Practice Patterns and Responsiveness to Simulated Common Ocular Complaints Among US Ophthalmology Centers During the COVID-19 Pandemic
IMPORTANCE: The coronavirus disease 2019 (COVID-19) pandemic has drastically changed how comprehensive ophthalmology practices care for patients. OBJECTIVE: To report practice patterns for common ocular complaints during the initial stage of the COVID-19 pandemic among comprehensive ophthalmology pr...
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| Veröffentlicht in: | Archives of ophthalmology (1960) 2020-09, Vol.138 (9), p.981-988 |
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| creator | Starr, Matthew R Israilevich, Rachel Zhitnitsky, Michael Cheng, Qianqian E Soares, Rebecca R Patel, Luv G Ammar, Michael J Khan, M. Ali Yonekawa, Yoshihiro Ho, Allen C Cohen, Michael N Sridhar, Jayanth Kuriyan, Ajay E |
| description | IMPORTANCE: The coronavirus disease 2019 (COVID-19) pandemic has drastically changed how comprehensive ophthalmology practices care for patients. OBJECTIVE: To report practice patterns for common ocular complaints during the initial stage of the COVID-19 pandemic among comprehensive ophthalmology practices in the US. DESIGN, SETTING, AND PARTICIPANTS: In this cross-sectional study, 40 private practices and 20 university centers were randomly selected from 4 regions across the US. Data were collected on April 29 and 30, 2020. INTERVENTIONS: Investigators placed telephone calls to each ophthalmology practice office. Responses to 3 clinical scenarios—refraction request, cataract evaluation, and symptoms of a posterior vitreous detachment—were compared regionally and between private and university centers. MAIN OUTCOMES AND MEASURES: The primary measure was time to next appointment for each of the 3 scenarios. Secondary measures included use of telemedicine and advertisement of COVID-19 precautions. RESULTS: Of the 40 private practices, 2 (5%) were closed, 24 (60%) were only seeing urgent patients, and 14 (35%) remained open to all patients. Of the 20 university centers, 2 (10%) were closed, 17 (85%) were only seeing urgent patients, and 1 (5%) remained open to all patients. There were no differences for any telemedicine metric. University centers were more likely than private practices to mention preparations to limit the spread of COVID-19 (17 of 20 [85%] vs 14 of 40 [35%]; mean difference, 0.41; 95% CI, 0.26-0.65; P |
| doi_str_mv | 10.1001/jamaophthalmol.2020.3237 |
| format | Article |
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Ali ; Yonekawa, Yoshihiro ; Ho, Allen C ; Cohen, Michael N ; Sridhar, Jayanth ; Kuriyan, Ajay E</creator><creatorcontrib>Starr, Matthew R ; Israilevich, Rachel ; Zhitnitsky, Michael ; Cheng, Qianqian E ; Soares, Rebecca R ; Patel, Luv G ; Ammar, Michael J ; Khan, M. Ali ; Yonekawa, Yoshihiro ; Ho, Allen C ; Cohen, Michael N ; Sridhar, Jayanth ; Kuriyan, Ajay E</creatorcontrib><description>IMPORTANCE: The coronavirus disease 2019 (COVID-19) pandemic has drastically changed how comprehensive ophthalmology practices care for patients. OBJECTIVE: To report practice patterns for common ocular complaints during the initial stage of the COVID-19 pandemic among comprehensive ophthalmology practices in the US. DESIGN, SETTING, AND PARTICIPANTS: In this cross-sectional study, 40 private practices and 20 university centers were randomly selected from 4 regions across the US. Data were collected on April 29 and 30, 2020. INTERVENTIONS: Investigators placed telephone calls to each ophthalmology practice office. Responses to 3 clinical scenarios—refraction request, cataract evaluation, and symptoms of a posterior vitreous detachment—were compared regionally and between private and university centers. MAIN OUTCOMES AND MEASURES: The primary measure was time to next appointment for each of the 3 scenarios. Secondary measures included use of telemedicine and advertisement of COVID-19 precautions. RESULTS: Of the 40 private practices, 2 (5%) were closed, 24 (60%) were only seeing urgent patients, and 14 (35%) remained open to all patients. Of the 20 university