Screening for glaucoma by general medicine residents. Steinmann WC, Licht E, Siegler JE, Nichols CW. Efficiency of screening tests for glaucoma. Packer H, Deutsch AR, Deweese MW, Kashgarian M, Lewis PM. Evaluation of two interventions to improve physician diagnostic accuracy in recognizing glaucomatous changes of the optic disk. Margolis KL, Money BE, Kopietz LA, Randall D, Rich EC. Changing perspectives on screening for ocular disease. Fundoscopy as a screening test by internists (abstr). Steinmann WC, Soper K, Weisenthal R, Stone RA, Nichols CW, Bloom L. Surv Ophthalmol 1983 28:175–83.Ĭanadian Task Force on the Periodic Health Examination. Screening for visual field abnormalities with automated perimetry. Glaucoma screening: a cost-effectiveness analysis. Incidence estimates for lens changes, macular changes, open-angle glaucoma, and diabetic retinopathy. Intraocular pressure, glaucoma and glaucoma suspects in a defined population. The epidemiology of open-angle glaucoma: a review. Internists showed similar increments in sensitivity, specificity, and accuracy: 0.67 to 0.86 (p=0.01), 0.59 to 0.84 (p=0.01), and 0.63 to 0.85 (p=0.002), respectively.Ĭonclusion: A brief educational intervention can result in meaningful improvement in physician diagnostic accuracy in recognizing ophthalmoscopic signs of open-angle glaucoma. Measurements and main results: Following the intervention, residents showed improved sensitivity (0.76 to 0.88, p=0.007), specificity (0.65 to 0.88, p<0.001), and accuracy (0.71 to 0.88, p<0.001). Intervention: A 20-minute slide/narration educational program, which covered diagnostic criteria for openangle glaucoma, normal and abnormal optic disc anatomy, and funduscopic signs of open-angle glaucoma. Subjects: Thirty-six internal medicine residents and ten practicing internists. Setting: Educational conferences at two university-affiliated teaching hospitals and one staff-model bealth maintenance organization. Objective: To evaluate a short educational intervention instructing primary care physicians in the recognition of glaucomatous changes of the optic disc.ĭesign: Comparison of performances on a pretest and a posttest consisting of fundus slides in color.
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