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Cross-sectional study investigating the prevalence and causes of vision impairment in Northwest Portugal using capture-recapture

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Summary:Objectives The aim of this study was to estimate the prevalence and causes of vision impairment (VI) in Portugal. Setting Information about people with VI was obtained from primary care centres, blind association (ACAPO) and from hospitals (the PCVIP study) in the Northwest of Portugal during a period spanning years 2014-2015. Causes of VI were obtained from hospitals. Participants Administrative and medical records of people with visual acuity in the better seeing eye of 0.5 decimal (0.30logMAR) or worse and/or visual field less than 20° were investigated. Capture-recapture with log-linear models was applied to estimate the number of individuals missing from lists of cases obtained from available sources. Primary and secondary outcome measures Log-linear models were used to estimate the crude prevalence and the category specific prevalence of VI. Results Crude prevalence of VI was 1.97% (95% CI 1.56% to 2.54%), and standardised prevalence was 1% (95% CI 0.78% to 1.27%). The age-specific prevalence was 3.27% (95% CI 2.36% to 4.90%), older than 64 years, 0.64% (95% CI 0.49% to 0.88%), aged 25-64 years, and 0.07% (95% CI 0.045% to 0.13%), aged less than 25 years. The female-to-male ratio was 1.3, that is, higher prevalence among females. The five leading causes of VI were diabetic retinopathy, cataract, age-related macular degeneration, glaucoma and disorders of the globe. Conclusions The prevalence of VI in Portugal was within the expected range and in line with other European countries. A significant number of cases of VI might be due to preventable cases and, therefore, a reduction of the prevalence of VI in Portugal seems possible. Women and old people were more likely to have VI and, therefore, these groups require extra attention. Future studies are necessary to characterise temporal changes in prevalence of VI in Portugal.
Main Authors:Ramos, Pedro Lima
Other Authors:Santana, Rui; Marques, Ana Patricia; Sousa, Ines; Rocha-Sousa, Amandio; MacEdo, Antonio Filipe
Subject:Diabetic retinopathy EPIDEMIOLOGY OPHTHALMOLOGY General Medicine SDG 3 - Good Health and Well-being
Year:2022
Country:Portugal
Document type:article
Access type:open access
Associated institution:Universidade Nova de Lisboa
Language:English
Origin:Repositório Institucional da UNL
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author Ramos, Pedro Lima
author2 Santana, Rui
Marques, Ana Patricia
Sousa, Ines
Rocha-Sousa, Amandio
MacEdo, Antonio Filipe
author2_role author
author
author
author
author
author_facet Ramos, Pedro Lima
Santana, Rui
Marques, Ana Patricia
Sousa, Ines
Rocha-Sousa, Amandio
MacEdo, Antonio Filipe
author_role author
contributor_name_str_mv Escola Nacional de Saúde Pública (ENSP)
Comprehensive Health Research Centre (CHRC) - Pólo ENSP
Centro de Investigação em Saúde Pública (CISP/PHRC)
BMJ Publishing Group
RUN
country_str PT
creators_json_txt [{\"Person.name\":\"Ramos, Pedro Lima\"},{\"Person.name\":\"Santana, Rui\"},{\"Person.name\":\"Marques, Ana Patricia\"},{\"Person.name\":\"Sousa, Ines\"},{\"Person.name\":\"Rocha-Sousa, Amandio\"},{\"Person.name\":\"MacEdo, Antonio Filipe\"}]
datacite.contributors.contributor.contributorName.fl_str_mv Escola Nacional de Saúde Pública (ENSP)
Comprehensive Health Research Centre (CHRC) - Pólo ENSP
