Analyzing the demographics of patients with uveitis in an indigent, urban population
Abstract Purpose To study the types of uveitis examined in a hospital serving indigent populations in need of low-cost care. Methods A retrospective chart review examined the electronic medical records of all patients with uveitis-related at Drexel Eye Physicians. Data collected included demographic...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-04-01
|
| Series: | BMC Ophthalmology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12886-023-02888-3 |
| _version_ | 1827970617419235328 |
|---|---|
| author | Caroline W. Tipton Grace R. Reilly Kevin Chen Eileen Chang Jessica M. Ackert Paulina Liberman Meghan K. Berkenstock |
| author_facet | Caroline W. Tipton Grace R. Reilly Kevin Chen Eileen Chang Jessica M. Ackert Paulina Liberman Meghan K. Berkenstock |
| author_sort | Caroline W. Tipton |
| collection | DOAJ |
| description | Abstract Purpose To study the types of uveitis examined in a hospital serving indigent populations in need of low-cost care. Methods A retrospective chart review examined the electronic medical records of all patients with uveitis-related at Drexel Eye Physicians. Data collected included demographics, anatomic location of the uveitis, systemic disease associations, treatment modalities and insurance. Statistical analysis was performed using χ² or Fischer exact tests. Results 270 patients (366 eyes) were included for analysis, 67% of patients identified as African American. Most eyes (95.3%, N = 349) were treated with topical corticosteroid drops, and only 6 (1.6%) received an intravitreal implant. Immunosuppressive medications were started in 24 patients (8.9%). Nearly 80% depended to some extent on Medicare or Medicaid Assistance for treatment coverage. There was no association between insurance type and use of biologics or difluprednate. Conclusion We found no association between insurance type and the prescription of medications for uveitis that should be used at home. There was a minimal number of patients prescribed medications for implantation in the office. The adherence of use of medications at home should be investigated. |
| first_indexed | 2024-04-09T18:56:35Z |
| format | Article |
| id | doaj.art-f517a576120c471985e0587d4661a30f |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-04-09T18:56:35Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-f517a576120c471985e0587d4661a30f2023-04-09T11:11:04ZengBMCBMC Ophthalmology1471-24152023-04-012311710.1186/s12886-023-02888-3Analyzing the demographics of patients with uveitis in an indigent, urban populationCaroline W. Tipton0Grace R. Reilly1Kevin Chen2Eileen Chang3Jessica M. Ackert4Paulina Liberman5Meghan K. Berkenstock6Drexel University College of MedicineDrexel University College of MedicineDrexel University College of MedicineMassachusetts Eye and Ear Infirmary, Harvard Medical SchoolDrexel University College of MedicineDepartamento de Oftalmología, Escuela de Medicina. Pontificia Universidad Católica de ChileWilmer Eye Institute, Johns Hopkins School of MedicineAbstract Purpose To study the types of uveitis examined in a hospital serving indigent populations in need of low-cost care. Methods A retrospective chart review examined the electronic medical records of all patients with uveitis-related at Drexel Eye Physicians. Data collected included demographics, anatomic location of the uveitis, systemic disease associations, treatment modalities and insurance. Statistical analysis was performed using χ² or Fischer exact tests. Results 270 patients (366 eyes) were included for analysis, 67% of patients identified as African American. Most eyes (95.3%, N = 349) were treated with topical corticosteroid drops, and only 6 (1.6%) received an intravitreal implant. Immunosuppressive medications were started in 24 patients (8.9%). Nearly 80% depended to some extent on Medicare or Medicaid Assistance for treatment coverage. There was no association between insurance type and use of biologics or difluprednate. Conclusion We found no association between insurance type and the prescription of medications for uveitis that should be used at home. There was a minimal number of patients prescribed medications for implantation in the office. The adherence of use of medications at home should be investigated.https://doi.org/10.1186/s12886-023-02888-3PhiladelphiaUveitisIndigentLow-cost care |
| spellingShingle | Caroline W. Tipton Grace R. Reilly Kevin Chen Eileen Chang Jessica M. Ackert Paulina Liberman Meghan K. Berkenstock Analyzing the demographics of patients with uveitis in an indigent, urban population BMC Ophthalmology Philadelphia Uveitis Indigent Low-cost care |
| title | Analyzing the demographics of patients with uveitis in an indigent, urban population |
| title_full | Analyzing the demographics of patients with uveitis in an indigent, urban population |
| title_fullStr | Analyzing the demographics of patients with uveitis in an indigent, urban population |
| title_full_unstemmed | Analyzing the demographics of patients with uveitis in an indigent, urban population |
| title_short | Analyzing the demographics of patients with uveitis in an indigent, urban population |
| title_sort | analyzing the demographics of patients with uveitis in an indigent urban population |
| topic | Philadelphia Uveitis Indigent Low-cost care |
| url | https://doi.org/10.1186/s12886-023-02888-3 |
| work_keys_str_mv | AT carolinewtipton analyzingthedemographicsofpatientswithuveitisinanindigenturbanpopulation AT gracerreilly analyzingthedemographicsofpatientswithuveitisinanindigenturbanpopulation AT kevinchen analyzingthedemographicsofpatientswithuveitisinanindigenturbanpopulation AT eileenchang analyzingthedemographicsofpatientswithuveitisinanindigenturbanpopulation AT jessicamackert analyzingthedemographicsofpatientswithuveitisinanindigenturbanpopulation AT paulinaliberman analyzingthedemographicsofpatientswithuveitisinanindigenturbanpopulation AT meghankberkenstock analyzingthedemographicsofpatientswithuveitisinanindigenturbanpopulation |