Relationship Between Persistence With Topical Antiglaucomatous Prescription And Patient Socioeconomic Status At A Tertiary University Hospital In Jerez De La Frontera (Spain).
Published 2024 - 42nd Congress of the ESCRS
Reference: PO978 | Type: Poster | DOI: 10.82333/9y0y-tt35
Authors: Ignacio Pereira-Gonzalez* 1 , Javier Benitez-del-castillo Sanchez 2 , Juan Antonio Cordoba Doña 2 , Soledad Jimenez Carmona 3
1Hospital Universitario Juan Ramon Jimenez,Huelva,Spain, 2Hospital Universitario de Jerez,Jerez de la frontera,Spain, 3Hospital Universitario Puerta del mar,Cadiz,Spain
Purpose
To study the relationship between socioeconomic status and persistence with topical antiglaucomatous medication.
Setting
Se realizó un estudio de cohorte observacional epidemiológico retrospectivo con una muestra de 1.563 pacientes.
Methods
La principal variable dependiente fue la persistencia (índice de posesión de medicamentos), la variable independiente fue el nivel socioeconómico (índice de privación). Para el análisis multivariado se utilizaron variables independientes adicionales: índice de tarjeta sanitaria individual, sexo, edad, grupo farmacológico, número de colirios, conservantes, diagnóstico y medicación concurrente. El análisis estadístico bivariado se obtuvo mediante pruebas no paramétricas. Se utilizó regresión logística para el análisis multivariado. El nivel de significación estadística se fijó en p<0,05.
Results
Using Spearman's correlation, we obtained data showing greater persistence in the groups with a higher socioeconomic level (deprivation index 1 and 2, with medication possession ratio values of 79.97 and 75.30, respectively) as opposed to the groups at lower socioeconomic levels (deprivation index 4 and 5, with medication possession ratio values of 73.75 and 69.85, respectively). Logistic regression corroborated this difference, reaching a significant value (no persistence in deprivation index group 5 versus 1) with OR=1.62; 95%CI: 1.13-2.31. Additionally, lower persistence was detected in males, under 60 years of age, undergoing treatment with alpha-agonists, and in patients with ocular hypertension.
Conclusions
Low socioeconomic status of the patient was significantly associated with decreased persistence with topical antiglaucomatous therapy.