{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T08:02:13Z","timestamp":1791705733190,"version":"4.3.4"},"reference-count":29,"publisher":"American Medical Association (AMA)","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"abstract":"\n Importance<\/jats:title>\n Academic medical centers increasingly serve as a safety net for urgent and complex ophthalmic conditions, yet trends in the demand for hospital-based ophthalmic services remain poorly characterized.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To characterize multi-institutional trends in ophthalmology interhospital transfer requests and emergency department (ED) and inpatient ophthalmology consultation requests (hereafter, consultations) from other departments within the same hospital, such as emergency medicine or internal medicine, at multiple academic medical centers in the US.<\/jats:p>\n <\/jats:sec>\n \n Design, Setting, and Participants<\/jats:title>\n This retrospective, longitudinal, cohort study involved 14 hospitals affiliated with 10 academic medical centers across multiple geographic regions in the US, representing large urban tertiary referral centers serving diverse catchment populations. Participants were patients for whom ED and inpatient interhospital transfers for ophthalmic care were requested and\/or accepted, and patients who received inpatient or ED ophthalmic consultation at participating academic medical centers from 2013 through 2024.<\/jats:p>\n <\/jats:sec>\n \n Exposure<\/jats:title>\n Participating institutions were required to be academic hospitals with resident participation in on-call coverage and to maintain hospital transfer or consultation data from at least 2017 onward, with the earliest beginning in 2013.<\/jats:p>\n <\/jats:sec>\n \n Main Outcomes and Measures<\/jats:title>\n Trends in population-adjusted and hospital volume-adjusted rates of ophthalmology interhospital transfer requests and ED and inpatient ophthalmology consultations.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 32\u202f131 ophthalmology transfer requests, 23\u202f560 accepted transfers, and 139\u202f356 ophthalmology consultations (83\u202f581 ED and 44\u202f472 inpatient) were recorded across participating hospitals. Transfer requests increased by an aggregate 0.66 (95% CI, 0.51-0.81) per 100\u202f000 state residents per year and accepted transfers by 0.34 per 100\u202f000 state residents per year (95% CI, 0.17-0.51). Among the 7 institutions with consultation data, consultations increased by an aggregate 3.01 per 100\u202f000 state residents per year (95% CI, 2.33-3.69), comprising 2.06 per 100\u202f000 per year for ED consultations (95% CI, 1.51-2.61) and 1.08 per 100\u202f000 per year for inpatient consultations (95% CI, 0.87-1.30). All aggregate trends were significant (false-discovery rate\u2013adjusted\n P<\/jats:italic>\n \u2009&amp;lt;\u2009.001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n In this cohort study, ophthalmic interhospital transfer requests and inpatient and ED ophthalmology consultations increased substantially across academic medical centers over the study period. These trends suggest growing demand for hospital-based ophthalmic care and increasing strain on ophthalmology hospital coverage, with important implications for workforce sustainability and health system planning.<\/jats:p>\n <\/jats:sec>","DOI":"10.1001\/jamanetworkopen.2026.40040","type":"journal-article","created":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T19:30:17Z","timestamp":1791660617000},"page":"e2640040","source":"Crossref","is-referenced-by-count":1,"title":["Trends in Ophthalmic Hospital Transfers and Consultations Across US Academic Centers"],"prefix":"10.1001","volume":"9","author":[{"given":"Shu","family":"Feng","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, University of Washington School of Medicine, Seattle"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karine D.","family":"Bojikian","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University of Washington School of Medicine, Seattle"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thellea K.","family":"Leveque","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University of Washington School of Medicine, Seattle"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacquelyn","family":"O\u2019Banion","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Emory University School of Medicine, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel B.","family":"Moore","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Visual Sciences, University of Kentucky, Lexington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donna H.","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Oregon Health Sciences University, Portland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew T.","family":"Melson","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University of Oklahoma Health Sciences. Oklahoma City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel J.","family":"Prater","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, The University of Texas Health Science Center at Houston"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ore-ofe","family":"Adesina","sequence":"additional","affiliation":[{"name":"Ruiz Department of Ophthalmology and Visual Science, The University of Texas Health Science Center at Houston"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel