Impact of Visual Impairment on Quality of Life: A Comparison With Quality of Life in the General Population and With Other Chronic Conditions

Langelaan, Maaike; Boer, Michiel R. de; Nispen, Ruth M. A. van; Wouters, Bill; Moll, Annette C.; Rens, Ger H. M. B. van

doi:10.1080/09286580601139212

Cited by 199 publications

(199 citation statements)

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“…In that sense, our results agree with previous observations by other investigators using the EQ-5D-3L (Langelaan et al 2007;van Nispen et al 2009) and other health utilities instruments (Crewe et al 2011;Briesen et al 2014). In contrast with our results, a study by Lloyd and colleagues found inconsistent associations of utilities with visual acuity in patients with diabetic retinopathy (Lloyd et al 2008).…”

Section: Discussionsupporting

confidence: 94%

“…The effect of gender that we found in our multiple regression is not commonly observed; however, Langelaan et al did report significance of gender (Langelaan et al 2007) and that is in line with what has been found in the general population in some countries (Burström et al). Comorbidities also had an effect in the EQ-5D-3L; although, during the questionnaire administration clear instructions were given to consider difficulties caused only by VI.…”

Section: Discussionsupporting

confidence: 93%

“…Also, our IQR of acuities was wider and our participants overall were younger compared to the van Nispen et al study (median age of 65 years for our study vs 78 years for their study). As reported by others, younger subjects with visual impairment might feel, for example, more often anxious or depressed (Langelaan et al 2007;van Nispen et al 2016). As shown in Appendix Table 2, 19 of our participants reported "severe depression or anxiety" and that was never reported in the van Nispen et al study's top ten health states.…”

Section: Discussionmentioning

confidence: 67%

“…Instruments commonly used to collect data on utilities include the EuroQol-EQ-5D (Brooks 1996;Langelaan et al 2007;van Hout et al 2012;Butt et al 2013), the SF-6D (Espallargues et al 2005;Butt et al 2013), the Geriatric Depression Scale (Lyness et al 1997) and other rating scale questionnaires. Health utilities typically are estimated from time trade-off (Weinstein et al 2009) or standard gamble methods (Drummond et al 1987), or from one of several stated-preference methods (e.g., discrete choice (Kessels et al 2011), pairwise comparison (Bradley & Terry 1952), best-worst scaling (Flynn et al 2007), or iterative bidding games (Brookshire & Crocker) ).…”

Section: Precismentioning

confidence: 99%

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Visual and health outcomes, measured with the activity inventory and the EQ‐5D, in visual impairment

Macedo

Ramos

Hernández-Moreno

et al. 2017

Acta Ophthalmologica

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PurposeGeneric instruments to assess health utilities can be used to express the burden of health problems in widely used indexes. That is in contrast with what can be obtained with condition-specific instruments, outcomes are very specific and difficult to compare across conditions. The purpose of this study was to assess health and visual outcomes and its determinants in patients with visual impairment (VI) using the EQ-5D-3L and the Activity-inventory (AI). MethodsParticipants were recruited in different hospitals during the PCVIP-study. A total of 134 patients with acuity 0.30 logMAR or less in the better eye were interviewed. The AI includes 46 goals split between three objectives: social functioning, recreation and daily living, was used to measure visual ability. The EQ-5D consists of five questions covering one domain each and was used to provide a measure of health states. Responses to each domain were combined to produce a single individual index.ResultsThe AI and the EQ-5D-3L showed enough discriminatory power between VI levels (p<.001) and their results were strongly correlated r(134)=.825, (p<.001). Explanatory factors for visual ability were level of VI in better eye, age and gender, R 2 =.43, (p<.001). Explanatory factors for the EQ-5D-3L were level of VI in the better eye, comorbidities and gender, R 2 =.36, (p<.001). ConclusionsOur results showed that the EQ-5D-3L is useful when characterizing the burden of VI and to compute, when necessary, quality-adjusted-life-years (QALY) changes due to VI. However, is important to consider that the EQ-5D-3L uses a coarse response scale, assesses a limited spectrum of domains and is influenced by comorbidities. This might limit its responsiveness to small changes in visual ability.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 67%

Section: Precismentioning

confidence: 99%

See 2 more Smart Citations

Visual and health outcomes, measured with the activity inventory and the EQ‐5D, in visual impairment

Macedo

Ramos

Hernández-Moreno

et al. 2017

Acta Ophthalmologica

View full text Add to dashboard Cite

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“…Specific scales examine characteristic aspects of the disease (e.g., in case of cancer, visual impairment), patient population (e.g., elderly people),and a specific problem (e.g., pain). This gives the ability to detect specific problems associated with different diseases, an individual approach to each patient, and providing adequate medical care.To assess health related quality of life, the Euro Qol questionnaire (EQ-5D) was used (Langelaan, de Boer, van Nispen et al, 2007). In studies by other authors, the Low Vision Quality of Life (LVQOL) questionnaire was shown to be a highly internally consistent and reliable method for measuring quality of life in the visually impaired (Wolffsohn, Cochrane, &Watt,2000).…”

