Produção Nacional
Revisado por pares
Effective refractive error coverage in adults aged 50 years and older: estimates from population-based surveys in 61 countries
2022; Elsevier BV; Volume: 10; Issue: 12 Linguagem: Inglês
10.1016/s2214-109x(22)00433-8
ISSN2572-116X
AutoresRupert Richard Alexander Bourne, Maria Vittoria Cicinelli, Tabassom Sedighi, Ian Tapply, Ian McCormick, Jost B. Jonas, Nathan Congdon, Jacqueline Ramke, Kovin Naidoo, Tim Fricke, Matthew J. Burton, Andreas Müller, Mukharram M. Bikbov, João M. Furtado, Fatima Kyari, Mingguang He, Ya Xing Wang, Lingam Vijaya, Vinay Nangia, Garry Brian, Mohammad Hassan Emamian, Akbar Fotouhi, Hassan Hashemi, Rajiv Khandekar, Srinivas Marmamula, Solange Rios Salomão, Ronnie George, Gyulli M. Kazakbaeva, Tasanee Braithwaite, Robert J. Casson, Aiko Iwase, Noopur Gupta, Mohammad Haris Abdianwall, Rohit Varma, Tien Yin Wong, Ningli Wang, Hugh R. Taylor, Seth Flaxman, Stuart Keel, Serge Resnikoff, A. Bron, Ching‐Yu Cheng, Arthur Gustavo Fernandes, David S. Friedman, Gus Gazzard, Rim Kahloun, John H. Kempen, Moncef Khairallah, Van Charles Lansingh, Janet L Leasher, Nicolas Leveziel, Hans Limburg, Michał Nowak, Konrad Pesudovs, Tünde Pető, Luca Rossetti, Nina Tahhan, Rohit Varma, Wondu Alemayehu, Aries Arditi, Reza Dana, Monte Del Monte, Jenny P Deva, Laura E. Dreer, Joshua R. Ehrlich, Leon B. Ellwein, Billy R. Hammond, M. Elizabeth Hartnett, April Ingram, Rohit Khanna, Judy Kim, Jennifer Lim, Alan R. Morse, David C. Musch, Maurízio Battaglia Parodi, Pradeep Y. Ramulu, Alan L. Robin, Janet B. Serle, Tueng T. Shen, Rita S. Sitorus, Dwight Stambolian, Fotis Topouzis, Miltiadis K. Tsilimbaris, Gianni Virgili, Sheila K. West, Jafer K Ababora, Heba AlSawahli, Hery Harimanitra Andriamanjato, Rosario Barrenechea, Juan F Batlle, Anthea Burnett, Robert P. Finger, Marcelo Gallarreta, Pedro A Gomez-Bastar, Reeta Gurung, Elesh Jain, George Kabona, Khumbo Kalua, Lévi Kandeke, J Karimurio, Susan A Kikira, Sucheta Kulkarni, Van Charles Lansingh, Wanjiku Mathenge, Sailesh Kumar Mishra, Seyed-Farzad Mohammadi, Manfred Mörchen, Nasiru Muhammad, Grace C Mutati, María Eugenia Nano, János Németh, Ala Paduca, Alexander Páez, Mansur Rabiu, Lutfah Rif’ati, Mohamad Aziz Salowi, Yuddha Dhoj Sapkota, Nicholas Sargent, Ubeydulla Thoufeeq, Astrid V Villalobos, Biaxiang Xiao, Mariano Yee Melgar, Xiu Juan Zhang,
Tópico(s)Retinal Diseases and Treatments
ResumoBackgroundIn 2021, WHO Member States endorsed a global target of a 40-percentage-point increase in effective refractive error coverage (eREC; with a 6/12 visual acuity threshold) by 2030. This study models global and regional estimates of eREC as a baseline for the WHO initiative.MethodsThe Vision Loss Expert Group analysed data from 565 448 participants of 169 population-based eye surveys conducted since 2000 to calculate eREC (met need/[met need + undermet need + unmet need]). A binary logistic regression model was used to estimate eREC by Global Burden of Disease (GBD) Study super region among adults aged 50 years and older.FindingsIn 2021, distance eREC was 79·1% (95% CI 72·4–85·0) in the high-income super region; 62·1% (54·7–68·8) in north Africa and Middle East; 49·5% (45·0–54·0) in central Europe, eastern Europe, and central Asia; 40·0% (31·7–48·2) in southeast Asia, east Asia, and Oceania; 34·5% (29·4–40·0) in Latin America and the Caribbean; 9·0% (6·5–12·0) in south Asia; and 5·7% (3·1–9·0) in sub-Saharan Africa. eREC was higher in men and reduced with increasing age. Global distance eREC increased from 2000 to 2021 by 19·0%. Global near vision eREC for 2021 was 20·5% (95% CI 17·8–24·4).InterpretationOver the past 20 years, distance eREC has increased in each super region yet the WHO target will require substantial improvements in quantity and quality of refractive services in particular for near vision impairment.FundingWHO, Sightsavers, The Fred Hollows Foundation, Fondation Thea, Brien Holden Vision Institute, Lions Clubs International Foundation.
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