新生血管性青光眼引流管分流术预后的社会人口学和经济因素
Sociodemographic and Economic Factors in Outcomes of Tube Shunts for Neovascular Glaucoma.
作者信息
Shalaby Wesam S, Arbabi Amirmohsen, Myers Jonathan S, Moster Marlene R, Razeghinejad Reza, Katz L Jay, Shukla Aakriti G
机构信息
Glaucoma Research Center, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, USA; Ophthalmology Department, Tanta Medical School, Tanta University, Tanta, Gharbia, Egypt.
Glaucoma Research Center, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
出版信息
J Curr Glaucoma Pract. 2021 May-Aug;15(2):70-77. doi: 10.5005/jp-journals-10078-1303.
IMPORTANCE
Few studies have analyzed associations between sociodemographic factors and neovascular glaucoma (NVG) outcomes.
AIM AND BACKGROUND
To determine the potential impact of sociodemographic and economic factors on the NVG tube shunt surgery outcomes.
DESIGN
Retrospective, single-center, comparative case series.
PARTICIPANTS
Consecutive patients who underwent tube shunt surgery for NVG and had ≥6 months of follow-up.
MATERIALS AND METHODS
Regional average adjusted gross income (AGI) was determined by cross-referencing self-reported residential zip codes with average AGI per zip code supplied by the Internal Revenue Service. Two groups were created: (1) lower-income: individuals from neighborhoods with the lowest 10% of AGI (near the United States poverty line), (2) higher-income: the remaining 90% of individuals.
MAIN OUTCOME MEASURES
Visual acuity (VA), intraocular pressure (IOP), and glaucoma medication number at 6 months and the most recent visit.
RESULTS
The mean annual AGI in the higher-income group (130 patients) was $69,596 ± 39,700 and the lower-income group (16 patients) was $27,487 ± 1,600 ( < 0.001). Age, sex, distance to the clinic, language, and all baseline clinical variables (including VA and IOP) were comparable between groups. Lower-income was associated with non-white race (81.3 vs 52.3%; = 0.024). At month 6, VA in the lower-income group [median: HM (20/70-NLP)] was worse than the higher-income group [median: CF (20/25-NLP)] (log MAR VA: 2.32 ± 0.8 vs 1.77 ± 1.1; = 0.02); these trends persisted through the most recent visit ( = 0.043). Follow-up IOP and medications were similar between groups.
CONCLUSIONS AND RELEVANCE
Lower-income may be associated with worse VA outcomes following NVG tube shunt surgery.
HOW TO CITE THIS ARTICLE
Shalaby WS, Arbabi A, Myers JS, Sociodemographic and Economic Factors in Outcomes of Tube Shunts for Neovascular Glaucoma. J Curr Glaucoma Pract 2021;15(2):70-77.
重要性
很少有研究分析社会人口统计学因素与新生血管性青光眼（NVG）治疗结果之间的关联。
目的和背景
确定社会人口统计学和经济因素对NVG引流管分流手术结果的潜在影响。
设计
回顾性、单中心、比较病例系列研究。
参与者
连续接受NVG引流管分流手术且随访时间≥6个月的患者。
材料和方法
通过将自我报告的居住邮政编码与美国国税局提供的每个邮政编码的平均调整后总收入（AGI）进行交叉对照，确定区域平均调整后总收入。分为两组：（1）低收入组：来自AGI最低的10%社区的个体（接近美国贫困线），（2）高收入组：其余90%的个体。
主要观察指标
6个月及最近一次随访时的视力（VA）、眼压（IOP）和青光眼用药数量。
结果
高收入组（130例患者）的年平均AGI为69596美元±39700美元，低收入组（16例患者）为27487美元±1600美元（<0.001）。两组之间的年龄、性别、到诊所的距离、语言以及所有基线临床变量（包括VA和IOP）具有可比性。低收入与非白人种族相关（81.3%对52.3%；P = 0.024）。在第6个月时，低收入组的VA[中位数：HM（20/70 - NLP）]比高收入组[中位数：CF（20/25 - NLP）]差（对数MAR VA：2.32±0.8对1.77±1.1；P = 0.02）；这些趋势在最近一次随访时仍然存在（P = 0.043）。两组之间的随访眼压和用药情况相似。
结论及相关性
低收入可能与NVG引流管分流手术后较差的视力结果相关。
如何引用本文
Shalaby WS, Arbabi A, Myers JS, 新生血管性青光眼引流管分流手术结果中的社会人口统计学和经济因素。《当代青光眼实践杂志》。2021年；15（2）：70 - 77。
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