Low vision status and declining vision decrease Health-Related Quality of Life: Results from a nationwide 11-year follow-up study View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2019-08-10

AUTHORS

Joonas Taipale, Alexandra Mikhailova, Matti Ojamo, Janika Nättinen, Saku Väätäinen, Mika Gissler, Seppo Koskinen, Harri Rissanen, Päivi Sainio, Hannu Uusitalo

ABSTRACT

PurposeThe impact of visual acuity (VA) on Health-Related Quality of Life (HRQoL) and the cross-sectional and longitudinal differences in HRQoL during the 11-year follow-up were investigated. The aim was to examine the impact declining vision has on HRQoL and to provide comparable data to facilitate the allocation of health-care resources.MethodsWe utilized nationwide health examination surveys carried out by the National Institute for Health and Welfare in 2000 and 2011, providing a representative sampling of the Finnish adult population aged 30 and older. VA was assessed through Snellen E test, and HRQoL scores were evaluated using EQ-5D and 15D questionnaires. Multiple imputations with Markov chain Monte Carlo method was used to utilize the data more effectively. Regression analyses were conducted to assess the impact of declining VA on HRQoL, adjusted for incident comorbidities.ResultsLower VA status was associated with significantly lower HRQoL at both time points, most clearly observable below the VA level of 0.5. Declining VA resulted in statistically significant decline in HRQoL during the follow-up, greater with distance than near VA. 15D impairment associated with decline in the distance VA was also clinically meaningful and greater than that associated with any of the examined comorbidities.ConclusionsHRQoL was significantly and meaningfully impaired even before the threshold of severe vision loss or blindness was reached. The results encourage the improvement of available treatment options aiming to postpone the onset of visual impairment or declining VA, to maintain better quality of life among the population. More... »

PAGES

3225-3236

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11136-019-02260-3

DOI

http://dx.doi.org/10.1007/s11136-019-02260-3

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1120268272

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/31401749


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80 loss
81 lower HRQoL
82 method
83 multiple imputation
84 onset
85 options
86 point
87 population
88 quality
89 quality of life
90 questionnaire
91 regression analysis
92 representative sampling
93 resources
94 results
95 sampling
96 scores
97 severe vision loss
98 significant decline
99 status
100 study
101 survey
102 test
103 threshold
104 time points
105 treatment options
106 vision
107 vision loss
108 vision status
109 visual acuity
110 visual impairment
111 welfare
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