Ophthalmic epidemiology最新文献_第2页

Corneal Transplantation in Australia Over 29 Years: A Retrospective Analysis of Medicare Data from 1994 to 2022. 澳大利亚29年来的角膜移植：1994年至2022年医疗保险数据的回顾性分析

IF 1.2 4区医学

Ophthalmic epidemiology Pub Date : 2025-10-01 Epub Date: 2024-12-13 DOI: 10.1080/09286586.2024.2442366

Sachin Phakey, Elaine W T Chong

{"title":"Corneal Transplantation in Australia Over 29 Years: A Retrospective Analysis of Medicare Data from 1994 to 2022.","authors":"Sachin Phakey, Elaine W T Chong","doi":"10.1080/09286586.2024.2442366","DOIUrl":"10.1080/09286586.2024.2442366","url":null,"abstract":"Purpose: We aim to report the frequency and distribution of corneal transplantation, by age, sex, and state/territory, in Australia over a > 25-year period from 1994 to 2022, including during COVID-19 lockdowns.Methods: Using data from Medicare, Australia's Government-funded health insurance scheme, we retrospectively analysed corneal transplants performed from January 1994 to December 2022.Results: From 1994 to 2022, there were 27,536 corneal transplantation services processed by Medicare. Transplants tended to be more common in males in younger age groups (67.7% male in 15-24-year-olds), and in females in older age groups (59.2% female in 75-84-year-olds). Most transplants were performed in New South Wales (9,438 services, 34.3%), Queensland (7,722, 28.0%), and Victoria (5,209, 18.9%). Annual corneal transplantation rates in Australia tended to decrease from 1994 to 2006 (lowest rate during study period), falling by 31%, and then increased by 81%, from 2006 to 2022 (end of study period). Annual repeat corneal transplantation rates (i.e. second and subsequent transplants) increased from 2004 to 2022, rising 301%. During Australia's nationwide 2020 COVID-19 lockdown (from March to April), monthly transplantation rates decreased by 31%.Conclusion: We performed a longitudinal analysis of corneal transplantation in Australia using a comprehensive, routinely collected, population-based data source. Prior studies examining corneal transplantation have interrogated data from the Australian Corneal Graft Registry, which relies on voluntary reporting. Corneal transplantation rates have increased during the last 15 years, likely as new corneal transplant techniques have evolved, with increasing demand for corneal donation and eye banking services.","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"533-542"},"PeriodicalIF":1.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Atraumatic Rhegmatogenous Retinal Detachment: Epidemiology and Association with Refractive Error in U.S. Armed Forces Service Members. 非外伤性孔源性视网膜脱离：美国武装部队成员屈光不正的流行病学和相关性。

IF 1.2 4区医学

Ophthalmic epidemiology Pub Date : 2025-10-01 Epub Date: 2025-01-23 DOI: 10.1080/09286586.2024.2434733

Ian Lee, Weidong Gu, Marcus Colyer, Matthew Debiec, James Karesh, Grant Justin, Mariia Viswanathan

