The role of social deprivation in severe neovascular age-related macular degeneration: Table 1

Sharma, Hannah E; Mathewson, Priscilla; Lane, Mark A.; Shah, Peter; Glover, Nicholas; Palmer, Helen; Haque, Sayeed; Denniston, Alastair K; Tsaloumas, M D

doi:10.1136/bjophthalmol-2014-304959

Cited by 19 publications

(18 citation statements)

References 24 publications

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“…These include lack of time, lack of knowledge or skills, poor access to evidence, and inefficient care pathways [16–19]. In the setting of AMD, barriers such as socioeconomic disadvantage, cost, workforce supply, compliance and adherence issues have been postulated to exist [5, 20]. The current study aimed to explore the perspectives of eyecare professionals (optometrists, ophthalmologists) on AMD care in Australia, with a view to identify and describe some of the possible reasons for under or over detection and inappropriate management.…”

Section: Introductionmentioning

confidence: 99%

A qualitative exploration of eyecare professional perspectives on Age-Related Macular Degeneration (AMD) care

Jalbert

Rahardjo²,

Yashadhana³

et al. 2018

Preprint

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18Despite the existence of evidence-based recommendations to decrease risk and progression of Age-19 Related Macular Degeneration (AMD) for some time, self-reported practices suggest that eyecare 20 professionals' advice and people with AMD's adherence to these recommendations can be very 21 poor. This study uses qualitative methods to explore Australian eyecare professionals' perspective 22 34Factors impacting AMD care identified through analysis of the transcripts were coded to three 35 categories of influence: patient-centered, practitioner-centered, and structural factors. Eyecare 36 professionals considered poor care pathways, people with AMD's poor disease understanding / 37 denial, and cost of care / lack of funding, as the most significant barriers to AMD care; they 38 considered shared care model, access, and communication as the most significant enablers to good 39 AMD care. These findings suggest that Australian eyecare professionals perceive that there is a need 40 for improved patient support systems and appropriately funded, clearer care pathway to benefit 41 people with AMD.3 42 65 although no consistent pattern could be detected [9]. Comparative data on Australian 66 ophthalmologists was unfortunately not collected.

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Section: Introductionmentioning

confidence: 99%

A qualitative exploration of eyecare professional perspectives on Age-Related Macular Degeneration (AMD) care

Jalbert

Rahardjo²,

Yashadhana³

et al. 2018

Preprint

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“…Data concerning the relationship between SES and VA at presentation of nAMD are scarce. Patients from lower socio‐economic backgrounds had worse VA at first presentation in a study conducted in Birmingham (UK) on 120 patients suggesting that this vulnerable group may have encountered barriers in accessing treatment in nAMD . A study on 240 patients in Scotland presenting between July 2004 and June 2005 found that SES was not associated with VA at presentation of nAMD .…”

Section: Discussionmentioning

confidence: 99%

“…This may be related to many factors including the severity of the neovascular lesion, older age and delayed presentation. A lower socio‐economic status (SES) has been associated with low VA at presentation of nAMD, but this has not been a consistent finding …”

Section: Introductionmentioning

confidence: 99%

Clinical and social characteristics associated with reduced visual acuity at presentation in Australian patients with neovascular age‐related macular degeneration: a prospective study from a long‐term observational data set. The Fight Retinal Blindness! Project

Nguyen

Daïen

Guymer

et al. 2017

Clinical Exper Ophthalmology

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“…In this study there was no difference in delivery of treatment between the two groups, however, it should be noted this may be because in the UK anti-VEGF drug treatment for AMD is government funded. 227 In a 2012 Polish study on 201 patients receiving anti-VEGF as a treatment for nAMD compared patients living in urban and rural settings. No difference was noted between these two groups with regard to access to treatment, defined as either time to clinic or time to treatment.…”

Section: Studies From North Americamentioning

confidence: 99%

Multiple deprivation, vision loss, and ophthalmic disease in adults: global perspectives

Lane

Abbott

et al. 2018

Survey of Ophthalmology

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The association between socioeconomic position and morbidity and mortality has long been recognized. We evaluate the evidence for an association between multiple aspects of deprivation and ocular health in a global context. This is a systematic review of studies that evaluated deprivation in the adult population in the context of the major acquired causes of visual loss such as cataract, diabetic eye disease, glaucoma, age-related macular degeneration, and ocular trauma. The search strategy identified relevant studies reported between 1946 and August 2016, with randomized control trials, case-control, cohort, and cross-sectional study designs being selected for inclusion. The studies identified in this review from across the world demonstrate the extent to which the common themes such as low educational attainment and low income may be associated with increased incidence of various sight-threatening conditions and may adversely affect access to specialist assessment and delivery of treatment. Health inequality may always persist, but an increased recognition of the importance of the various impacts of deprivation may empower policy makers to target limited resources to the most vulnerable groups in order to deliver the greatest benefit.

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The role of social deprivation in severe neovascular age-related macular degeneration: Table 1

Cited by 19 publications

References 24 publications

A qualitative exploration of eyecare professional perspectives on Age-Related Macular Degeneration (AMD) care

A qualitative exploration of eyecare professional perspectives on Age-Related Macular Degeneration (AMD) care

Clinical and social characteristics associated with reduced visual acuity at presentation in Australian patients with neovascular age‐related macular degeneration: a prospective study from a long‐term observational data set. The Fight Retinal Blindness! Project

Multiple deprivation, vision loss, and ophthalmic disease in adults: global perspectives

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