J.","family":"Ozzello","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University of Colorado, Aurora"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy","family":"Reitinger","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University of Indiana, Indianapolis"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayaka","family":"Fujihashi","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University of Indiana, Indianapolis"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Bogaard","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University of Indiana, Indianapolis"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa M.","family":"Long","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology & Visual Sciences, University of Utah, John Moran Eye Center, Salt Lake City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manasvee S.","family":"Kapadia","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University Hospitals, Case Western Reserve, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas J.","family":"Rhee","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University Hospitals, Case Western Reserve, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leona","family":"Ding","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University of Washington School of Medicine, Seattle"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer T.","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University of Washington School of Medicine, Seattle"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10","published-online":{"date-parts":[[2026,10,10]]},"reference":[{"issue":"11","key":"zoi261086r2","doi-asserted-by":"publisher","first-page":"1197","DOI":"10.1016\/j.ophtha.2025.07.006","article-title":"A call to action and roadmap for improving emergency treatment of ophthalmic trauma in the United States.","volume":"132","author":"Mazzoli","year":"2025","journal-title":"Ophthalmology"},{"issue":"3","key":"zoi261086r3","doi-asserted-by":"publisher","first-page":"294","DOI":"10.1080\/08820538.2022.2110844","article-title":"Malpractice cases arising from telephone based telemedicine triage in ophthalmology.","volume":"38","author":"Kahan","year":"2023","journal-title":"Semin Ophthalmol"},{"key":"zoi261086r5","doi-asserted-by":"publisher","first-page":"2733","DOI":"10.2147\/OPTH.S378049","article-title":"Comparison of time-to-surgery and outcomes in transferred vs non-transferred open globe injuries.","volume":"16","author":"Fernandez","year":"2022","journal-title":"Clin Ophthalmol"},{"issue":"2","key":"zoi261086r6","doi-asserted-by":"publisher","first-page":"125","DOI":"10.1089\/sur.2023.077","article-title":"Inter-hospital transfer is an independent risk factor for hospital-associated infection.","volume":"25","author":"Gardner","year":"2024","journal-title":"Surg Infect (Larchmt)"},{"issue":"1","key":"zoi261086r7","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1016\/j.ophtha.2025.07.037","article-title":"Assessing the efficacy of ophthalmic transfers to an academic level 1 trauma hospital: diagnostic accuracy and intervention rates.","volume":"133","author":"Hopkin","year":"2026","journal-title":"Ophthalmology"},{"issue":"1","key":"zoi261086r8","doi-asserted-by":"publisher","DOI":"10.62199\/2475-4757.1331","article-title":"Ophthalmology consult volume at a tertiary care center emergency room: an emerging trend.","volume":"18","author":"Portney","year":"2026","journal-title":"Journal of Academic Ophthalmology"},{"issue":"3","key":"zoi261086r10","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1080\/09286586.2021.1946828","article-title":"Trends in ophthalmology inpatient consultations among medicare beneficiaries, 2010-2018.","volume":"29","author":"Lee","year":"2022","journal-title":"Ophthalmic Epidemiol"},{"issue":"10","key":"zoi261086r11","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0239796","article-title":"Ophthalmological emergencies and the SARS-CoV-2 outbreak.","volume":"15","author":"Posarelli","year":"2020","journal-title":"PLoS One"},{"issue":"13","key":"zoi261086r12","doi-asserted-by":"publisher","first-page":"1568","DOI":"10.1161\/CIRCULATIONAHA.118.036509","article-title":"Use, temporal trends, and outcomes of endovascular therapy after interhospital transfer in the United States.","volume":"139","author":"Shah","year":"2019","journal-title":"Circulation"},{"issue":"12","key":"zoi261086r13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2021.106116","article-title":"National trends in transfer of patients with primary intracerebral hemorrhage: an analysis of 12-year nationwide data.","volume":"30","author":"Bako","year":"2021","journal-title":"J Stroke Cerebrovasc Dis"},{"issue":"5","key":"zoi261086r14","doi-asserted-by":"publisher","first-page":"975e","DOI":"10.1097\/PRS.0000000000006749","article-title":"Unnecessary interfacility transfers for craniomaxillofacial trauma.","volume":"145","author":"Pontell","year":"2020","journal-title":"Plast Reconstr Surg"},{"issue":"5","key":"zoi261086r15","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2021.103043","article-title":"Secondary overtriage of isolated facial trauma.","volume":"42","author":"Ray","year":"2021","journal-title":"Am J Otolaryngol"},{"issue":"4","key":"zoi261086r16","doi-asserted-by":"publisher","first-page":"656","DOI":"10.1097\/TA.0000000000003505","article-title":"Trauma