{"title":"Atraumatic Rhegmatogenous Retinal Detachment: Epidemiology and Association with Refractive Error in U.S. Armed Forces Service Members.","authors":"Ian Lee, Weidong Gu, Marcus Colyer, Matthew Debiec, James Karesh, Grant Justin, Mariia Viswanathan","doi":"10.1080/09286586.2024.2434733","DOIUrl":"10.1080/09286586.2024.2434733","url":null,"abstract":"Purpose: To evaluate the incidence, refractive error (RE) association, and distribution of atraumatic rhegmatogenous retinal detachment (RRD) in U.S. military service members (SMs).Methods: This study used data from the Military Health System (MHS) M2 database to identify active U.S. military and National Guard SMs diagnosed with RRD from 2017 to 2022. The RE in diopters (D) was manually extracted from available medical charts for 518 eyes. The annual incidence rate of RRD was calculated overall and evaluated in terms of age, gender, and RE. A multivariate Poisson regression model was used to estimate the relative risk (RR) for RRD with RE.Results: From 2017 to 2022, 1,537 SMs were diagnosed with RRD and 1,243,189 were diagnosed with RE. One thousand two hundred seventy-five SMs had both diagnoses: RRD and RE. The overall incidence rate of RRD over the 6-year study was 16.3 per 100,000 people (16.4 and 15.9 for males and females, respectively). In all study groups, the incidence of RRD increased with age. SMs with RE had an overall 25-fold increased risk for RRD compared to SMs without RE. RE was present in 83.0% of cases of RRD. Myopia accounted for 93.3% of cases for eyes with detailed refractive data.Conclusion: The incidence of RRD in U.S. SMs is comparable to other studies and is similar among male and female SMs. RE is present in most cases of RRD in SMs, with the most common type being low to moderate amounts of myopia.","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"510-517"},"PeriodicalIF":1.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Screening of Influencing Factors of Dry Eye Disease and the Exploration of New Diagnosis and Treatment Model Based on Community Health Management Combined with Tertiary Hospitals. 基于社区卫生管理与三级医院结合的干眼病影响因素筛选及新诊疗模式探索

IF 1.2 4区医学

Ophthalmic epidemiology Pub Date : 2025-09-30 DOI: 10.1080/09286586.2025.2556431

Shanshan Sun, Weida Xu, Guohua Deng, Hao Wang, Juan Chen, Jie Zhu, Jun Zhang, Zhuo Sun

{"title":"Screening of Influencing Factors of Dry Eye Disease and the Exploration of New Diagnosis and Treatment Model Based on Community Health Management Combined with Tertiary Hospitals.","authors":"Shanshan Sun, Weida Xu, Guohua Deng, Hao Wang, Juan Chen, Jie Zhu, Jun Zhang, Zhuo Sun","doi":"10.1080/09286586.2025.2556431","DOIUrl":"https://doi.org/10.1080/09286586.2025.2556431","url":null,"abstract":"Objective: To screen influencing factors of dry eye and evaluate a new diagnosis and treatment model combining tertiary hospitals with community health management.Methods: A total of 500 community residents from two Chinese hospitals between January - September, 2023 were included. Dry eye was diagnosed based on the presence of typical symptoms, an OSDI score > 13, a tear film break-up time (BUT) < 10 seconds, and/or a Schirmer I test (SIT) result < 10 mm/5 min, following the 2020 Chinese Dry Eye Expert Consensus. Diagnosed patients were randomized into a management group (community health management) and a control group (self-management). Both received standardized hospital treatment for six months. Disease cognition, symptom improvement, psychological state, eye comfort, satisfaction, and quality of life were compared.Results: Dry eye prevalence was 26.40% (132/500). Univariate analysis identified age, sex, drug use, connective tissue disease, laser corneal surgery, vitamin A deficiency, hepatitis C, mite infection, anxiety, depression, sleep disorder, and diabetes as influencing factors (p < 0.05). After six months, the management group showed better disease cognition, improved BUT and SIT, and lower OSDI scores than the control group (p < 0.05). SAS and SDS scores were lower, and VAS scores were reduced, while GQLI and management satisfaction were higher (p < 0.05).Conclusion: Factors such as drug use, laser surgery, vitamin A deficiency, hepatitis C, mite infection, and psychological and metabolic conditions influence dry eye. A combined hospital-community management model improves symptoms, psychological well-being, disease awareness, quality of life, and treatment satisfaction.","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-7"},"PeriodicalIF":1.2,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145192321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cost, Utilization, and Complications of Corneal Transplant in Affordable Care Act Beneficiaries. 《平价医疗法案》受益人角膜移植的成本、利用和并发症。

IF 1.2 4区医学

Ophthalmic epidemiology Pub Date : 2025-09-02 DOI: 10.1080/09286586.2025.2554073

Shravika L Chennupati, George T Lin, Jeremy B Hatcher, Xiangyu Ji, Qingxia Chen, Christine Shieh

