Please use this identifier to cite or link to this item:
https://hdl.handle.net/10316/114170
DC Field | Value | Language |
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dc.contributor.author | Hernández-Moreno, Laura | - |
dc.contributor.author | Senra, Hugo | - |
dc.contributor.author | Marques, Ana Patricia | - |
dc.contributor.author | Perdomo, Natacha Moreno | - |
dc.contributor.author | Macedo, Antonio Filipe | - |
dc.date.accessioned | 2024-03-25T09:08:42Z | - |
dc.date.available | 2024-03-25T09:08:42Z | - |
dc.date.issued | 2023-02 | - |
dc.identifier.issn | 2193-8245 | pt |
dc.identifier.uri | https://hdl.handle.net/10316/114170 | - |
dc.description.abstract | Introduction: The aim of this study was twofold: (1) to investigate the clinical impact of vision rehabilitation in patients with vision impairment and (2) to investigate the cost-effectiveness of a basic vision rehabilitation service in Portugal. Methods: The trial recruited patients diagnosed with age-related macular degeneration or diabetic retinopathy (DR) and visual acuity in the range 0.4–1.0logMAR in the better-seeing eye. Participants were randomised to one of the study arms consisting of immediate intervention and delayed intervention. The intervention included: new refractive correction, optical reading aids, in-office training and advice about modifications at home. Visual ability, healthrelated quality of life and costs were measured. Economic analysis was performed to evaluate whether the intervention was cost-effective. The trial compared the outcomes 12 weeks after the start in both arms. Results: Of the 46 participants, 34 (74%) were diagnosed with DR, 25 (54%) were female, and mean age was 70.08 years (SD = 8.74). In the immediate intervention arm visual ability increased a mean of 0.523 logits (SE = 0.11) (p\0.001). Changes in the delayed intervention arm were not statistically significant (p = 0.95). Acuity in the better-seeing eye, near acuity and critical print size also improved during the study. The mean cost of the intervention was €118.79 (SD = 24.37). The incremental cost-effectiveness ratio using the EQ-5D 5L was 30,421€/QALY and 1186€/QALY when using near acuity. Conclusion: The current study gives evidence of positive clinical impact of a basic vision rehabilitation intervention and shows that a basic vision rehabilitation service is cost-effective. These findings are important to clinical and rehabilitation practices and for planning vision rehabilitation services. | pt |
dc.language.iso | eng | pt |
dc.publisher | Springer Nature | pt |
dc.relation | Essilor Portugal | pt |
dc.relation | PTDC/DPT-EPI/0412/2012 | pt |
dc.relation | UID/ FIS/04650/2013 | pt |
dc.relation | SFRH/BD/119420/2016 | pt |
dc.relation | Faculty of Health and Life Sciences at Linnaeus University | pt |
dc.rights | openAccess | pt |
dc.rights.uri | http://creativecommons.org/licenses/by-nc/4.0/ | pt |
dc.subject | Randomised controlled trial | pt |
dc.subject | Vision impairment | pt |
dc.subject | Low vision | pt |
dc.subject | Vision rehabilitation | pt |
dc.subject | Visual ability | pt |
dc.subject | Magnification | pt |
dc.subject | Health-related quality of life | pt |
dc.subject | Cost-effectiveness | pt |
dc.title | The Basic VRS-Effect Study: Clinical Trial Outcomes and Cost-Effectiveness of Low Vision Rehabilitation in Portugal | pt |
dc.type | article | - |
degois.publication.firstPage | 307 | pt |
degois.publication.lastPage | 323 | pt |
degois.publication.issue | 1 | pt |
degois.publication.title | Ophthalmology and Therapy | pt |
dc.peerreviewed | yes | pt |
dc.identifier.doi | 10.1007/s40123-022-00600-0 | pt |
degois.publication.volume | 12 | pt |
dc.date.embargo | 2023-02-01 | * |
uc.date.periodoEmbargo | 0 | pt |
item.grantfulltext | open | - |
item.cerifentitytype | Publications | - |
item.languageiso639-1 | en | - |
item.openairetype | article | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.fulltext | Com Texto completo | - |
crisitem.author.researchunit | Center for Research in Neuropsychology and Cognitive Behavioral Intervention | - |
crisitem.author.orcid | 0000-0001-8054-6473 | - |
Appears in Collections: | I&D CINEICC - Artigos em Revistas Internacionais |
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The-Basic-VRSEffect-Study-Clinical-Trial-Outcomes-and-CostEffectiveness-of-Low-Vision-Rehabilitation-in-PortugalOphthalmology-and-Therapy.pdf | 585.51 kB | Adobe PDF | View/Open |
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This item is licensed under a Creative Commons License