EDSQ, 113 had valid Travalert(registered trademark) data, of whom 25 (22.1%) demonstrated low compliance. All six EDSQ dimensions were associated directly, or indirectly, with compliance. Two profiles exhibited low compliance, ie, patients aged younger than 77.5 years with a poor patient-physician relationship and self-declared poor compliance and patients aged older than 77.5 years with a poor patient-physician relationship and self-declared good compliance. The third profile showed high compliance, ie, patients aged younger than 77.5 years with a good patient-physician relationship and self-declared good compliance. Conclusion: Our results confirm a central role for the patient-physician relationship in the compliance process. Age, self-declared compliance, and patient satisfaction with the patient- physician relationship are all dimensions worth exploring before glaucoma medication is switched or proceeding to laser treatment or surgery.
G. Berdeaux. Alcon France, 4 rue Henri Sainte-Claire Deville, 92563 Rueil-Malmaison, Cedex, France. gilles.berdeaux@alconlabs.com
Classification:
11.17 Cooperation with medical therapy e.g. persistency, compliance, adherence (Part of: 11 Medical treatment)
