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The Decreasing Prevalence of Nonrefractive Visual Impairment in Older Europeans: A Meta-analysis of Published and Unpublished Data

Title: The Decreasing Prevalence of Nonrefractive Visual Impairment in Older Europeans: A Meta-analysis of Published and Unpublished Data
Authors: Delcourt, C; Le Goff, M; von Hanno, T; Mirshahi, A; Khawaja, AP; Verhoeven, VJM; Hogg, RE; Anastosopoulos, E; Cachulo, ML; Höhn, R; Wolfram, C; Bron, A; Miotto, S; Carrière, I; Colijn, JM; Buitendijk, GHS; Evans, J; Nitsch, D; Founti, P; Yip, JLY; Pfeiffer, N; Creuzot-Garcher, C; Silva, R; Piermarocchi, S; Topouzis, F; Bertelsen, G; Foster, PJ; Fletcher, A; Klaver, CCW; Korobelnik, J-F; European Eye Epidemiology Consortium, .
Source: Ophthalmology , 125 (8) pp. 1149-1159. (2018)
Publication Year: 2018
Collection: University College London: UCL Discovery
Description: TOPIC: To estimate the prevalence of nonrefractive visual impairment and blindness in European persons 55 years of age and older. CLINICAL RELEVANCE: Few visual impairment and blindness prevalence estimates are available for the European population. In addition, many of the data collected in European population-based studies currently are unpublished and have not been included in previous estimates. METHODS: Fourteen European population-based studies participating in the European Eye Epidemiology Consortium (n = 70 723) were included. Each study provided nonrefractive visual impairment and blindness prevalence estimates stratified by age (10-year strata) and gender. Nonrefractive visual impairment and blindness were defined as best-corrected visual acuity worse than 20/60 and 20/400 in the better eye, respectively. Using random effects meta-analysis, prevalence rates were estimated according to age, gender, geographical area, and period (1991-2006 and 2007-2012). Because no data were available for Central and Eastern Europe, population projections for numbers of affected people were estimated using Eurostat population estimates for European high-income countries in 2000 and 2010. RESULTS: The age-standardized prevalence of nonrefractive visual impairment in people 55 years of age or older decreased from 2.22% (95% confidence interval [CI], 1.34-3.10) from 1991 through 2006 to 0.92% (95% CI, 0.42-1.42) from 2007 through 2012. It strongly increased with age in both periods (up to 15.69% and 4.39% in participants 85 years of age or older from 1991 through 2006 and from 2007 through 2012, respectively). Age-standardized prevalence of visual impairment tended to be higher in women than men from 1991 through 2006 (2.67% vs. 1.88%), but not from 2007 through 2012 (0.87% vs. 0.88%). No differences were observed between northern, western, and southern regions of Europe. The projected numbers of affected older inhabitants in European high-income countries decreased from 2.5 million affected individuals in 2000 to 1.2 ...
Document Type: article in journal/newspaper
File Description: text
Language: English
Relation: https://discovery.ucl.ac.uk/id/eprint/10046103/
Availability: https://discovery.ucl.ac.uk/id/eprint/10046103/1/E3-Vision-manuscript-Ophthalmology-accepted.pdf; https://discovery.ucl.ac.uk/id/eprint/10046103/6/E3-vision-SOM-accepted.pdf; https://discovery.ucl.ac.uk/id/eprint/10046103/
Rights: open
Accession Number: edsbas.16FD753A
Database: BASE