Centro de Investigação em Saúde Pública (CISP/PHRC)
BMJ Publishing Group
RUN
datacite.creators.creator.creatorName.fl_str_mv Ramos, Pedro Lima
Santana, Rui
Marques, Ana Patricia
Sousa, Ines
Rocha-Sousa, Amandio
MacEdo, Antonio Filipe
datacite.date.Accepted.fl_str_mv 2022-09-08T00:00:00Z
datacite.date.available.fl_str_mv 2022-10-11T22:24:55Z
datacite.date.embargoed.fl_str_mv 2022-10-11T22:24:55Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Diabetic retinopathy
EPIDEMIOLOGY
OPHTHALMOLOGY
General Medicine
SDG 3 - Good Health and Well-being
datacite.titles.title.fl_str_mv Cross-sectional study investigating the prevalence and causes of vision impairment in Northwest Portugal using capture-recapture
dc.contributor.none.fl_str_mv Escola Nacional de Saúde Pública (ENSP)
Comprehensive Health Research Centre (CHRC) - Pólo ENSP
Centro de Investigação em Saúde Pública (CISP/PHRC)
BMJ Publishing Group
RUN
dc.creator.none.fl_str_mv Ramos, Pedro Lima
Santana, Rui
Marques, Ana Patricia
Sousa, Ines
Rocha-Sousa, Amandio
MacEdo, Antonio Filipe
dc.date.Accepted.fl_str_mv 2022-09-08T00:00:00Z
dc.date.available.fl_str_mv 2022-10-11T22:24:55Z
dc.date.embargoed.fl_str_mv 2022-10-11T22:24:55Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10362/144602
dc.language.none.fl_str_mv eng
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.subject.none.fl_str_mv Diabetic retinopathy
EPIDEMIOLOGY
OPHTHALMOLOGY
General Medicine
SDG 3 - Good Health and Well-being
dc.title.fl_str_mv Cross-sectional study investigating the prevalence and causes of vision impairment in Northwest Portugal using capture-recapture
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description Objectives The aim of this study was to estimate the prevalence and causes of vision impairment (VI) in Portugal. Setting Information about people with VI was obtained from primary care centres, blind association (ACAPO) and from hospitals (the PCVIP study) in the Northwest of Portugal during a period spanning years 2014-2015. Causes of VI were obtained from hospitals. Participants Administrative and medical records of people with visual acuity in the better seeing eye of 0.5 decimal (0.30logMAR) or worse and/or visual field less than 20° were investigated. Capture-recapture with log-linear models was applied to estimate the number of individuals missing from lists of cases obtained from available sources. Primary and secondary outcome measures Log-linear models were used to estimate the crude prevalence and the category specific prevalence of VI. Results Crude prevalence of VI was 1.97% (95% CI 1.56% to 2.54%), and standardised prevalence was 1% (95% CI 0.78% to 1.27%). The age-specific prevalence was 3.27% (95% CI 2.36% to 4.90%), older than 64 years, 0.64% (95% CI 0.49% to 0.88%), aged 25-64 years, and 0.07% (95% CI 0.045% to 0.13%), aged less than 25 years. The female-to-male ratio was 1.3, that is, higher prevalence among females. The five leading causes of VI were diabetic retinopathy, cataract, age-related macular degeneration, glaucoma and disorders of the globe. Conclusions The prevalence of VI in Portugal was within the expected range and in line with other European countries. A significant number of cases of VI might be due to preventable cases and, therefore, a reduction of the prevalence of VI in Portugal seems possible. Women and old people were more likely to have VI and, therefore, these groups require extra attention. Future studies are necessary to characterise temporal changes in prevalence of VI in Portugal.
