Manhattan Vision Screening and Follow-up Study (NYC-SIGHT): Baseline Results and Costs of a Cluster-Randomized Trial.
Manhattan Vision Screening and Follow-up Study (NYC-SIGHT): Baseline Results and Costs of a Cluster-Randomized Trial.
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DOI：
10.1016/j.ajo.2023.01.019
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发表时间：
2023-07
影响因子：
4.2
通讯作者：
Cioffi, George A.
中科院分区：
文献类型：
--
作者：
Hark, Lisa A.;Horowitz, Jason D.;Gorroochurn, Prakash;Park, Lisa;Wang, Qing;Diamond, Daniel F.;Harizman, Noga;Auran, James D.;Maruri, Stefania C.;Henriquez, Desiree R.;Carrion, Jailine;Muhire, Remy S. Manzi;Kresch, Yocheved S.;Pizzi, Laura T.;Jutkowitz, Eric;Sapru, Saloni;Sharma, Tarun;Moraes, C. Gustavo;Friedman, David S.;Liebmann, Jeffrey M.;Cioffi, George A.
描述曼哈顿视力筛查和随访研究的15个月基线结果和成本，该研究旨在调查创新的基于社区的眼健康筛查是否可以改善高危人群中青光眼和其他眼科疾病的早期发现和管理。5年前瞻性随机分组对照试验。从纽约市的公共住宅楼招募40岁以上的个体进行眼健康筛查（矫正视力（VA）、眼内压测量（IOP）和眼底照相）。VA 20/40或更差、IOP 23-29 mm Hg或眼底图像不可读的参与者筛选失败，并安排在同一位置进行验光检查;图像异常的参与者被转诊至眼科。在研究的同时进行了成本分析。共筛选了708名受试者;平均年龄68.6 ± 11.9岁，女性（65.1%），非洲裔美国人（51.8%）和西班牙裔（42%）。78.4%（n = 555）未通过眼健康筛查; 35%（n = 250）有异常图像，也被转诊到眼科。308名参与者参加了验光检查; 218人被转诊到眼科。总体而言，66.1%的患者被转诊至眼科。每位参与者提供眼睛健康筛查和验光检查的费用为180.88美元。每例眼疾的成本为273.64美元。这项针对公共住房开发的创新研究针对高危人群，提供了获得眼科护理的机会，并改善了纽约市眼科疾病的早期发现。该研究确定了克服眼科护理障碍的策略，以减少眼部健康差异。
To describe the 15-month baseline results and costs of the Manhattan Vision Screening and Follow-up Study, which aims to investigate whether innovative community-based eye health screening can improve early detection and management of glaucoma and other eye diseases among high-risk populations. Five-year prospective, cluster-randomized controlled trial. Individuals aged 40+ years were recruited from public housing buildings in New York City for an eye health screening (visual acuity (VA) with correction, intraocular pressure measurements (IOP), and fundus photography). Participants with VA 20/40 or worse, IOP 23–29 mm Hg, or an unreadable fundus image failed the screening and were scheduled for an optometric examination at the same location; those with an abnormal image were referred to ophthalmology. A cost analysis was conducted alongside the study. A total of 708 participants were screened; mean age 68.6 ± 11.9 years, female (65.1%), African American (51.8%) and Hispanic (42%). 78.4% (n = 555) failed the eye health screening; 35% (n = 250) had an abnormal image and were also referred to ophthalmology. 308 participants attended the optometric exam; 218 were referred to ophthalmology. Overall, 66.1% were referred to ophthalmology. The cost per participant to deliver the eye health screening and optometric examination was $180.88. The cost per case of eye disease detected was $273.64. This innovative study in public housing developments targeted high-risk populations, provided access to eye-care, and improved early detection of ocular diseases in New York City. The study has identified strategies to overcoming barriers to eye care to reduce eye health disparities.
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DOI：
10.1097/opx.0b013e3181e61bd8
发表时间：
2010-08
期刊：
Optometry and vision science : official publication of the American Academy of Optometry
影响因子：
--
作者：
Dougherty BE;Bullimore MA
通讯作者：
Bullimore MA
影响因子：
4.1
作者：
Bhargava, J. S.;Bhan-Bhargava, A.;King, A. J.
通讯作者：
King, A. J.
影响因子：
4.2
作者：
Hark, Lisa A.;Katz, L. Jay;Haller, Julia A.
通讯作者：
Haller, Julia A.
影响因子：
4.1
作者：
Hark, Lisa A.;Myers, Jonathan S.;Katz, L. Jay
通讯作者：
Katz, L. Jay
影响因子：
5.5
作者：
Kang, Joy X.;Seligson, Amber Levanon;Dragan, Kacie L.
通讯作者：
Dragan, Kacie L.