centers, 2 (10%) were closed, 17 (85%) were only seeing urgent patients, and 1 (5%) remained open to all patients. There were no differences for any telemedicine metric. University centers were more likely than private practices to mention preparations to limit the spread of COVID-19 (17 of 20 [85%] vs 14 of 40 [35%]; mean difference, 0.41; 95% CI, 0.26-0.65; P < .001). Private practices had a faster next available appointment for cataract evaluations than university centers, with a mean (SD) time to visit of 22.1 (27.0) days vs 75.5 (46.1) days (mean difference, 53.4; 95% CI, 23.1-83.7; P < .001). Private practices were also more likely than university centers to be available to see patients with flashes and floaters (30 of 40 [75%] vs 8 of 20 [40%]; mean difference, 0.42; 95% CI, 0.22-0.79; P = .01). CONCLUSIONS AND RELEVANCE: In this cross-sectional study of investigator telephone calls to ophthalmology practice offices, there were uniform recommendations for the 3 routine ophthalmic complaints. Private practices had shorter times to next available appointment for cataract extraction and were more likely to evaluate posterior vitreous detachment symptoms. As there has not been a study examining these practice patterns before the COVID-19 pandemic, the relevance of these findings on public health is yet to be determined.</description><identifier>ISSN: 2168-6165</identifier><identifier>EISSN: 2168-6173</identifier><identifier>DOI: 10.1001/jamaophthalmol.2020.3237</identifier><identifier>PMID: 32777008</identifier><language>eng</language><publisher>United States: American Medical Association</publisher><subject>Appointments and Schedules ; Betacoronavirus ; Cataracts ; Comments ; Coronavirus Infections - diagnosis ; Coronavirus Infections - epidemiology ; Coronaviruses ; COVID-19 ; Cross-Sectional Studies ; Eye Diseases - therapy ; Humans ; Online First ; Ophthalmology ; Original Investigation ; Pandemics ; Pneumonia, Viral - diagnosis ; Pneumonia, Viral - epidemiology ; Practice Patterns, Physicians ; Prevalence ; Public health ; SARS-CoV-2 ; Telemedicine ; Time Factors</subject><ispartof>Archives of ophthalmology (1960), 2020-09, Vol.138 (9), p.981-988</ispartof><rights>Copyright American Medical Association Sep 2020</rights><rights>Copyright 2020 American Medical Association. All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a467t-3c0d1a43736ed15db15fce1376af237407bb16c51212ca2452020dce808033323</citedby><cites>FETCH-LOGICAL-a467t-3c0d1a43736ed15db15fce1376af237407bb16c51212ca2452020dce808033323</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jamanetwork.com/journals/jamaophthalmology/articlepdf/10.1001/jamaophthalmol.2020.3237$$EPDF$$P50$$Gama$$H</linktopdf><linktohtml>$$Uhttps://jamanetwork.com/journals/jamaophthalmology/fullarticle/10.1001/jamaophthalmol.2020.3237$$EHTML$$P50$$Gama$$H</linktohtml><link.rule.ids>64,230,314,780,784,885,3340,27924,27925,76489,76492</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32777008$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Starr, Matthew R</creatorcontrib><creatorcontrib>Israilevich, Rachel</creatorcontrib><creatorcontrib>Zhitnitsky, Michael</creatorcontrib><creatorcontrib>Cheng, Qianqian E</creatorcontrib><creatorcontrib>Soares, Rebecca R</creatorcontrib><creatorcontrib>Patel, Luv G</creatorcontrib><creatorcontrib>Ammar, Michael J</creatorcontrib><creatorcontrib>Khan, M. Ali</creatorcontrib><creatorcontrib>Yonekawa, Yoshihiro</creatorcontrib><creatorcontrib>Ho, Allen C</creatorcontrib><creatorcontrib>Cohen, Michael N</creatorcontrib><creatorcontrib>Sridhar, Jayanth</creatorcontrib><creatorcontrib>Kuriyan, Ajay E</creatorcontrib><title>Practice Patterns and Responsiveness to Simulated Common Ocular Complaints Among US Ophthalmology Centers During the COVID-19 Pandemic</title><title>Archives of ophthalmology (1960)</title><addtitle>JAMA Ophthalmol</addtitle><description>IMPORTANCE: The coronavirus disease 2019 (COVID-19) pandemic has drastically changed how comprehensive ophthalmology practices care for patients. OBJECTIVE: To report practice patterns for common ocular