{"title":"Cost, Utilization, and Complications of Corneal Transplant in Affordable Care Act Beneficiaries.","authors":"Shravika L Chennupati, George T Lin, Jeremy B Hatcher, Xiangyu Ji, Qingxia Chen, Christine Shieh","doi":"10.1080/09286586.2025.2554073","DOIUrl":"https://doi.org/10.1080/09286586.2025.2554073","url":null,"abstract":"Purpose: A knowledge gap persists regarding the utilization of corneal transplant surgery among enrollees in Affordable Care Act (ACA) plans and the factors influencing associated costs and complications post-ACA implementation. This study investigates the demographics, costs, and complications of cornea transplant for patients insured under the ACA from 2015 to 2019.Methods: A novel claims dataset of Affordable Care Act (ACA) marketplace plan subscribers was utilized. Multivariable logistic and linear regression models were used to assess demographics, cost, and complication rates of corneal transplant using demographic/clinical data and insurance plan type.Results: Among 26,997,610 enrollees, 0.005% (n = 1266) underwent cornea transplant. About 32.9% (n = 416) of patients experienced a postoperative complication, the most common being corneal transplant failure (15.6%) and infectious keratitis (11.5%). Insurance plan type was not associated with rate of postoperative complications (p = 0.87). Patients with different plan types incurred significantly different out-of-pocket (OOP) cost (p < 0.001), with patients on Silver cost-sharing reduction plans paying the lowest ($4).Conclusion: This study is the first to assess the demographics, costs, and complications of corneal transplant patients within the ACA population. Our findings suggest that patients with higher cost-sharing subsidies experience lower OOP costs and may be more inclined to pursue corneal transplant than those on lower actuarial value plans.","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-7"},"PeriodicalIF":1.2,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144963688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association Between Sugar-Sweetened Beverages Intake and Myopia: Results from the National Health and Nutrition Examination Survey 2001-2008. 含糖饮料摄入与近视的关系：2001-2008年全国健康与营养调查的结果。

IF 1.2 4区医学

Ophthalmic epidemiology Pub Date : 2025-08-19 DOI: 10.1080/09286586.2025.2548001

Zhuang Hao, Mengqi Jiang, Jiyuan Ma, Tong Wu, Yan Liu, Jian Zhou

{"title":"Association Between Sugar-Sweetened Beverages Intake and Myopia: Results from the National Health and Nutrition Examination Survey 2001-2008.","authors":"Zhuang Hao, Mengqi Jiang, Jiyuan Ma, Tong Wu, Yan Liu, Jian Zhou","doi":"10.1080/09286586.2025.2548001","DOIUrl":"10.1080/09286586.2025.2548001","url":null,"abstract":"Purpose: To investigate the relationship between sugar-sweetened beverages (SSBs) intake and myopia in a large population-based sample.Methods: A cross-sectional study. Data from the population under 40 years of age were collected from the National Health and Nutrition Examination Survey (NHANES) conducted between 2001 and 2008. Multivariable logistic regression was used to assess the association between SSB intake and myopia, with further exploration through propensity score matching (PSM). The generalized variance inflation factor (GVIF) was calculated to check for multicollinearity. Subgroup analyses examined the relationship between SSBs intake and myopia across demographic groups, while restricted cubic spline (RCS) analysis evaluated potential non-linear associations.Results: Of 11,851 participants under 40 years of age, 3,769 had myopia. The average consumption of SSBs showed no significant difference after PSM (emmetropia group: 623.83 ± 17.99 grams/d; myopia group:605.35 ± 20.01 grams/d; p = 0.43). Multivariable logistics regression analysis showed SSBs intake was not associated with the risk of myopia before and after PSM, and multicollinearity was unlikely among all covariates. Subgroup analyses revealed no significant interactions between SSBs intake and covariates in their relationship with myopia. RCS analyses revealed no significant nonlinear associations between SSBs intake and the risk of myopia after PSM (P for non-linear = 0.2434).Conclusion: Our study provides initial evidence that SSBs consumption may not be a risk factor for myopia in a large-scale population. Future longitudinal and experimental studies may shed more light on the relationship between dietary factors and myopia, informing public health recommendations and interventions.","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-8"},"PeriodicalIF":1.2,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144874393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Genetic Associations of Myopia and Axial Length with Diabetic Retinopathy. 近视和眼轴长度与糖尿病视网膜病变的遗传关系。

