TY - JOUR
T1 - Time to Treatment of Pediatric Retinal Detachments
T2 - A US Claims-based Analysis
AU - Archambault, Cyril
AU - Azad, Amee D.
AU - Al-Moujahed, Ahmad
AU - Vail, Daniel
AU - Wood, Edward
AU - Koo, Euna B.
N1 - Publisher Copyright:
© 2022 American Academy of Ophthalmology
PY - 2023/3
Y1 - 2023/3
N2 - Purpose: To characterize delays in diagnosis and treatment of retinal detachments (RDs) in a pediatric population. Design: Retrospective cohort study using insurance claims data. Subjects: Pediatric patients with RD who underwent repair in the outpatient setting. Methods: A retrospective analysis of commercially insured patients from a national cohort (IBM MarketScan Research Databases) aged ≤ 18 years with an incident diagnosis of RD between 2007 and 2016. Patients with preceding eye-related visits, time to diagnosis, and time to repair were calculated and compared between patients with pre-existing ocular diagnosis and those without. Main Outcome Measures: The time from diagnosis to specialist consultation, time from diagnosis to repair, time from specialist consultation to repair, number of preceding visits, and presence of previous eye-related diagnosis. Results: Our sample consisted of 826 patients, the majority (77%) of whom were diagnosed with rhegmatogenous RD. Only 40% of patients had at least 1 preceding eye-related visit, and 33% had at least 2 visits before RD diagnosis, with a median time from the last eye-related visit of 32 days (4–197 days) and median time from the second to last visit of 118 days (24–437 days). The median time from RD diagnosis to repair was 2 days (0–9 days). The 323 (37.9%) patients with pre-existing ocular diagnoses more frequently had at least 1 (44% vs. 37%; P = 0.079) or 2 preceding eye-related visits (40% vs. 29%; P = 0.002) compared with those without and also had a shorter time to RD diagnosis (median, 14.5 days vs. 44.5 days; P = 0.011) and repair (1 day vs. 3 days; P = 0.003). Conclusions: Retinal detachment is an important cause of morbidity in children. This work highlighted how pediatric patients without previous ocular diagnoses and visits with eye care professional may have a delayed diagnosis and repair of their RD. Financial Disclosure(s): Proprietary or commercial disclosure may be found after the references.
AB - Purpose: To characterize delays in diagnosis and treatment of retinal detachments (RDs) in a pediatric population. Design: Retrospective cohort study using insurance claims data. Subjects: Pediatric patients with RD who underwent repair in the outpatient setting. Methods: A retrospective analysis of commercially insured patients from a national cohort (IBM MarketScan Research Databases) aged ≤ 18 years with an incident diagnosis of RD between 2007 and 2016. Patients with preceding eye-related visits, time to diagnosis, and time to repair were calculated and compared between patients with pre-existing ocular diagnosis and those without. Main Outcome Measures: The time from diagnosis to specialist consultation, time from diagnosis to repair, time from specialist consultation to repair, number of preceding visits, and presence of previous eye-related diagnosis. Results: Our sample consisted of 826 patients, the majority (77%) of whom were diagnosed with rhegmatogenous RD. Only 40% of patients had at least 1 preceding eye-related visit, and 33% had at least 2 visits before RD diagnosis, with a median time from the last eye-related visit of 32 days (4–197 days) and median time from the second to last visit of 118 days (24–437 days). The median time from RD diagnosis to repair was 2 days (0–9 days). The 323 (37.9%) patients with pre-existing ocular diagnoses more frequently had at least 1 (44% vs. 37%; P = 0.079) or 2 preceding eye-related visits (40% vs. 29%; P = 0.002) compared with those without and also had a shorter time to RD diagnosis (median, 14.5 days vs. 44.5 days; P = 0.011) and repair (1 day vs. 3 days; P = 0.003). Conclusions: Retinal detachment is an important cause of morbidity in children. This work highlighted how pediatric patients without previous ocular diagnoses and visits with eye care professional may have a delayed diagnosis and repair of their RD. Financial Disclosure(s): Proprietary or commercial disclosure may be found after the references.
KW - Claims database
KW - Pediatric retina
KW - Retinal detachments
UR - http://www.scopus.com/inward/record.url?scp=85138795408&partnerID=8YFLogxK
U2 - 10.1016/j.oret.2022.08.017
DO - 10.1016/j.oret.2022.08.017
M3 - Article
C2 - 36002094
AN - SCOPUS:85138795408
SN - 2468-6530
VL - 7
SP - 221
EP - 226
JO - Ophthalmology Retina
JF - Ophthalmology Retina
IS - 3
ER -