Agreement between optometrists and ophthalmologists on clinical management decisions for patients with glaucoma.

The British Journal of Ophthalmology
M J BanesD Garway-Heath

Abstract

Although optometrists have become an accepted part of the team in many hospital glaucoma clinics, their decision making ability has not been assessed formally. This study aims to document the accuracy and safety of clinical work undertaken by optometrists in the hospital setting by investigating their management decisions on follow up of patients with glaucoma. Four optometrists and three medical clinicians examined 50 patients each. Clinical findings were recorded as usual in the hospital records but management decisions were documented separately on a specially designed data collection form. Subsequently, the patient records and clinical findings were reviewed retrospectively and independently by two consultant ophthalmologists, who were masked to the management decisions of the optometrists and medical clinicians. The consultants' management decisions were then compared with those made by the optometrists and medical clinicians. Percentage agreements were computed together with kappa (kappa), or weighted kappa, statistics where appropriate. Agreement between consultants and optometrists was 55% (kappa = 0.33) for evaluation of visual field status, 79% (kappa = 0.67) for medical management, 72-98% for other aspects of patient...Continue Reading

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Citations

Apr 23, 2008·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Justin J NeedleJohn G Lawrenson
Jan 22, 2009·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·T J PierscionekB K Pierscionek
Feb 12, 2011·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Shu Ho, Stephen A Vernon
Jun 1, 2007·The British Journal of Ophthalmology·A Azuara-BlancoS McPherson
Jun 15, 2013·Clinical & Experimental Optometry : Journal of the Australian Optometrical Association·Faazil KassamKarim F Damji
Nov 15, 2013·Clinical & Experimental Ophthalmology·Andrew WhiteUNKNOWN Australian and New Zealand Glaucoma Interest Group and the Royal Australian and New Zealand College of Ophthalmologists
Feb 17, 2015·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Barbara ZangerlMichael Kalloniatis
Sep 2, 2016·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Helen BakerJohn G Lawrenson
Oct 30, 2016·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Angelica LyMichael Kalloniatis
Mar 22, 2013·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Glenis J CraneJonathan D Karnon
Feb 12, 2008·Journal of the Royal Society of Medicine·Tarun SharmaWendy Franks
Jun 6, 2018·Journal of Glaucoma·Saumya M ShahCheryl L Khanna
Oct 9, 2019·Optometry and Vision Science : Official Publication of the American Academy of Optometry·Jack PhuMichael Kalloniatis
Nov 9, 2019·Eye·Robert A HarperJohn G Lawrenson
Aug 19, 2020·Clinical & Experimental Optometry : Journal of the Australian Optometrical Association·Jack PhuMichael Kalloniatis
Sep 8, 2019·BMC Health Services Research·Kam Chun HoIsabelle Jalbert
Jun 9, 2012·The Medical Journal of Australia·Patricia M O'ConnorJill E Keeffe
Aug 31, 2020·International Journal of Integrated Care·Angelica LyBarbara Zangerl
Oct 12, 2019·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Rosalind C CreerRobert A Harper
Jan 4, 2021·Molecular Therapy : the Journal of the American Society of Gene Therapy·Peixing WanYehong Zhuo
Mar 11, 2021·Clinical & Experimental Optometry : Journal of the Australian Optometrical Association·Henrietta Wang, Michael Kalloniatis
Nov 2, 2021·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Wan Masri Wan-Ezatul-ArishaAhmad Tajudin Liza-Sharmini

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