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Abstract #50399 Published in IGR 14-2

Patient satisfaction with topical ocular hypotensives

Kerr NM; Patel HY; Chew SS; Ali NQ; Eady EK; Danesh-Meyer HV
Clinical and Experimental Ophthalmology 2013; 41: 27-35


BACKGROUND: To assess patient satisfaction, convenience of use, ease of administration, side effects, and treatment burden of topical ocular hypotensives. DESIGN: Prospective, observational cohort. PARTICIPANTS: 2,541 patients with glaucoma or ocular hypertension. METHODS: The Treatment Impact Patient Satisfaction Scale (TIPSS) was administered by mail to all patients with glaucoma or ocular hypertension registered with Glaucoma New Zealand during a three-month study period. The questionnaire assessed patient demographics; topical ocular hypotensive use including number of medications, frequency of administration, ease of use, class of medication, and presence/severity of side effects; impact on quality of life; and patient satisfaction. Univariate and multivariate analyses were performed to identify determinants of patient satisfaction. MAIN OUTCOME MEASURES: Patient satisfaction. RESULTS: Almost 80% of respondents were either 'very satisfied' or 'satisfied' with topical ocular hypotensives. Factors that were predictive of patient satisfaction included satisfaction with frequency of eye drop use (OR 2.4 [95% CI 1.8 - 3.1]; P < 0.001), subjective convenience (OR 2.6 [95% CI 2.0 - 3.4]; P < 0.001), and ease of administration (OR 2.5 [95% CI 2.0 - 3.3]; P < 0.001). Male gender was associated with lower satisfaction (OR 0.6 [95% CI 0.5 - 0.9]; P = 0.01). Factors that were not predictive of patient satisfaction included age, duration of eye drop use, class of medication, and the presence of side effects. CONCLUSIONS: Patients with glaucoma and ocular hypotension are satisfied with topical ocular hypotensives. Efforts to improve patient satisfaction should focus on convenience and ease of administration. © 2012 The Authors. Clinical and Experimental Ophthalmology © 2012 Royal Australian and New Zealand College of Ophthalmologists.

Department of Ophthalmology, University of Auckland, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.

Full article

Classification:

11.17 Cooperation with medical therapy e.g. persistency, compliance, adherence (Part of: 11 Medical treatment)
1.4 Quality of life (Part of: 1 General aspects)
1.1 Epidemiology (Part of: 1 General aspects)



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