Visual impairment as a function of visual acuity in both eyes and its impact on patient reported preferences.

<h4>Purpose</h4>To assess the impact of VA loss on patient reported utilities taking both eyes into account compared to taking only the better or the worse eye into account.<h4>Methods</h4>In this cross-sectional study 1085 patients and 254 controls rated preferences with the...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Robert P Finger, Eva Fenwick, Christoph W Hirneiss, Arthur Hsueh, Robyn H Guymer, Ecosse L Lamoureux, Jill E Keeffe
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/49d23c1ae4b74edaac8bb10a5416d2f8
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:49d23c1ae4b74edaac8bb10a5416d2f8
record_format	dspace
spelling	oai:doaj.org-article:49d23c1ae4b74edaac8bb10a5416d2f82021-11-18T08:43:23ZVisual impairment as a function of visual acuity in both eyes and its impact on patient reported preferences.1932-620310.1371/journal.pone.0081042https://doaj.org/article/49d23c1ae4b74edaac8bb10a5416d2f82013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24339893/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Purpose</h4>To assess the impact of VA loss on patient reported utilities taking both eyes into account compared to taking only the better or the worse eye into account.<h4>Methods</h4>In this cross-sectional study 1085 patients and 254 controls rated preferences with the generic health-related (EQ-5D; n = 868) and vision-specific (Vision and Quality of Life Index (VisQoL); n = 837) multi-attribute utility instruments (MAUIs). Utilities were calculated for three levels of VA in the better and worse eyes, as well as for 6 different vision states based on combinations of the better and worse eye VA.<h4>Results</h4>Using the VisQoL, utility scores decreased significantly with deteriorating vision in both the better and worse eyes when analysed separately. When stratified by the 6 vision states, VisQoL utilities decreased as VA declined in the worse eye despite stable VA in the better eye. Differences in VisQoL scores were statistically significant for cases where the better eye had no vision impairment and the worse seeing fellow eye had mild, moderate or severe vision impairment. In contrast, the EQ-5D failed to capture changes in better or worse eye VA, or any of the six vision states.<h4>Conclusions</h4>Calculating utilities based only on better eye VA or using a generic MAUI is likely to underestimate the impact of vision impairment, particularly when the better eye has no or little VA loss and the worse eye is moderately to severely visually impaired. These findings have considerable implications for the assessment of overall visual impairment as well as economic evaluations within eye health.Robert P FingerEva FenwickChristoph W HirneissArthur HsuehRobyn H GuymerEcosse L LamoureuxJill E KeeffePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 12, p e81042 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Robert P Finger Eva Fenwick Christoph W Hirneiss Arthur Hsueh Robyn H Guymer Ecosse L Lamoureux Jill E Keeffe Visual impairment as a function of visual acuity in both eyes and its impact on patient reported preferences.
description	<h4>Purpose</h4>To assess the impact of VA loss on patient reported utilities taking both eyes into account compared to taking only the better or the worse eye into account.<h4>Methods</h4>In this cross-sectional study 1085 patients and 254 controls rated preferences with the generic health-related (EQ-5D; n = 868) and vision-specific (Vision and Quality of Life Index (VisQoL); n = 837) multi-attribute utility instruments (MAUIs). Utilities were calculated for three levels of VA in the better and worse eyes, as well as for 6 different vision states based on combinations of the better and worse eye VA.<h4>Results</h4>Using the VisQoL, utility scores decreased significantly with deteriorating vision in both the better and worse eyes when analysed separately. When stratified by the 6 vision states, VisQoL utilities decreased as VA declined in the worse eye despite stable VA in the better eye. Differences in VisQoL scores were statistically significant for cases where the better eye had no vision impairment and the worse seeing fellow eye had mild, moderate or severe vision impairment. In contrast, the EQ-5D failed to capture changes in better or worse eye VA, or any of the six vision states.<h4>Conclusions</h4>Calculating utilities based only on better eye VA or using a generic MAUI is likely to underestimate the impact of vision impairment, particularly when the better eye has no or little VA loss and the worse eye is moderately to severely visually impaired. These findings have considerable implications for the assessment of overall visual impairment as well as economic evaluations within eye health.
format	article
author	Robert P Finger Eva Fenwick Christoph W Hirneiss Arthur Hsueh Robyn H Guymer Ecosse L Lamoureux Jill E Keeffe
author_facet	Robert P Finger Eva Fenwick Christoph W Hirneiss Arthur Hsueh Robyn H Guymer Ecosse L Lamoureux Jill E Keeffe
author_sort	Robert P Finger
title	Visual impairment as a function of visual acuity in both eyes and its impact on patient reported preferences.
title_short	Visual impairment as a function of visual acuity in both eyes and its impact on patient reported preferences.
title_full	Visual impairment as a function of visual acuity in both eyes and its impact on patient reported preferences.
title_fullStr	Visual impairment as a function of visual acuity in both eyes and its impact on patient reported preferences.
title_full_unstemmed	Visual impairment as a function of visual acuity in both eyes and its impact on patient reported preferences.
title_sort	visual impairment as a function of visual acuity in both eyes and its impact on patient reported preferences.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/49d23c1ae4b74edaac8bb10a5416d2f8
work_keys_str_mv	AT robertpfinger visualimpairmentasafunctionofvisualacuityinbotheyesanditsimpactonpatientreportedpreferences AT evafenwick visualimpairmentasafunctionofvisualacuityinbotheyesanditsimpactonpatientreportedpreferences AT christophwhirneiss visualimpairmentasafunctionofvisualacuityinbotheyesanditsimpactonpatientreportedpreferences AT arthurhsueh visualimpairmentasafunctionofvisualacuityinbotheyesanditsimpactonpatientreportedpreferences AT robynhguymer visualimpairmentasafunctionofvisualacuityinbotheyesanditsimpactonpatientreportedpreferences AT ecossellamoureux visualimpairmentasafunctionofvisualacuityinbotheyesanditsimpactonpatientreportedpreferences AT jillekeeffe visualimpairmentasafunctionofvisualacuityinbotheyesanditsimpactonpatientreportedpreferences
_version_	1718421380881448960

Visual impairment as a function of visual acuity in both eyes and its impact on patient reported preferences.

Ejemplares similares