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：我们的提案提供了指导下一代增强和更新的计划 通过维护和更新VISON和眼睛健康监测系统(VEHSS)的三个目标 扩展了VEHSS中包含的估计值，并研究了VEHSS指标的有效性。在……下面 我们之前的方向是，VEHSS跟踪美国各州的100多个视觉健康指标，这些指标在12个唯一的 数据集包括国家调查、行政索赔数据库、电子健康记录登记处和 发表了眼睛检查研究，估计每年使用超过2.5亿份患者级别的记录。每个人 使用年龄类别、性别、种族/民族和风险因素的一致定义来分析所包括的数据集， 首次允许在不同数据之间进行直接比较。流行率和其他指标来自 VEHS可通过在线可视化、系统生成的PDF报告和 可定制且受隐私保护的公共使用文件。VEHSS网站于2018年夏季推出，最初的 数据集和系统文档。到2019年夏天，VEHSS将包含所有12个数据集，详细说明 指标定义，以及汇总供州和地方使用的指标信息的州级仪表板 卫生部门、研究人员和其他对国家信息感兴趣的人。同样在2019年9月之前 VEHSS将创建和托管对视力损害、失明、年龄相关的多源、元分析估计 黄斑变性、白内障、糖尿病视网膜病变和青光眼，这是自2004年以来的首次更新。 在这项提案中，我们提出了一项计划，通过一系列措施指导未来三年的VEHSS发展 7项同时进行的任务；1.聘请敬业的专家；2.维护VEHSS数据系统并确定 选择新的有效数据源；3.数据分析和估算；4.维护和开发 VEHSS网站；5.审查和验证视力和眼睛健康指标；6.参与度和 传播；以及7.项目管理。我们的建议提供了具体的工作步骤，以确保 VEHSS单一数据源估计的持续和扩展功能，并扩展这些估计 以包含支持它们的来源的重要县级信息。我们将描述如何使用 项目的创新的多源元回归模型，以创建对视力损失和失明的估计 州和县一级，并为两种新情况创建新的州级流行率估计。最后，我们 建议使用独特的数据集和以下内容对VEHSS指标进行定性和实证研究 确立了验证理论。如果成功，这个项目的工作将直接支持政府， 研究界和普通公众努力减轻视力健康的负担和差距 障碍，包括国家、州和地方对健康人2020目标的州和地方跟踪 水平。

项目成果

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

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.