Table 10-160Non specialist optometrist compared to general ophthalmologist - Clinical study characteristics

OutcomeNumber of studiesDesignLimitationsInconsistencyDirectnessOther considerations
Inter- observer agreement for decision to treat61Prospective observationalSerious limitations (a)No serious inconsistencyNo serious indirectness(b)
Inter- observer agreement for treatment decisions (start/increas e/reduce) for right and left eyes81Prospective observationalSerious limitations (a)No serious inconsistencyNo serious indirectness

One study6 was observer masked and patients randomly selected from community optometrist referrals but only one consultant ophthalmologist and one trainee general ophthalmologist participated in the study. The other study8 was observer masked but it was not clear whether the patients were recruited in a randomised or consecutive fashion. Only one general ophthalmologist (research fellow) and one senior optometrist participated in the study and confidence intervals for the kappa statistic were not reported.

From: 10, Service Provision

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