Quality of Referrals to a Pediatric Ophthalmology Practice in South Western Ontario
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
OBJECTIVE: The purpose of this study is to examine the referrals made to a pediatric ophthalmology practice in south Western Ontario. Timing of initiating a referral for children presenting with esotropia and the management offered prior to referral will be examined to identify room for improvement. METHODS: Retrospective chart review of 326 children diagnosed with esotropia with an age of onset <5 years. Data collected included the referring doctor (optometrist or physician), age at onset of the disease, age at referral, clinical characteristics of esotropia at presentation, management, and stereopsis outcome. RESULTS: A total of 326 charts were reviewed; 63.7% were referred by optometrists and 36.2% by physicians. The mean delay in referral for all cases was 24.64 ± 25.5 months for optometrists and 17.82 ± 19.9 months for physicians. Referrals made by an optometrist were significantly more delayed than those made by physicians when tested with the unpaired t-test (p = 0.0136). CONCLUSION: There is a significant delay in referring all subtypes of esotropia. Management offered prior to referral does not seem to be adequate in more than 50% of patients. Pediatric ophthalmologists need to engage a lot more with the local community of referring doctors and optometrists to advocate for improving management prior to the referral as well as suggest the proper timeline for initiating a referral aiming to improve patient's final outcome.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it