transfers discharged from the emergency department-Is there a role for telemedicine?","volume":"92","author":"Lindsey","year":"2022","journal-title":"J Trauma Acute Care Surg"},{"issue":"9","key":"zoi261086r17","doi-asserted-by":"publisher","first-page":"983","DOI":"10.1016\/j.ophtha.2023.05.006","article-title":"Trends in ophthalmology practice consolidation: 2015-2022.","volume":"130","author":"Smith","year":"2023","journal-title":"Ophthalmology"},{"issue":"5","key":"zoi261086r18","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1377\/hlthaff.2024.01204","article-title":"Private equity-owned physician practices decreased access to retinal detachment surgery, 2014-22.","volume":"44","author":"Singh","year":"2025","journal-title":"Health Aff (Millwood)"},{"issue":"2","key":"zoi261086r19","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1016\/j.ophtha.2023.09.018","article-title":"Ophthalmology workforce projections in the United States, 2020 to 2035.","volume":"131","author":"Berkowitz","year":"2024","journal-title":"Ophthalmology"},{"issue":"1","key":"zoi261086r20","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1666850","article-title":"Burnout in ophthalmology residency: a national survey.","volume":"10","author":"Feng","year":"2018","journal-title":"J Acad Ophthalmol"},{"issue":"3","key":"zoi261086r21","doi-asserted-by":"publisher","first-page":"1035","DOI":"10.1016\/j.jsurg.2020.09.003","article-title":"Relationships between sleep, activity, and burnout in ophthalmology residents.","volume":"78","author":"Feng","year":"2021","journal-title":"J Surg Educ"},{"issue":"9","key":"zoi261086r22","doi-asserted-by":"publisher","first-page":"1143","DOI":"10.1016\/j.ophtha.2020.04.038","article-title":"The ophthalmic hospitalist.","volume":"127","author":"Gardiner","year":"2020","journal-title":"Ophthalmology"},{"issue":"2","key":"zoi261086r23","doi-asserted-by":"publisher","first-page":"e258","DOI":"10.1055\/s-0043-1777410","article-title":"Perspectives from an ophthalmic hospitalist-changing how we view hospital-based consults.","volume":"15","author":"Kim","year":"2017","journal-title":"J Acad Ophthalmology"},{"issue":"11","key":"zoi261086r24","doi-asserted-by":"publisher","first-page":"1451","DOI":"10.1016\/j.ophtha.2020.05.001","article-title":"The state of ophthalmology medical student education in the United States: an update.","volume":"127","author":"Moxon","year":"2020","journal-title":"Ophthalmology"},{"key":"zoi261086r25","doi-asserted-by":"publisher","first-page":"25","DOI":"10.3352\/jeehp.2019.16.25","article-title":"Ophthalmology training and competency levels in care of patients with ophthalmic complaints in United States internal medicine, emergency medicine and family medicine residents.","volume":"16","author":"Gelston","year":"2019","journal-title":"J Educ Eval Health Prof"},{"issue":"7","key":"zoi261086r26","doi-asserted-by":"publisher","first-page":"823","DOI":"10.1016\/j.ophtha.2020.01.024","article-title":"Emergency department nonmydriatic fundus photography expedites care for patients referred for papilledema.","volume":"132","author":"Lin","year":"2025","journal-title":"Ophthalmology"},{"issue":"2","key":"zoi261086r27","doi-asserted-by":"publisher","first-page":"178","DOI":"10.1016\/j.ophtha.2025.09.029","article-title":"Non-mydriatic ocular fundus imaging on consecutive patients presenting to a general emergency department with vision complaints.","volume":"133","author":"McHenry","year":"2026","journal-title":"Ophthalmology"},{"issue":"7","key":"zoi261086r29","doi-asserted-by":"publisher","first-page":"729","DOI":"10.1001\/jamaophthalmol.2019.0864","article-title":"Cost and visit duration of same-day access at an academic ophthalmology department vs emergency department.","volume":"137","author":"Singman","year":"2019","journal-title":"JAMA Ophthalmol"},{"key":"zoi261086r1","unstructured":"Mott? M. Who\u2019s on call? emergency care crisis looms. American Academy of Ophthalmology. 2019. Accessed February 28, 2024. https:\/\/www.aao.org\/eyenet\/article\/whos-on-call-emergency-care-crisis-looms"},{"key":"zoi261086r4","unstructured":"McKenzie? K. Why i take call: weighing rewards and responsibilities. American Academy of Ophthalmology. 2024. Accessed November 13, 2024. https:\/\/www.aao.org\/eyenet\/article\/why-i-take-call"},{"key":"zoi261086r9","unstructured":"Federal Reserve Bank of St Louis. Resident population in Washington. 2026. Accessed September 24, 2025. https:\/\/fred.stlouisfed.org\/series\/WAPOP"},{"key":"zoi261086r28","unstructured":"Verification Review Consultation American College of Surgeons July 2025 change log. 2025. Accessed September 15, 2026. https:\/\/www.facs.org\/media\/jt2ay2rl\/2022-vrc-standards-change-log-for-july-2025.pdf"}],"container-title":["JAMA Network Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/articlepdf\/2855167\/feng_2026_oi_261086_1790968156.21366.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T19:30:18Z","timestamp":1791660618000},"score":1,"resource":{"primary":{"URL":"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2855167"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,10]]},"references-count":29,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10,1]]}},"URL":"https:\/\/doi.org\/10.1001\/jamanetworkopen.2026.40040","relation":{},"ISSN":["2574-3805"],"issn-type":[{"value":"2574-3805","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,10]]}}}