complaints during the initial stage of the COVID-19 pandemic among comprehensive ophthalmology practices in the US. DESIGN, SETTING, AND PARTICIPANTS: In this cross-sectional study, 40 private practices and 20 university centers were randomly selected from 4 regions across the US. Data were collected on April 29 and 30, 2020. INTERVENTIONS: Investigators placed telephone calls to each ophthalmology practice office. Responses to 3 clinical scenarios—refraction request, cataract evaluation, and symptoms of a posterior vitreous detachment—were compared regionally and between private and university centers. MAIN OUTCOMES AND MEASURES: The primary measure was time to next appointment for each of the 3 scenarios. Secondary measures included use of telemedicine and advertisement of COVID-19 precautions. RESULTS: Of the 40 private practices, 2 (5%) were closed, 24 (60%) were only seeing urgent patients, and 14 (35%) remained open to all patients. Of the 20 university centers, 2 (10%) were closed, 17 (85%) were only seeing urgent patients, and 1 (5%) remained open to all patients. There were no differences for any telemedicine metric. University centers were more likely than private practices to mention preparations to limit the spread of COVID-19 (17 of 20 [85%] vs 14 of 40 [35%]; mean difference, 0.41; 95% CI, 0.26-0.65; P < .001). Private practices had a faster next available appointment for cataract evaluations than university centers, with a mean (SD) time to visit of 22.1 (27.0) days vs 75.5 (46.1) days (mean difference, 53.4; 95% CI, 23.1-83.7; P < .001). Private practices were also more likely than university centers to be available to see patients with flashes and floaters (30 of 40 [75%] vs 8 of 20 [40%]; mean difference, 0.42; 95% CI, 0.22-0.79; P = .01). CONCLUSIONS AND RELEVANCE: In this cross-sectional study of investigator telephone calls to ophthalmology practice offices, there were uniform recommendations for the 3 routine ophthalmic complaints. Private practices had shorter times to next available appointment for cataract extraction and were more likely to evaluate posterior vitreous detachment symptoms. As there has not been a study examining these practice patterns before the COVID-19 pandemic, the relevance of these findings on public health is yet to be determined.</description><subject>Appointments and Schedules</subject><subject>Betacoronavirus</subject><subject>Cataracts</subject><subject>Comments</subject><subject>Coronavirus Infections - diagnosis</subject><subject>Coronavirus Infections - epidemiology</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Cross-Sectional Studies</subject><subject>Eye Diseases - therapy</subject><subject>Humans</subject><subject>Online First</subject><subject>Ophthalmology</subject><subject>Original Investigation</subject><subject>Pandemics</subject><subject>Pneumonia, Viral - diagnosis</subject><subject>Pneumonia, Viral - epidemiology</subject><subject>Practice Patterns, Physicians</subject><subject>Prevalence</subject><subject>Public health</subject><subject>SARS-CoV-2</subject><subject>Telemedicine</subject><subject>Time Factors</subject><issn>2168-6165</issn><issn>2168-6173</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdUctq3DAUFaWlCWl-oIsi6KYbT_WwJc-mEJw2CQQm5NGt0MiaGQ225EpyID_Q7-41k5ok2khX59wjnXsQwpQsKCH0-173Ogy7vNNdH7oFI4wsOOPyHTpmVNSFoJK_n8-iOkKnKe0JrJqQklcf0RFnUkqoj9Hfm6hNdsbiG52zjT5h7Vt8a9MQfHKP1tuUcA74zvVjp7NtcRP6Pni8MlDHqRo67XxO-Ayut_jhDq_m34XtE26sB-GEz8foAM87i5vV76vzgi7hUd_a3plP6MNGd8mePu8n6OHXz_vmsrheXVw1Z9eFLoXMBTekpbrkkgvb0qpd02pjLOVS6A1MoCRyvabCVJRRZjQrq2k4rbE1WOcchnSCfhx0h3HdW0B8jrpTQ3S9jk8qaKdeI97t1DY8qkmb0yUIfHsWiOHPaFNWvUvGdp32NoxJsZKzWjC-rIH69Q11H8bowR6wylLUICmBVR9YJoaUot3Mn6FETXmr13mryZKa8obWLy_NzI3_0wXC5wMBFGaUSbEEI_wfUPm0Sw</recordid><startdate>20200901</startdate><enddate>20200901</enddate><creator>Starr, Matthew R</creator><creator>Israilevich, Rachel</creator><creator>Zhitnitsky, Michael</creator><creator>Cheng, Qianqian E</creator><creator>Soares, Rebecca R</creator><creator>Patel, Luv G</creator><creator>Ammar, Michael J</creator><creator>Khan, M. 