Section: Introductionmentioning

confidence: 99%

The Assessment of the Quality of Life in Visually Impaired People with Different Level of Physical Activity

Kamelska

Mazurek

2015

Physical Culture and Sport. Studies and Research

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Quality of life (QOL) is associated with factors such as health, physical functioning, life satisfaction, a sense of happiness, and others. In case of disabled people, much attention is paid to their QOL rather than only the improvement of physiological variables. In a group of blind and visually impaired people, the effect of physical activity (PA) on the socialization process, the ability to explore own personality traits, developing creativity, and more motivation and desire to overcome the difficulties associated with visual impairment were observed.The study involved 53 people: visually impaired (NT) sedentary lifestyle people (n=18; 51±12 years) and visually impaired tandem cycling athletes (N) (n=17; 42±13 years). Properly sighted people (P) (n=18; 38±12 years) were partners in tandem with visually impaired athletes. To determine the level of PA, the International Physical Activity Questionnaire (IPAQ) was used. The WHO-Quality of Life (WHO-QOL-BREF), the National Eye Institute 25-item Visual Functioning Questionnaire (NEI VFQ-25, version 2000), and the Retina AMD Poland Association questionnaire were used to assess QOL.In visually impaired athletes, significantly greater PA with moderate intensity, moving by bike, and energy expenditure for vigorous recreational exercise and sport in leisuretime was found. Sedentary lifestyle people mainly participated in moderate physical activity around the house. Significant greater satisfaction with health was observed in the case of visually impaired athletes in comparison with NT. All disabled groups rarely had negative feelings such as despair, depression, and anxiety.Moderate correlations between variables according to physical activity and quality of life in all participants were observed. The meaningfulness of life and life satisfaction also depended on cycling training and moderate physical activity around the house. The obtained data indicate that all available forms of regular PA in visually impaired people could have a beneficial effect on their quality of life.

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Extent of Exacerbation of Chronic Health Conditions by Visual Impairment in Terms of Health-Related Quality of Life

et al. 2015

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IMPORTANCE Visual impairment (VI) causes a considerable public health burden and substantial deterioration in health-related quality of life (HRQoL). However, the relative effect of VI on HRQoL compared with other chronic health conditions is unknown as is the additive effect of VI with other conditions. OBJECTIVE To investigate whether the impact of chronic health conditions on HRQoL varies according to VI presence. DESIGN, SETTING, AND PARTICIPANTS Cross-sectional study involving 29 639 participants aged 19 years and older and using a multistage, probability-cluster survey, which can produce nationally representative estimates. We analyzed data from the 2008-2012 Korean National Health and Nutrition Examination Survey, which included results for vision assessment and HRQoL, measured using the European Quality of Life-5 Dimensions Questionnaire (EQ-5D). All analyses were conducted in October and November 2014. Visual impairment was defined as the presenting distance best-corrected visual acuity of less than decimal 0.32 (approximate Snellen equivalent 20/63). Linear regression models accounting for sample weights were used to examine interactions between VI and each of 14 chronic health conditions on the EQ-5D index score, adjusted for demographic and socioeconomic covariates. MAIN OUTCOMES AND MEASURES The EQ-5D index score for participants with VI or 14 chronic health conditions, as well as the effect of the interactions between VI and each condition on the EQ-5D index score. RESULTS The EQ-5D index score with VI was substantially lower than without VI (mean difference, −0.158; 95% CI, −0.186 to −0.130; P < .001). In most conditions, the comorbidity with VI resulted in lower EQ-5D index scores; furthermore, participants with stroke, osteoarthritis or rheumatic arthritis, hepatitis B or C, and depression showed lower EQ-5D index scores than expected when they were comorbid with VI, indicating an interaction between VI and each condition. The estimated β coefficients for interaction terms were −0.256 (95% CI, −0.480 to −0.032) for stroke, −0.124 (95% CI, −0.223 to −0.026) for osteoarthritis or rheumatic arthritis, −0.183 (95% CI, −0.327 to −0.038) for hepatitis B or C, and −0.130 (95% CI, −0.229 to −0.032) for depression. CONCLUSIONS AND RELEVANCE These results suggest that VI has a substantial effect on HRQoL, even in the presence of concurrent chronic health conditions, and the combined effect of VI and stroke, osteoarthritis/rheumatic arthritis, hepatitis, or depression on HRQoL was greater. However, because this study group was a representative sampling of South Koreans, generalization to other races/ethnicities and countries should be approached with caution.

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Impact of Visual Impairment on Quality of Life: A Comparison With Quality of Life in the General Population and With Other Chronic Conditions

Cited by 199 publications

References 26 publications

Visual and health outcomes, measured with the activity inventory and the EQ‐5D, in visual impairment

Visual and health outcomes, measured with the activity inventory and the EQ‐5D, in visual impairment

The Assessment of the Quality of Life in Visually Impaired People with Different Level of Physical Activity

Extent of Exacerbation of Chronic Health Conditions by Visual Impairment in Terms of Health-Related Quality of Life

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