Application of the Sight Outcomes Research Collaborative Ophthalmology Data Repository for Triaging Patients With Glaucoma and Clinic Appointments During Pandemics Such as COVID-19.

JAMA Ophthalmology
Nikhil K BommakantiSOURCE Consortium

Abstract

During the coronavirus disease 2019 (COVID-19) pandemic, eye care professionals caring for patients with sight-threatening diseases, such as glaucoma, have had to determine whether some patient appointments could safely get postponed, weighing the risk that the patient's glaucoma could worsen during the interim vs the morbidity risk of acquiring COVID-19 while seeking ophthalmic care. They also need to prioritize appointment rescheduling during the ramp-up phase (when pandemic-associated service reductions are eased). To describe a flexible and scalable scoring algorithm for patients with glaucoma that considers glaucoma severity and progression risk vs the presence of high-risk features for morbidity from COVID-19, using information from a large data repository. In this cross-sectional study, patients with upcoming clinic appointments for glaucoma from March 16, 2020, to April 16, 2020, at an academic institution enrolled in the Sight Outcomes Research Collaborative (SOURCE) Ophthalmology Electronic Health Record Data Repository were identified. A risk stratification tool was developed that calculated a glaucoma severity and progression risk score and a COVID-19 morbidity risk score. These scores were summed to determine a tot...Continue Reading

References

Oct 17, 2017·Journal of the American Medical Informatics Association : JAMIA·Michelle R HribarMichael F Chiang
May 15, 2018·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Gregory D SchroederMark F Kurd
Feb 23, 2019·JAMA Ophthalmology·Joshua D SteinDavid A Hanauer
Feb 1, 2020·The New England Journal of Medicine·Camilla RotheMichael Hoelscher
Feb 23, 2020·JAMA : the Journal of the American Medical Association·Yan BaiMeiyun Wang
Mar 28, 2020·MMWR. Morbidity and Mortality Weekly Report·UNKNOWN CDC COVID-19 Response Team

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Citations

Sep 23, 2020·JAMA : the Journal of the American Medical Association·Neil M Bressler
Apr 24, 2021·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·R DienerN Eter
Jul 8, 2021·Current Opinion in Ophthalmology·Sally L Baxter, Aaron Y Lee
Aug 21, 2021·Asia-Pacific Journal of Ophthalmology·Soyang Ella KimJi-Peng Olivia Li

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