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eu_rights_str_mv openAccess
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fulltext.url.fl_str_mv https://run.unl.pt/bitstreams/9adbf334-e161-4e7b-b48e-b216396375e8/download
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institution Universidade Nova de Lisboa
instname_str Universidade Nova de Lisboa
language eng
network_acronym_str run
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oai_identifier_str oai:run.unl.pt:10362/144602
organization_str_mv urn:organizationAcronym:unl
person_str_mv Ramos, Pedro Lima
Santana, Rui
Marques, Ana Patricia
Sousa, Ines
Rocha-Sousa, Amandio
MacEdo, Antonio Filipe
publishDate 2022
reponame_str Repositório Institucional da UNL
repository_id_str urn:repositoryAcronym:run
service_str_mv urn:repositoryAcronym:run
spelling engenObjectives The aim of this study was to estimate the prevalence and causes of vision impairment (VI) in Portugal. Setting Information about people with VI was obtained from primary care centres, blind association (ACAPO) and from hospitals (the PCVIP study) in the Northwest of Portugal during a period spanning years 2014-2015. Causes of VI were obtained from hospitals. Participants Administrative and medical records of people with visual acuity in the better seeing eye of 0.5 decimal (0.30logMAR) or worse and/or visual field less than 20° were investigated. Capture-recapture with log-linear models was applied to estimate the number of individuals missing from lists of cases obtained from available sources. Primary and secondary outcome measures Log-linear models were used to estimate the crude prevalence and the category specific prevalence of VI. Results Crude prevalence of VI was 1.97% (95% CI 1.56% to 2.54%), and standardised prevalence was 1% (95% CI 0.78% to 1.27%). The age-specific prevalence was 3.27% (95% CI 2.36% to 4.90%), older than 64 years, 0.64% (95% CI 0.49% to 0.88%), aged 25-64 years, and 0.07% (95% CI 0.045% to 0.13%), aged less than 25 years. The female-to-male ratio was 1.3, that is, higher prevalence among females. The five leading causes of VI were diabetic retinopathy, cataract, age-related macular degeneration, glaucoma and disorders of the globe. Conclusions The prevalence of VI in Portugal was within the expected range and in line with other European countries. A significant number of cases of VI might be due to preventable cases and, therefore, a reduction of the prevalence of VI in Portugal seems possible. Women and old people were more likely to have VI and, therefore, these groups require extra attention. Future studies are necessary to characterise temporal changes in prevalence of VI in Portugal.application/pdfenCross-sectional study investigating the prevalence and causes of vision impairment in Northwest Portugal using capture-recaptureRamos, Pedro LimaSantana, RuiMarques, Ana PatriciaSousa, InesRocha-Sousa, AmandioMacEdo, Antonio FilipeEscola Nacional de Saúde Pública (ENSP)Comprehensive Health Research Centre (CHRC) - Pólo ENSPCentro de Investigação em Saúde Pública (CISP/PHRC)BMJ Publishing GroupHostingInstitutionOrganizationalRUNe-mailmailto:run@unl.ptrun@unl.ptISSNIsPartOf2044-6055URNIsPartOfPURE: 47050174URNIsPartOfPURE UUID: 771df701-dd7e-4586-8712-ac0b83547184URNIsPartOfScopus: 85138202246URNIsPartOfPubMedCentral: PMC9462125URNIsPartOfPubMed: 36691224DOIIsPartOf10.1136/bmjopen-2021-0569952022-10-11T22:24:55Z2022-09-082022-09-08T00:00:00ZHandlehttp://hdl.handle.net/10362/144602http://purl.org/coar/access_right/c_abf2open accessDiabetic retinopathyEPIDEMIOLOGYOPHTHALMOLOGYGeneral MedicineSDG 3 - Good Health and Well-being490824 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://run.unl.pt/bitstreams/9adbf334-e161-4e7b-b48e-b216396375e8/download
spellingShingle Cross-sectional study investigating the prevalence and causes of vision impairment in Northwest Portugal using capture-recapture
Ramos, Pedro Lima
Diabetic retinopathy
EPIDEMIOLOGY
OPHTHALMOLOGY
General Medicine
SDG 3 - Good Health and Well-being
status SINGLETON
subject.fl_str_mv Diabetic retinopathy
EPIDEMIOLOGY
OPHTHALMOLOGY
General Medicine
SDG 3 - Good Health and Well-being
title Cross-sectional study investigating the prevalence and causes of vision impairment in Northwest Portugal using capture-recapture
title_full Cross-sectional study investigating the prevalence and causes of vision impairment in Northwest Portugal using capture-recapture
title_fullStr Cross-sectional study investigating the prevalence and causes of vision impairment in Northwest Portugal using capture-recapture
title_full_unstemmed Cross-sectional study investigating the prevalence and causes of vision impairment in Northwest Portugal using capture-recapture
title_short Cross-sectional study investigating the prevalence and causes of vision impairment in Northwest Portugal using capture-recapture
title_sort Cross-sectional study investigating the prevalence and causes of vision impairment in Northwest Portugal using capture-recapture
topic Diabetic retinopathy
EPIDEMIOLOGY
OPHTHALMOLOGY
General Medicine
SDG 3 - Good Health and Well-being
topic_facet Diabetic retinopathy
EPIDEMIOLOGY
OPHTHALMOLOGY
General Medicine
SDG 3 - Good Health and Well-being
url http://hdl.handle.net/10362/144602
visible 1