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Ali</au><au>Yonekawa, Yoshihiro</au><au>Ho, Allen C</au><au>Cohen, Michael N</au><au>Sridhar, Jayanth</au><au>Kuriyan, Ajay E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Practice Patterns and Responsiveness to Simulated Common Ocular Complaints Among US Ophthalmology Centers During the COVID-19 Pandemic</atitle><jtitle>Archives of ophthalmology (1960)</jtitle><addtitle>JAMA Ophthalmol</addtitle><date>2020-09-01</date><risdate>2020</risdate><volume>138</volume><issue>9</issue><spage>981</spage><epage>988</epage><pages>981-988</pages><issn>2168-6165</issn><eissn>2168-6173</eissn><abstract>IMPORTANCE: The coronavirus disease 2019 (COVID-19) pandemic has drastically changed how comprehensive ophthalmology practices care for patients. OBJECTIVE: To report practice patterns for common ocular complaints during the initial stage of the COVID-19 pandemic among comprehensive ophthalmology practices in the US. DESIGN, SETTING, AND PARTICIPANTS: In this cross-sectional study, 40 private practices and 20 university centers were randomly selected from 4 regions across the US. Data were collected on April 29 and 30, 2020. INTERVENTIONS: Investigators placed telephone calls to each ophthalmology practice office. Responses to 3 clinical scenarios—refraction request, cataract evaluation, and symptoms of a posterior vitreous detachment—were compared regionally and between private and university centers. MAIN OUTCOMES AND MEASURES: The primary measure was time to next appointment for each of the 3 scenarios. Secondary measures included use of telemedicine and advertisement of COVID-19 precautions. RESULTS: Of the 40 private practices, 2 (5%) were closed, 24 (60%) were only seeing urgent patients, and 14 (35%) remained open to all patients. Of the 20 university centers, 2 (10%) were closed, 17 (85%) were only seeing urgent patients, and 1 (5%) remained open to all patients. There were no differences for any telemedicine metric. University centers were more likely than private practices to mention preparations to limit the spread of COVID-19 (17 of 20 [85%] vs 14 of 40 [35%]; mean difference, 0.41; 95% CI, 0.26-0.65; P < .001). Private practices had a faster next available appointment for cataract evaluations than university centers, with a mean (SD) time to visit of 22.1 (27.0) days vs 75.5 (46.1) days (mean difference, 53.4; 95% CI, 23.1-83.7; P < .001). Private practices were also more likely than university centers to be available to see patients with flashes and floaters (30 of 40 [75%] vs 8 of 20 [40%]; mean difference, 0.42; 95% CI, 0.22-0.79; P = .01). CONCLUSIONS AND RELEVANCE: In this cross-sectional study of investigator telephone calls to ophthalmology practice offices, there were uniform recommendations for the 3 routine ophthalmic complaints. Private practices had shorter times to next available appointment for cataract extraction and were more likely to evaluate posterior vitreous detachment symptoms. As there has not been a study examining these practice patterns before the COVID-19 pandemic, the relevance of these findings on public health is yet to be determined.</abstract><cop>United States</cop><pub>American Medical Association</pub><pmid>32777008</pmid><doi>10.1001/jamaophthalmol.2020.3237</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Archives of ophthalmology (1960), 2020-09, Vol.138 (9), p.981-988 |
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| subjects | Appointments and Schedules Betacoronavirus Cataracts Comments Coronavirus Infections - diagnosis Coronavirus Infections - epidemiology Coronaviruses COVID-19 Cross-Sectional Studies Eye Diseases - therapy Humans Online First Ophthalmology Original Investigation Pandemics Pneumonia, Viral - diagnosis Pneumonia, Viral - epidemiology Practice Patterns, Physicians Prevalence Public health SARS-CoV-2 Telemedicine Time Factors |
| title | Practice Patterns and Responsiveness to Simulated Common Ocular Complaints Among US Ophthalmology Centers During the COVID-19 Pandemic |
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