IF 1.2 4区医学

Ophthalmic epidemiology Pub Date : 2025-08-14 DOI: 10.1080/09286586.2025.2546322

Jia-Yan Kai, Zhi-Qi Ying, Xing-Xuan Dong, Carla Lanca, Andrzej Grzybowski, Xiao-Feng Zhang, Chen-Wei Pan

{"title":"Genetic Associations of Myopia and Axial Length with Diabetic Retinopathy.","authors":"Jia-Yan Kai, Zhi-Qi Ying, Xing-Xuan Dong, Carla Lanca, Andrzej Grzybowski, Xiao-Feng Zhang, Chen-Wei Pan","doi":"10.1080/09286586.2025.2546322","DOIUrl":"https://doi.org/10.1080/09286586.2025.2546322","url":null,"abstract":"Purpose: To investigate the genetic associations of myopia and axial length (AL) with diabetic retinopathy (DR).Methods: We performed Mendelian randomization (MR) analyses using publicly available genome-wide association study (GWAS) summary statistics. Genetic variants were used as instrumental variables. Exposures included myopia, spherical equivalent (SE) and AL. Outcomes of interest included DR, its two subtypes including severe non-proliferative DR (NPDR) and proliferative DR (PDR), and vascular endothelial growth factor (VEGF) levels. The summary statistics for DR and its subtypes were derived from the FinnGen consortium, with over 20,000 participants involved.Results: A genetically predicted longer AL was significantly protective of PDR (per mm increase in AL: Odds ratio [OR], 0.77; 95% confidence interval [CI], 0.60 to 0.99). There were no significant causal associations of myopia, SE and AL with any DR or severe NPDR (p > 0.05 for all). After pooling the MR results from five different data sources, we found no evidence of causal relationship between AL and VEGF levels (beta, -0.01; 95% CI, -0.08 to 0.06).Conclusion: Our results suggest a possible causal relationship between an increased AL and a reduced risk of PDR, which may provide insights into novel strategies to prevent PDR.","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-9"},"PeriodicalIF":1.2,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144855947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence of Vision Loss in East Asia from 1990 to 2020: Magnitude and Temporal Trends. 1990年至2020年东亚地区视力丧失的患病率：规模和时间趋势。

IF 1.2 4区医学

Ophthalmic epidemiology Pub Date : 2025-08-14 DOI: 10.1080/09286586.2025.2496186

Vision Loss Expert Group Of The Global Burden Of Disease Study, The Gbd Blindness And Vision Impairment Collaborators

{"title":"Prevalence of Vision Loss in East Asia from 1990 to 2020: Magnitude and Temporal Trends.","authors":"Vision Loss Expert Group Of The Global Burden Of Disease Study, The Gbd Blindness And Vision Impairment Collaborators","doi":"10.1080/09286586.2025.2496186","DOIUrl":"https://doi.org/10.1080/09286586.2025.2496186","url":null,"abstract":"Purpose: To determine the magnitude and temporal trends of the prevalence of blindness and vision impairment (VI) in East Asia from 1990 to 2020.Methods: A systematic review and meta-analysis of population-based studies was performed to estimate the prevalence and affected population of blindness (presenting visual acuity < 3/60 in the better eyes), moderate-to-severe vision impairment (MSVI; 3/60≤ presenting visual acuity < 6/18), mild VI (6/18≤ presenting visual acuity < 6/12) and near VI due to uncorrected presbyopia (presenting near vision <N6 or N8 at 40 cm) for 1990, 2000, 2010 and 2020. A total of 74 studies were included.Results: In 2020, East Asia's age-standardized prevalence of blindness, MSVI, mild VI and near VI due to uncorrected presbyopia was 0.47% (95% uncertainty interval [UI], 0.41% to 0.52%), 2.77% (95% UI, 2.49% to 3.07%), 3.41% (95% UI, 3.06% to 3.78%), 7.38% (95% UI, 5.32% to 9.70%), with a higher prevalence in females compared to males. East Asians had lower prevalence of blindness and MSVI than the world population. Despite the decrease (27.7% for males and 27.1% for females) in age-standardized blindness prevalence in East Asia, the number of people with blindness and MSVI has increased from 7.0 to 9.1 million and 30.8 to 53.9 million from 2000 to 2020.Conclusions: While age-standardized blindness rates have declined in the past two decades, yet the number of people affected by blindness and MSVI continues to rise, indicating unmet eye care demands in East Asia amid population growth and aging.","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-9"},"PeriodicalIF":1.2,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144855948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association of COVID-19 Susceptibility and Severity with Primary Angle-Closure Glaucoma. COVID-19易感性和严重程度与原发性闭角型青光眼的关系

