Evidence map›Paper›PMID 40015588›Full record

Trial reportAmerican journal of ophthalmology2025

Patient Navigators Improve In-Office Eye Exam Adherence After Community Eye Screenings in a Randomized Clinical Trial: NYC-SIGHT Study.

Lisa A Hark, Prakash Gorroochurn, Laura T Pizzi, Eric Jutkowitz, Annette M Goulak, Stefania C Maruri, Noga Harizman, Jason D Horowitz, Lisa Park, Qing Wang and 7 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in American journal of ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04271709 (The Manhattan Vision Screening and Follow-Up Study), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04271709 naactive not recruitingnot on this map

The Manhattan Vision Screening and Follow-Up Study (NYC-SIGHT)

TypeinterventionalSponsorColumbia UniversityRan2019 to 2026Enrolled749ConditionsGlaucoma, Vision Impairment and Blindness, Cataract, Diabetic RetinopathyArmsEnhanced Intervention Using Patient Navigators, Usual Care
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Lisa A HarkFrom the Department of Ophthalmology (L.H., A.G., N.H., J.H., L.P., Q.W., D.D., I.V., T.S., J.L., G.C.), Columbia University, Vagelos College of Physicians and Surgeons, New York, New York, USA.; Edward S. Harkness Eye Institute (L.H., S.M., N.H., J.H., Q.W., D.D., I.V., D.T., Y.W., T.S., J.L., G.C.), Columbia University Irving Medical Center, New York, New York, USA.. Electronic address: lah112@cumc.columbia.edu.
Prakash GorroochurnDepartment of Biostatistics (P.G.), Columbia University Mailman School of Public Health, New York, New York, USA.
Laura T PizziCenter for Health Outcomes, Policy, and Economics (L.P.), Rutgers University Ernest Mario School of Pharmacy, Piscataway, New Jersey, USA.
Eric JutkowitzDepartment of Health Services, Policy & Practice (E.J.), Brown University School of Public Health, Providence, Rhode Island, USA.
Annette M GoulakFrom the Department of Ophthalmology (L.H., A.G., N.H., J.H., L.P., Q.W., D.D., I.V., T.S., J.L., G.C.), Columbia University, Vagelos College of Physicians and Surgeons, New York, New York, USA.
Stefania C MaruriEdward S. Harkness Eye Institute (L.H., S.M., N.H., J.H., Q.W., D.D., I.V., D.T., Y.W., T.S., J.L., G.C.), Columbia University Irving Medical Center, New York, New York, USA.
Noga HarizmanFrom the Department of Ophthalmology (L.H., A.G., N.H., J.H., L.P., Q.W., D.D., I.V., T.S., J.L., G.C.), Columbia University, Vagelos College of Physicians and Surgeons, New York, New York, USA.; Edward S. Harkness Eye Institute (L.H., S.M., N.H., J.H., Q.W., D.D., I.V., D.T., Y.W., T.S., J.L., G.C.), Columbia University Irving Medical Center, New York, New York, USA.
Jason D HorowitzFrom the Department of Ophthalmology (L.H., A.G., N.H., J.H., L.P., Q.W., D.D., I.V., T.S., J.L., G.C.), Columbia University, Vagelos College of Physicians and Surgeons, New York, New York, USA.; Edward S. Harkness Eye Institute (L.H., S.M., N.H., J.H., Q.W., D.D., I.V., D.T., Y.W., T.S., J.L., G.C.), Columbia University Irving Medical Center, New York, New York, USA.
Lisa ParkFrom the Department of Ophthalmology (L.H., A.G., N.H., J.H., L.P., Q.W., D.D., I.V., T.S., J.L., G.C.), Columbia University, Vagelos College of Physicians and Surgeons, New York, New York, USA.; Edward S. Harkness Eye Institute (L.H., S.M., N.H., J.H., Q.W., D.D., I.V., D.T., Y.W., T.S., J.L., G.C.), Columbia University Irving Medical Center, New York, New York, USA.
Qing WangFrom the Department of Ophthalmology (L.H., A.G., N.H., J.H., L.P., Q.W., D.D., I.V., T.S., J.L., G.C.), Columbia University, Vagelos College of Physicians and Surgeons, New York, New York, USA.; Edward S. Harkness Eye Institute (L.H., S.M., N.H., J.H., Q.W., D.D., I.V., D.T., Y.W., T.S., J.L., G.C.), Columbia University Irving Medical Center, New York, New York, USA.
Daniel F DiamondFrom the Department of Ophthalmology (L.H., A.G., N.H., J.H., L.P., Q.W., D.D., I.V., T.S., J.L., G.C.), Columbia University, Vagelos College of Physicians and Surgeons, New York, New York, USA.; Edward S. Harkness Eye Institute (L.H., S.M., N.H., J.H., Q.W., D.D., I.V., D.T., Y.W., T.S., J.L., G.C.), Columbia University Irving Medical Center, New York, New York, USA.
Ives A ValenzuelaFrom the Department of Ophthalmology (L.H., A.G., N.H., J.H., L.P., Q.W., D.D., I.V., T.S., J.L., G.C.), Columbia University, Vagelos College of Physicians and Surgeons, New York, New York, USA.; Edward S. Harkness Eye Institute (L.H., S.M., N.H., J.H., Q.W., D.D., I.V., D.T., Y.W., T.S., J.L., G.C.), Columbia University Irving Medical Center, New York, New York, USA.
Desiree R TorresEdward S. Harkness Eye Institute (L.H., S.M., N.H., J.H., Q.W., D.D., I.V., D.T., Y.W., T.S., J.L., G.C.), Columbia University Irving Medical Center, New York, New York, USA.
Yujia WangEdward S. Harkness Eye Institute (L.H., S.M., N.H., J.H., Q.W., D.D., I.V., D.T., Y.W., T.S., J.L., G.C.), Columbia University Irving Medical Center, New York, New York, USA.
Tarun SharmaFrom the Department of Ophthalmology (L.H., A.G., N.H., J.H., L.P., Q.W., D.D., I.V., T.S., J.L., G.C.), Columbia University, Vagelos College of Physicians and Surgeons, New York, New York, USA.; Edward S. Harkness Eye Institute (L.H., S.M., N.H., J.H., Q.W., D.D., I.V., D.T., Y.W., T.S., J.L., G.C.), Columbia University Irving Medical Center, New York, New York, USA.
Jeffrey M LiebmannFrom the Department of Ophthalmology (L.H., A.G., N.H., J.H., L.P., Q.W., D.D., I.V., T.S., J.L., G.C.), Columbia University, Vagelos College of Physicians and Surgeons, New York, New York, USA.; Edward S. Harkness Eye Institute (L.H., S.M., N.H., J.H., Q.W., D.D., I.V., D.T., Y.W., T.S., J.L., G.C.), Columbia University Irving Medical Center, New York, New York, USA.
George A CioffiFrom the Department of Ophthalmology (L.H., A.G., N.H., J.H., L.P., Q.W., D.D., I.V., T.S., J.L., G.C.), Columbia University, Vagelos College of Physicians and Surgeons, New York, New York, USA.; Edward S. Harkness Eye Institute (L.H., S.M., N.H., J.H., Q.W., D.D., I.V., D.T., Y.W., T.S., J.L., G.C.), Columbia University Irving Medical Center, New York, New York, USA.

