Effective refractive error coverage in adults aged 50 years and older: estimates from population-based surveys in 61 countries.
| Autor: | Bourne RRA; Anglia Ruskin University, Cambridge, UK. Electronic address: rb@rupertbourne.co.uk., Cicinelli MV; Department of Ophthalmology, San Raffaele Hospital, Milan, Italy., Sedighi T; Anglia Ruskin University, Cambridge, UK., Tapply IH; Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK., McCormick I; London School of Hygiene & Tropical Medicine, London, UK., Jonas JB; Heidelberg University, Mannheim, Germany., Congdon NG; Queen's University, Belfast, UK., Ramke J; London School of Hygiene & Tropical Medicine, London, UK., Naidoo KS; University of KwaZulu-Natal, Durban, South Africa., Fricke TR; University of New South Wales School of Optometry and Vision Science, Sydney, NSW, Australia., Burton MJ; London School of Hygiene & Tropical Medicine, London, UK., Müller A; WHO, Geneva, Switzerland., Bikbov MM; Ufa Eye Research Institute, Ufa, Russia., Furtado JM; University of Sao Paulo, Sao Paulo, Brazil., Kyari F; London School of Hygiene & Tropical Medicine, London, UK., He M; The University of Melbourne, Melbourne, VIC, Australia., Wang YX; Beijing Institute of Ophthalmology, Beijing, China., Vijaya L; Medical Research Foundation, Chennai, India., Nangia V; Suraj Eye Institute, Nagpur, India., Brian G; The Fred Hollows Foundation, New Zealand., Emamian MH; Shahroud University of Medical Sciences, Shahroud, Iran., Fotouhi A; Tehran University of Medical Sciences, Tehran, Iran., Hashemi H; NOOR Ophthalmology Research Center, Tehran, Iran., Khandekar RB; King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia., Marmamula S; LV Prasad Eye Institute, Hyderabad, India., Salomão S; Department of Ophthalmology and Visual Science, Paulista School of Medicina, Federal University of São Paulo, São Paulo, Brazil., George R; Medical Research Foundation, Chennai, India., Kazakbaeva G; Ufa Eye Research Institute, Ufa, Russia., Braithwaite T; St Thomas' Hospital, London, UK., Casson RJ; The University of Adelaide School of Public Health, Adelaide, Australia., Iwase A; Japan Glaucoma Society, Japan., Gupta N; All India Institute of Medical Sciences, New Delhi, India., Abdianwall MH; Bayazid Roshan University of Nangarhar Faculty of Medicine, Jalalabad, Afghanistan., Varma R; Southern California Eye Institute, Los Angeles, CA, USA., Wong TY; Tsinghua University School of Medicine, Beijing, China., Wang N; Beijing Institute of Ophthalmology, Beijing, China., Taylor HR; School of Population and Global Health, Melbourne, VIC, Australia., Flaxman SR; University of Oxford Department of Computing Science, Oxford, UK., Keel S; WHO, Geneva, Switzerland., Resnikoff S; University of New South Wales School of Optometry and Vision Science, Sydney, NSW, Australia. |
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| Jazyk: | angličtina |
| Zdroj: | The Lancet. Global health [Lancet Glob Health] 2022 Dec; Vol. 10 (12), pp. e1754-e1763. Date of Electronic Publication: 2022 Oct 11. |
| DOI: | 10.1016/S2214-109X(22)00433-8 |
| Abstrakt: | Background: In 2021, WHO Member States endorsed a global target of a 40-percentage-point increase in effective refractive error coverage (eREC; with a 6/12 visual acuity threshold) by 2030. This study models global and regional estimates of eREC as a baseline for the WHO initiative. Methods: The Vision Loss Expert Group analysed data from 565 448 participants of 169 population-based eye surveys conducted since 2000 to calculate eREC (met need/[met need + undermet need + unmet need]). A binary logistic regression model was used to estimate eREC by Global Burden of Disease (GBD) Study super region among adults aged 50 years and older. Findings: In 2021, distance eREC was 79·1% (95% CI 72·4-85·0) in the high-income super region; 62·1% (54·7-68·8) in north Africa and Middle East; 49·5% (45·0-54·0) in central Europe, eastern Europe, and central Asia; 40·0% (31·7-48·2) in southeast Asia, east Asia, and Oceania; 34·5% (29·4-40·0) in Latin America and the Caribbean; 9·0% (6·5-12·0) in south Asia; and 5·7% (3·1-9·0) in sub-Saharan Africa. eREC was higher in men and reduced with increasing age. Global distance eREC increased from 2000 to 2021 by 19·0%. Global near vision eREC for 2021 was 20·5% (95% CI 17·8-24·4). Interpretation: Over the past 20 years, distance eREC has increased in each super region yet the WHO target will require substantial improvements in quantity and quality of refractive services in particular for near vision impairment. Funding: WHO, Sightsavers, The Fred Hollows Foundation, Fondation Thea, Brien Holden Vision Institute, Lions Clubs International Foundation. Competing Interests: Declaration of interests JR reports university position funding by Buchanan Charitable Foundation, New Zealand. KSN reports employment by OneSight EssilorLuxottica Foundation. JMF reports research grants from Lions SightFirst & Conselho Nacional de Desenvolvimento Científico e Tecnológico, Brazil. Tecnológico, Brazil. RV reports the Los Angeles Latino Eye Study research grant from the National Eye Institute, where he participates on a Data Monitoring Board or Advisory Board. The remaining authors declare no competing interests. The remaining authors declare no competing interests. (Copyright © 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Published by Elsevier Ltd.. All rights reserved.) |
| Databáze: | MEDLINE |
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