IF 1.2 4区医学

Ophthalmic epidemiology Pub Date : 2025-08-11 DOI: 10.1080/09286586.2025.2547274

Yingting Zhu, Jianqi Chen, Yuwen Wen, Zhidong Li, Yuyao Ling, Yehong Zhuo

{"title":"Association of COVID-19 Susceptibility and Severity with Primary Angle-Closure Glaucoma.","authors":"Yingting Zhu, Jianqi Chen, Yuwen Wen, Zhidong Li, Yuyao Ling, Yehong Zhuo","doi":"10.1080/09286586.2025.2547274","DOIUrl":"https://doi.org/10.1080/09286586.2025.2547274","url":null,"abstract":"Purpose: Observational studies have suggested a link between coronavirus disease 2019 (COVID-19) and increased risk for primary angle-closure glaucoma (PACG). However, these studies may be influenced by bias. We explored the potential causal relationship between host susceptibility to COVID-19 and its severity, and the risk for developing PACG.Methods: Summary statistics for COVID-19 susceptibility and severity were obtained from the COVID-19 Host Genetics Initiative and utilized as exposure data. Single nucleotide polymorphisms linked to PACG were sourced from the FinnGen project and the VA Million Veteran Program as outcomes. We employed the inverse-variance weighted (IVW) method to investigate the causal relationships between COVID-19 and PACG. A thorough sensitivity analysis was performed to assess the robustness of the identified associations.Results: Hospitalized COVID-19 showed a significant association with an increased risk for PACG, both in the FinnGen project (odds ratio [OR] = 1.22; 95% confidence interval [CI] = 1.07-1.40; p = 0.003) and the VA Million Veteran Program (OR = 1.08; 95% CI = 1.01-1.16; p = 0.021). Confirmed very severe respiratory COVID-19 was also significantly linked to PACG risk in the FinnGen sample (OR = 1.15; 95% CI = 1.04-1.27; p = 0.006). However, no such association was found in COVID-19 susceptibility in either PACG sample.Conclusion: Our findings suggest a potential link between severe COVID-19 and increased risk for PACG. This underscores the importance of early screening and proper management of glaucoma in individuals with severe COVID-19.","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-8"},"PeriodicalIF":1.2,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144822167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association Between Neighborhood Deprivation and Number of Ophthalmology Providers. 邻里贫困与眼科医疗机构数量之间的关系。

IF 1.7 4区医学

Ophthalmic epidemiology Pub Date : 2025-08-01 Epub Date: 2024-10-10 DOI: 10.1080/09286586.2024.2406503