Funding

NCCDPHP CDC HHS U01 DP006435NCCDPHP CDC HHS U01 DP006436NCCDPHP CDC HHS U01 DP006892
6 · The paper itself

Abstract

purposeTo assess the effectiveness and cost of patient navigators in improving adherence to an initial in-office eye exam following community-based eye health screenings and referral to ophthalmology among underserved populations.

design5-year prospective, cluster-randomized clinical trial.

participantsEligible individuals aged 40 years and older were recruited from affordable housing developments and senior centers in Upper Manhattan.

methodsDemographics, social determinants of health, clinical characteristics, and access to eye care were collected. Eye health screenings included visual acuity, intraocular pressure, and fundus photography. Those diagnosed with glaucoma, suspected glaucoma, retinal abnormalities, cataracts, or other ocular conditions were referred for in-office eye exams, with initial appointments scheduled by study staff. Navigator Intervention participants received appointment scheduling support for 10 months, Usual Care participants did not receive navigator assistance. T tests, chi-square tests and multivariate stepwise logistic regression analyzed factors associated with adherence. Cost-effectiveness analysis was conducted alongside the study.

main outcome measuresAdherence to the initial in-office eye exam for those referred to ophthalmology.

resultsOf 468 referred participants, 47% (n = 220/468) attended the initial in-office eye exam. Adherence rates: Navigator Intervention (51.8%) versus Usual Care (38.1%). Of those who attended the in-office eye exam, mean age: 70.2 ± 11.3 years; 65.5% female; 46.8% African American, 47.3% Hispanic. Participants in the Navigator Intervention group had higher odds of adhering to the initial in-office eye exam compared to those receiving Usual Care (OR = 1.529; 95% CI (1.023, 2.285)). Participants who spoke English as their primary language also had higher odds of adhering to the initial eye exam (OR = 1.815; 95% CI (1.211, 2721)). Cost per participant in the Navigator Intervention group who attended the in-office eye exam: $24.25 vs. $33.03 per Usual Care participant.

conclusionsPatient navigators improved adherence to in-office eye exams following community-based eye health screenings and referral to ophthalmology among an underserved population. The Navigator Intervention resulted in cost savings with an incremental cost-effectiveness difference of $8.78 less per participant randomized to the Navigator Intervention group.

Indexed as

Community Health ServicesEye DiseasesPatient CompliancePatient NavigationVision ScreeningAdultAgedAppointments and SchedulesCost-Effectiveness AnalysisFemaleHealth Services AccessibilityHumansIntraocular PressureMaleMiddle AgedNew York City

Identifiers

PMID40015588
PMCPMC12697009

What Socratic holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.