title: Discrepancies in physician-patient agreement in reporting ocular history.
abstract: OBJECTIVE
  The purpose of this study was to investigate the extent of agreement between physicians and patients in reporting ocular history and to determine whether there are any predictive factors for physician-patient consensus.
  
  
  METHODS
  Retrospective chart review.
  
  
  METHODS
  Between June and September 2014, adult patients undergoing cataract surgery were recruited for the study.
  
  
  METHODS
  Before surgery, patient demographics and self-reported ocular history were extracted from a prospectively collected database. Medical charts were retrospectively examined to retrieve physician-reported ocular history.
  
  
  RESULTS
  One hundred and thirty-eight patients participated. Mean cohort logMAR visual acuity was 0.46 ± 0.34 (Snellen equivalent of approximately 20/60) and mean age was 74.1 ± 8.3 years. For glaucoma, Cohen's kappa revealed a moderate-to-good concordance between physicians and patients (κ = 0.604), whereas a poor-to-fair level of agreement existed in reporting maculopathy, such as age-related macular degeneration and macular holes (κ = 0.254). The logistic regression model revealed that preoperative visual acuity (p = 0.223), sex (p = 0.736), age (p = 0.910), and education (p = 0.738) were not significant predictors of physician-patient agreement.
  
  
  CONCLUSIONS
  The accuracy of patient-reported ocular history varies by pathology. Self-reported glaucoma history is consistent between patients and physicians; however, patients under-report the diagnosis of maculopathy. Age, sex, and level of education do not appear to influence patient-reported accuracy of ocular comorbidities.
authors: Division of Ophthalmology, Department of Surgery, Hamilton Regional Eye Institute, McMaster University, Hamilton, Ont.
authors: Marko
authors: M
authors: Popovic
authors: Division of Ophthalmology, Department of Surgery, Hamilton Regional Eye Institute, McMaster University, Hamilton, Ont.. Electronic address: vchaudh@mcmaster.ca.
authors: Varun
authors: V
authors: Chaudhary
authors: Division of Ophthalmology, Department of Surgery, Hamilton Regional Eye Institute, McMaster University, Hamilton, Ont.
authors: Bryon R
authors: BR
authors: McKay
authors: Division of Ophthalmology, Department of Surgery, Hamilton Regional Eye Institute, McMaster University, Hamilton, Ont.
authors: Prima
authors: P
authors: Moinul
authors: Division of Ophthalmology, Department of Surgery, Hamilton Regional Eye Institute, McMaster University, Hamilton, Ont.
authors: Mohammad
authors: M
authors: Mohaghagh
authors: Division of Ophthalmology, Department of Surgery, Hamilton Regional Eye Institute, McMaster University, Hamilton, Ont.
authors: Anne
authors: A
authors: Beattie
authors: Division of Ophthalmology, Department of Surgery, Hamilton Regional Eye Institute, McMaster University, Hamilton, Ont.
authors: Mark
authors: M
authors: Fava
authors: Division of Ophthalmology, Department of Surgery, Hamilton Regional Eye Institute, McMaster University, Hamilton, Ont.
authors: Dalia
authors: D
authors: Eino
authors: Division of Ophthalmology, Department of Surgery, Hamilton Regional Eye Institute, McMaster University, Hamilton, Ont.
authors: Keith
authors: K
authors: Mann
authors: Division of Ophthalmology, Department of Surgery, Hamilton Regional Eye Institute, McMaster University, Hamilton, Ont.
authors: Lawrence
authors: L
authors: Kobetz
authors: Division of Ophthalmology, Department of Surgery, Hamilton Regional Eye Institute, McMaster University, Hamilton, Ont.
authors: Joshua
authors: J
authors: Barbosa
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002386:Cataract / Q000175:diagnosis; D002387:Cataract Extraction; D004522:Educational Status; D005260:Female; D005901:Glaucoma / Q000175:diagnosis; D006801:Humans; D008268:Macular Degeneration / Q000175:diagnosis; D008297:Male; D008487:Medical History Taking / Q000592:standards*; D000072163:Ophthalmologists / Q000706:statistics & numerical data*; D010361:Patients / Q000706:statistics & numerical data*; D010817:Physician-Patient Relations; D015203:Reproducibility of Results; D012189:Retrospective Studies