Eye care service utilization in older people seeking aged care

Tay, Tien; Rochtchina, Elena; Mitchell, Paul; Lindley, Richard I; Wang, Jie Jin

doi:10.1111/j.1442-9071.2006.01139.x

Cited by 14 publications

(29 citation statements)

References 12 publications

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“…Devido à situação atual e à incorporação de novas tecnologias neste campo tornou-se necessária uma avaliação perió-dica dos serviços de saúde, especialmente uma avaliação da perspectiva do usuário, que é uma iniciativa fundamental na melhoria da prática profissional e da organização dos serviços de saúde (5)(6)(7) . Esses dados são relevantes na elaboração de políticas governamentais de saúde (8) . O objetivo deste estudo é avaliar os serviços de assistên-cia ocular do ponto de vista do usuário em população de baixa renda da zona leste da cidade de São Paulo, abordando a necessidade e obtenção, as barreiras e a experiência com a assistência ocular.…”

Section: Resumo Introduçãounclassified

Avaliação dos serviços de assistência ocular em população urbana de baixa renda da cidade de São Paulo - Brasil

Pereira¹,

Salomão²,

Cinoto³

et al. 2009

Arq. Bras. Oftalmol.

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Section: Resumo Introduçãounclassified

Avaliação dos serviços de assistência ocular em população urbana de baixa renda da cidade de São Paulo - Brasil

Pereira¹,

Salomão²,

Cinoto³

et al. 2009

Arq. Bras. Oftalmol.

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“…In the remaining 4 RCTs, participant eligibility was specified as at least 70 years of age, 23,24 at least 75 years of age, 20 or 74 to 84 years of age. 30 In the 11 RCTs 19,20,22,[25][26][27][28][30][31][32][33] that reported sex, 63% of participants were female.…”

Section: For Community-dwelling Adults Aged 65 Years and Older We Rementioning

confidence: 99%

“…In 13 RCTs, [19][20][21][22][23][24][25]27,[29][30][31][32][33] vision screening took place within a broader assessment of multiple health and functional domains, whereas in two RCTs, 26,28 vision screening was the only intervention provided. The two types of screening approaches (used alone or in combination) were self-report of visual function using a questionnaire and objective vision testing using one or more charts.…”

Section: For Community-dwelling Adults Aged 65 Years and Older We Rementioning

confidence: 99%

“…In two RCTs, 29,30 a questionnaire was followed by eye testing with a Snellen chart for patients who reported a problem. In seven RCTs, 19,[21][22][23][24]29,30 screening was done by a nurse; in four, [25][26][27][28]32 by another trained individual; and in one, 31 by a physician. In the three remaining RCTs, 20,25,33 patients were asked to mail in a questionnaire designed to identify indicators of potential visual impairment.…”

Section: For Community-dwelling Adults Aged 65 Years and Older We Rementioning

confidence: 99%

“…[19][20][21][22][23][24][25][26][27][28][29][30][31][32][33] The RCTs were conducted in Norway, 19 Germany, 20 the United Kingdom, 19 and an insurance company registry. 27 The number of participants in the trials ranged from 93 to 4340.…”

Section: For Community-dwelling Adults Aged 65 Years and Older We Rementioning

confidence: 99%

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Screening for impaired vision in community-dwelling adults aged 65 years and older in primary care settings

Wilson¹,

Courage²,

Bacchus³

et al. 2018

CMAJ

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KEY POINTS• Impaired vision is a risk factor for functional limitations, fallrelated injuries and quality of life in older people.• Most provincial governments in Canada cover comprehensive eye examinations by eye care practitioners for adults aged 65 years and older. 6• A systematic review found low-quality evidence that screening in primary health care settings for impaired vision in adults aged 65 years and older does not appear to improve vision-related functional limitations or quality of life. 5• The task force recommends against screening in primary health care settings for impaired vision in community-dwelling adults aged 65 years or older. HEALTH SERVICES CPD GUIDELINE

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Screening for Impaired Visual Acuity in Older Adults

Chou

Bougatsos

Jungbauer

et al. 2022

JAMA

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IMPORTANCE A 2016 review for the US Preventive Services Task Force (USPSTF) found that effective treatments are available for refractive errors, cataracts, and wet (advanced neovascular) or dry (atrophic) age-related macular degeneration (AMD), but there were no differences between visual screening vs no screening on visual acuity or other outcomes. OBJECTIVE To update the 2016 review on screening for impaired visual acuity in older adults, to inform the USPSTF. DATA SOURCES Ovid MEDLINE, the Cochrane Central Register of Controlled Trials, and the Cochrane Database of Systematic Reviews (to February 2021); surveillance through January 21, 2022.STUDY SELECTION Randomized clinical trials and controlled observational studies on screening, vascular endothelial growth factor (VEGF) inhibitors (wet AMD), and antioxidant vitamins and minerals (dry AMD); studies on screening diagnostic accuracy.DATA EXTRACTION AND SYNTHESIS One investigator abstracted data and a second checked accuracy. Two investigators independently assessed study quality.RESULTS Twenty-five studies (N = 33 586) were included (13 trials, 11 diagnostic accuracy studies, and 1 systematic review [19 trials]). Four trials (n = 4819) found no significant differences between screening vs no screening in visual acuity or other outcomes. Visual acuity tests (3 studies; n = 6493) and screening question (3 studies; n = 5203) were associated with suboptimal diagnostic accuracy. For wet AMD, 4 trials (n = 2086) found VEGF inhibitors significantly associated with greater likelihood of 15 or more letters visual acuity gain (risk ratio [RR], 2.92 [95% CI, 1.20-7.12]; I 2 = 76%; absolute risk difference [ARD], 10%) and less than 15 letters visual acuity loss (RR, 1.46 [95% CI,; I 2 = 80%; ARD, 27%) vs sham treatment, with no increased risk of serious harms. For dry AMD, a systematic review (19 trials) found antioxidant multivitamins significantly associated with decreased risk of progression to late AMD (3 trials, n = 2445; odds ratio [OR], 0.72 [95% CI, 0.58-0.90]) and 3 lines or more visual acuity loss (1 trial, n = 1791; OR, 0.77 [95% CI, 0.62-0.96]) vs placebo. Zinc was significantly associated with increased risk of genitourinary events and beta carotene with increased risk of lung cancer in former smokers; other serious harms were infrequent.CONCLUSIONS AND RELEVANCE This review found that effective treatments are available for common causes of impaired visual acuity in older adults. However, direct evidence found no significant association between vision screening vs no screening in primary care and improved visual outcomes.

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Eye care service utilization in older people seeking aged care

Abstract: This pilot study indicates a relatively high need for, and high utilization of eye care services in the subgroup of older people seeking aged care services.

Cited by 14 publications

References 12 publications

Avaliação dos serviços de assistência ocular em população urbana de baixa renda da cidade de São Paulo - Brasil

Avaliação dos serviços de assistência ocular em população urbana de baixa renda da cidade de São Paulo - Brasil

Screening for impaired vision in community-dwelling adults aged 65 years and older in primary care settings

Screening for Impaired Visual Acuity in Older Adults

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