Research to Enhance the US Vision and Eye Health Surveillance System

加强美国视力和眼健康监测系统的研究

• 批准号: 10328471
• 负责人: David B Rein
• 金额: $ 85万
• 依托单位: NATIONAL OPINION RESEARCH CENTER
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-30 至 2022-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10328471
• 关键词: Research; Enhance; US; Vision; Eye

Project Summary: Our proposal provides a plan to guide the next generation of enhancements and updates to the vison and eye health surveillance system (VEHSS) through the three aims of maintaining and updating VEHSS, expanding the estimates contained in VEHSS, and studying the validity of VEHSS indicators. Under our prior direction, VEHSS tracks over 100 visual health indicators by U.S. State as measured in 12 unique datasets including national surveys, administrative claims databases, electronic health record registries and published eye examination studies and estimated using over 250 million patient-level records per year. Each included dataset is analyzed using consistent definitions of age categories, sex, race/ethnicity and risk factors, allowing direct comparisons between different data for the first time. Prevalence and other indicators from VEHSS are freely available to the public via online visualization, system generated PDF reports, and customizable and privacy-secured public use files. The VEHSS website launched in summer 2018 with initial datasets and system documentation. By the summer of 2019, VEHSS will contain all 12 datasets, detailed indicator definitions, and state-level dashboards summarizing indicator information for use by state and local health departments, researchers and others interested in state information. Also by September 2019 the VEHSS will create and host multi-source, meta-analytic estimates of visual impairment, blindness, age-related macular degeneration, cataracts, diabetic retinopathy and glaucoma, the first such updates since 2004. In this proposal, we present a plan to guide VEHSS development over the next three years through a series of seven concurrent tasks; 1. Engage committed experts; 2. : Maintaining the VEHSS data system and identifying and selecting new valid data sources; 3. Analysis of data and estimation; 4. Maintenance and development of the VEHSS Website; 5. Review and validate vision and eye health indicators; 6. Engagement and Dissemination; and 7. Project Management. Our proposal provides concrete work steps to assure the continued and expanded functionality of VEHSS's single data-source estimates and to expand these estimate to contain vital county level information for the sources that support them. We describe how we will use of the project's innovative multi-source meta-regression model to create estimates of vision loss and blindness at the state and county level, and to create new state-level prevalence estimates for two new conditions. Finally, we propose a qualitative and empirical study of the VEHSS indicators using a unique dataset and following established validation theory. If successful, the work of this project will directly support government, the research community, and the general public in efforts to reduce the burden of and disparities in visual health disorders, including state and local tracking of Healthy People 2020 objectives at the national, state and local level.

项目摘要：我们的建议提供了一个计划，以指导下一代增强功能和更新 通过维护和更新的三个目的到Vison和Eye Health监视系统（VEHSS） 车辆扩大了车辆中包含的估计值，并研究了车辆指标的有效性。在下面 我们先前的方向，通过12个独特的衡量，VEHS通过美国州跟踪100多个视觉健康指标 数据集，包括国家调查，行政索赔数据库，电子健康记录注册表以及 每年发表了眼科检查研究，并使用超过2.5亿的患者级记录进行了估计。每个 使用年龄类别，性别，种族/种族和风险因素的一致定义对数据集进行分析， 首次允许不同数据之间的直接比较。患病率和其他指标 通过在线可视化，系统生成的PDF报告和 可自定义和隐私安全的公共用途文件。车辆网站于2018年夏季启动，最初 数据集和系统文档。到2019年夏天，车辆将包含所有12个数据集，详细 指标定义和状态级仪表板汇总了指标信息，以供州和本地使用 卫生部门，研究人员和其他对国家信息感兴趣的人。同样到2019年9月 VEHS将创建和托管视觉障碍，失明，与年龄有关的多源，元分析估计 黄斑变性，白内障，糖尿病性视网膜病和青光眼是自2004年以来的第一个更新。 在此提案中，我们提出了一项计划，旨在通过一系列 七个并发任务； 1。参与忠诚的专家； 2。：维护车辆数据系统并识别 并选择新的有效数据源； 3。数据和估计分析； 4。维护和开发 车辆网站； 5。审查和验证视力和眼睛健康指标； 6。参与和 传播；和7。项目管理。我们的建议提供了具体的工作步骤，以确保 VEHS单个数据源估算的持续和扩展功能并扩展这些估算 为支持它们的来源包含重要的县级信息。我们描述了如何使用 Project的创新多源元回归模型，以创建视力丧失和失明的估计 州和县一级，并为两个新条件创建新的州级流行估计。最后，我们 建议使用独特的数据集对车辆指标进行定性和实证研究 建立的验证理论。如果成功，该项目的工作将直接支持政府， 研究社区和公众为减轻视觉健康的负担和差异而努力 疾病，包括国家，州和地方的健康人2020年目标的州和地方跟踪 等级。

项目成果

Comparing Telephone Survey Responses to Best-Corrected Visual Acuity to Estimate the Accuracy of Identifying Vision Loss: Validation Study.

• DOI: 10.2196/44552
• 发表时间: 2023-03-07
• 期刊: JMIR PUBLIC HEALTH AND SURVEILLANCE
• 影响因子: 8.5
• 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.
• 通讯作者: Rein, David B.

Trends in the Prevalence and Treatment of Diabetic Macular Edema and Vision-Threatening Diabetic Retinopathy Among Commercially Insured Adults Aged <65 Years.

年龄 <65 岁的商业保险成年人中糖尿病黄斑水肿和威胁视力的糖尿病视网膜病变的患病率和治疗趋势。

• DOI: 10.2337/dc22-1834
• 发表时间: 2023
• 期刊: Diabetes care
• 影响因子: 16.2
• 作者: Lundeen,ElizabethA;Kim,Minchul;Rein,DavidB;Wittenborn,JohnS;Saaddine,Jinan;Ehrlich,JoshuaR;Holliday,ChristopherS
• 通讯作者: Holliday,ChristopherS