A MULTICENTER STUDY OF RETINOPATHY OF PREMATURITY FOLLOW-UP ADHERENCE

被引：3

作者：

Mahmud, Fahim ^{[1
,2
]}

Karmouta, Reem ^{[1
,2
]}

Strawbridge, Jason C. ^{[1
,2
]}

Prasad, Pradeep ^{[1
,2
,3
]}

Chu, Alison ^{[4
]}

Khitri, Monica ^{[1
,2
,3
]}

Tsui, Irena ^{[1
,2
,5
]}

机构：

[1] Univ Calif Los Angeles, Stein Eye Inst, David Geffen Sch Med, Dept Ophthalmol, Los Angeles, CA 90095 USA

[2] Univ Calif Los Angeles, Doheny Eye Inst, Los Angeles, CA 90095 USA

[3] Harbor UCLA Med Ctr, LA Cty Dept Hlth Serv, Dept Ophthalmol, Los Angeles, CA USA

[4] Univ Calif Los Angeles, David Geffen Sch Med, Dept Pediat, Div Neonatol & Dev Biol, Los Angeles, CA 90095 USA

[5] Univ Calif Los Angeles, Jules Stein Eye Inst, Dept Ophthalmol, 100 Stein Plaza, Los Angeles, CA 90095 USA

来源：

RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES | 2023年 / 43卷 / 10期

关键词：

health inequity; pediatric ophthalmology; pediatric ophthalmology follow-up; retinopathy of prematurity; retinopathy of prematurity follow-up; social determinants of health; socioeconomic determinants of health; OUTCOMES; CHILDREN; ROP;

D O I：

10.1097/IAE.0000000000003875

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

Purpose: Characterize clinical and socioeconomic factors that impact follow-up to complete retinal vascularization and subsequent pediatric ophthalmology follow-up in neonates with retinopathy of prematurity.Methods: Medical records of 402 neonates diagnosed with retinopathy of prematurity from neonatal intensive care units at the University of California, Los Angeles Mattel Children's Hospital and the University of California, Los Angeles Santa Monica Hospital, both academic medical centers, and the Harbor-University of California, Los Angeles Medical Center, a safety-net county hospital, were reviewed. Primary study outcomes were the rate of follow-up to complete retinal vascularization and adequate pediatric ophthalmology follow-up. Secondary outcome was the rate of nonretinal ocular comorbidity.Results:In whole-cohort analysis, 93.6% of neonates were followed to complete retinal vascularization, and 53.5% had adequate pediatric ophthalmology follow-up. Public insurance was associated with lower rates of pediatric ophthalmology follow-up (Odds ratio 0.66, 95% confidence interval 0.45-0.98, P = 0.04). Participants screened at the academic medical center had lower rates of pediatric ophthalmology follow-up compared with the safety-net county hospital (50.7% vs. 63.5%, P = 0.034). In subgroup analysis, academic medical center participants with public insurance were less likely to have pediatric ophthalmology follow-up than safety-net county hospital participants with public insurance (36.5% vs. 63.8%, P < 0.001) or those with private insurance at the academic medical center (36.5% vs. 59.2%, P< 0.001).Conclusion:This study identified high follow-up rates to complete retinal vascularization, lower pediatric ophthalmology follow-up rates, and nonretinal ocular comorbidity at all hospitals. Insurance status relative to hospital type was identified as a risk factor for loss to follow-up. This demonstrates a need to further study health care disparities in retinopathy of prematurity infants.

引用

页码：1780 / 1787

页数：8

共 24 条

[1] Compliance with outpatient follow-up recommendations for infants at risk for retinopathy of prematurity [J].