Comparing Telephone Survey Responses to Best-Corrected Visual Acuity to Estimate the Accuracy of Identifying Vision Loss: Validation Study.
Comparing Telephone Survey Responses to Best-Corrected Visual Acuity to Estimate the Accuracy of Identifying Vision Loss: Validation Study.
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DOI：
10.2196/44552
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发表时间：
2023-03-07
影响因子：
8.5
通讯作者：
Rein, David B.
中科院分区：
文献类型：
--
作者：
Wittenborn, John;Lee, Aaron;Lundeen, Elizabeth A.;Lamuda, Phoebe;Saaddine, Jinan;Su, Grace L.;Lu, Randy;Damani, Aashka;Zawadzki, Jonathan S.;Froines, P.;Shen, Jolie Z.;Kung, Timothy-Paul H.;Yanagihara, Ryan;Maring, Morgan;Takahashi, Melissa M.;Blazes, Marian;Rein, David B.
关键词：
在许多国家调查中收集了关于失明和视力问题的自我报告问题。最近发布的关于视力丧失患病率的监测估计使用自我报告的数据来预测客观测量的视力丧失患病率在检查数据不可用的人群中的变化。然而，自我报告的措施来预测患病率和视力差异的有效性尚未建立。本研究旨在评估自我报告的视力丧失测量与最佳矫正视力（BCVA）相比的诊断准确性，为未来数据收集的问题设计和选择提供信息，并确定自我报告的视力与人群水平的测量视力之间的一致性，以支持正在进行的监测工作。我们计算了来自华盛顿大学眼科或验光诊所的患者在个体和人群水平上自我报告的视功能与BCVA之间的准确性和相关性，这些患者既往接受过眼科检查，随机过采样以检查视力丧失或诊断为眼病。通过电话调查收集自报的视觉功能。根据回顾性病历审查确定BCVA。基于受试者工作曲线下面积（AUC）测量个人水平问题的诊断准确性，而基于相关性确定人群水平准确性。调查的问题是：“你是盲人吗？或者你有严重的视力障碍，即使戴着眼镜也是如此？”识别失明患者的准确性最高（BCVA ≤20/200; AUC=0.797）。检测任何视力丧失（BCVA <20/40）的最高准确度是通过对以下问题的回答“一般”、“差”或“非常差”来实现的：“目前，如果您戴眼镜或隐形眼镜，您认为您的视力是极好、良好、一般、差还是非常差”（AUC=0.716）。在人群水平上，基于调查问题的患病率与BCVA之间的相对关系对于大多数人口统计学群体保持稳定，唯一的例外是样本量较小的群体，这些差异通常不显著。虽然调查问题被认为不够准确，不能作为个人层面的诊断测试，但我们确实发现某些问题的准确性相对较高。在人群水平上，我们发现，2个最准确的调查问题的相对患病率与几乎所有人口统计学群体中测量的视力丧失的患病率高度相关。这项研究的结果表明，在国家调查中回答的自我报告的视力问题可能会产生一个准确和稳定的信号，在不同的人群中视力丧失，虽然从这些问题的患病率的实际措施是不直接类似的BCVA。
Self-reported questions on blindness and vision problems are collected in many national surveys. Recently released surveillance estimates on the prevalence of vision loss used self-reported data to predict variation in the prevalence of objectively measured acuity loss among population groups for whom examination data are not available. However, the validity of self-reported measures to predict prevalence and disparities in visual acuity has not been established. This study aimed to estimate the diagnostic accuracy of self-reported vision loss measures compared to best-corrected visual acuity (BCVA), inform the design and selection of questions for future data collection, and identify the concordance between self-reported vision and measured acuity at the population level to support ongoing surveillance efforts. We calculated accuracy and correlation between self-reported visual function versus BCVA at the individual and population level among patients from the University of Washington ophthalmology or optometry clinics with a prior eye examination, randomly oversampled for visual acuity loss or diagnosed eye diseases. Self-reported visual function was collected via telephone survey. BCVA was determined based on retrospective chart review. Diagnostic accuracy of questions at the person level was measured based on the area under the receiver operator curve (AUC), whereas population-level accuracy was determined based on correlation. The survey question, “Are you blind or do you have serious difficulty seeing, even when wearing glasses?” had the highest accuracy for identifying patients with blindness (BCVA ≤20/200; AUC=0.797). The highest accuracy for detecting any vision loss (BCVA <20/40) was achieved by responses of “fair,” “poor,” or “very poor” to the question, “At the present time, would you say your eyesight, with glasses or contact lenses if you wear them, is excellent, good, fair, poor, or very poor” (AUC=0.716). At the population level, the relative relationship between prevalence based on survey questions and BCVA remained stable for most demographic groups, with the only exceptions being groups with small sample sizes, and these differences were generally not significant. Although survey questions are not considered to be sufficiently accurate to be used as a diagnostic test at the individual level, we did find relatively high levels of accuracy for some questions. At the population level, we found that the relative prevalence of the 2 most accurate survey questions were highly correlated with the prevalence of measured visual acuity loss among nearly all demographic groups. The results of this study suggest that self-reported vision questions fielded in national surveys are likely to yield an accurate and stable signal of vision loss across different population groups, although the actual measure of prevalence from these questions is not directly analogous to that of BCVA.
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影响因子：
1.8
作者：
Fisher DE;Shrager S;Shea SJ;Burke GL;Klein R;Wong TY;Klein BE;Cotch MF
通讯作者：
Cotch MF
影响因子：
13.7
作者：
Rein DB;Lamuda PA;Wittenborn JS;Okeke N;Davidson CE;Swenor BK;Saaddine J;Lundeen EA
通讯作者：
Lundeen EA
DOI：
10.1016/s2214-109x(20)30425-3
发表时间：
2021-03
期刊：
The Lancet. Global health
影响因子：
--
作者：
GBD 2019 Blindness and Vision Impairment Collaborators;Vision Loss Expert Group of the Global Burden of Disease Study
通讯作者：
Vision Loss Expert Group of the Global Burden of Disease Study
影响因子：
4.2
作者：
Zhang, Xinzhi;Cotch, Mary Frances;Ryskulova, Asel;Primo, Susan A.;Nair, Parvathy;Chou, Chiu-Fang;Geiss, Linda S.;Barker, Lawrence E.;Elliott, Amanda F.;Crews, John E.;Saaddine, Jinan B.
通讯作者：
Saaddine, Jinan B.
影响因子：
13.7
作者：
Rein, David B.;Wittenborn, John S.;Saaddine, Jinan
通讯作者：
Saaddine, Jinan