Hassaam S Choudhry, Riya H Patel, Lana Salloum, Jack McCloskey, Jeffrey M Goshe

{"title":"Association Between Neighborhood Deprivation and Number of Ophthalmology Providers.","authors":"Hassaam S Choudhry, Riya H Patel, Lana Salloum, Jack McCloskey, Jeffrey M Goshe","doi":"10.1080/09286586.2024.2406503","DOIUrl":"10.1080/09286586.2024.2406503","url":null,"abstract":"Purpose: The Area Deprivation Index (ADI) is a quantitative measurement of neighborhood socioeconomic disadvantage used to identify high-risk communities. The distribution of physicians with respect to ADI can indicate decreased healthcare access in deprived neighborhoods. This study applies ADI to the distribution of ophthalmologists and demonstrates how practice patterns in the national Medicare Part D program may vary with ADI.Methods: The Centers for Medicare and Medicaid Services Data \"Medicare Part D Prescribers by Provider\" data for 2021 was analyzed. Geocodio identified ADIs corresponding to the practice addresses listed in the dataset. The national rank ADIs were compared against the number of ophthalmologists. Spearman's correlation test and one-way ANOVA determined statistically significant differences in Medicare data extracted between quintiles of ADI ranks.Results: We identified 14,668 ophthalmologists who provided care to Medicare beneficiaries. Each time ADI increased by 10, there was an average 9.4% decrease in ophthalmologists (p < 0.001). The distribution of ophthalmologists practicing throughout the United States by increasing ADI quintile are: 32%, 23%, 19%, 16%, and 9%. Providers practicing in neighborhoods in the first-ADI quintile were more likely to see Medicare beneficiaries compared to providers in the fifth-ADI quintile (p < 0.001).Conclusion: The lack of ophthalmologists in high-ADI areas results in reduced eye care access in deprived neighborhoods. Many factors contribute to these disparities including limited access to metropolitan areas/academic institutions and fewer residency programs. Future programs and policies should focus efforts on creating an even distribution of ophthalmologists across the United States and improving access to eye care.","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"412-419"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142400879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of a Risk Screening Tool for Retinopathy of Prematurity (ROP) in a German Cohort. 德国队列早产儿视网膜病变（ROP）风险筛查工具的评估。

IF 1.7 4区医学

Ophthalmic epidemiology Pub Date : 2025-08-01 Epub Date: 2024-12-18 DOI: 10.1080/09286586.2024.2399346

N Butt, P Chlad, A Bläser, F Pulzer, U H Thome, B W Ackermann

{"title":"Evaluation of a Risk Screening Tool for Retinopathy of Prematurity (ROP) in a German Cohort.","authors":"N Butt, P Chlad, A Bläser, F Pulzer, U H Thome, B W Ackermann","doi":"10.1080/09286586.2024.2399346","DOIUrl":"10.1080/09286586.2024.2399346","url":null,"abstract":"Purpose: To assess the efficacy of the DIGIROP-Birth algorithm in identifying infants at risk for developing retinopathy of prematurity (ROP).Methods: In a retrospective study, we included preterm infants over 11 years, 2010-2020, meeting the inclusion criteria for the DIGIROP-Birth calculator (24 + 0/7 to 30 + 6/7 weeks of gestational age). We assessed the validity of DIGIROP-Birth using receiver-operating characteristic (ROC) curves and calculated area-under-curve (AUC), sensitivity, specificity, and positive and negative predictive values.Results: 897 infants were included in the analysis. The median age of the first ophthalmological examination was 40 days (IQR 32-50), the median gestational age was 198 days (IQR 185-209; corresponding to 28 + 2/7 gestational weeks), median birth weight was 1000 g (IQR 790-1300). Of 897 screened children, 458 (51.1%) were diagnosed with ROP, and 34 of 897 (3.8%) required treatment.Analysis of ROP requiring treatment predicted by DIGIROP showed an AUC of 0.860 [95%-CI 0.795-0.925]. An equilibrium of sensitivity and specificity existed at a probability of 4.12%. The positive predictive value was 10.95%, and the negative predictive value was 99.36%. Independent significant peri- and postnatal risk factors were emergency cesarean section and mass blood transfusions.Conclusions: The DIGIROP-Birth calculator showed good predictive power in our studied population, with an incidence of 3.79% for therapy-requiring ROP. Peri- and postnatal risk factors should be included in ROP screening.","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"455-463"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0