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. 2021 Oct 12;13(10):e18710. doi: 10.7759/cureus.18710

Table 1. Evidence that support Glaucoma Screening .

Publication Date Title Author Study Type Location # of Patients Demographics Funding Statistical Results
May 20, 2019, Lancet Global Health Cost-effectiveness and cost-utility of population-based glaucoma screening in China: a decision-analytic Markov model Tang J et al [25] cohort rural and urban China Unknown 50 years, through a total of 30 1-year Markov cycles Ulverscroft Foundation, Wenzhou Medical University Research Fund, Zheijaiang Province Health Innovation Talents Project, and Wenzhou's Ten Major Livelihood Issues 2015 Rural screening for PACG & POAG: ICER $1280 95% ci, -58-7940; ICUR $569, 95% CI 17 to 4180, screening would prevent 246 years of blindness for every 100,000 rural residents screened and 1325 years for every 100,000 urban residents screened; thus due to increased prevalence, population screening appears cost-effective
April 2018, American Journal of Ophthalmology Improving Follow-up and Reducing Barriers for Eye Screenings in Communities: The SToP Glaucoma Study Zhao D et al [26] cross-sectional Baltimore, MD Phase 1: 686 (55%); Phase 2: 199 (63.8%); Overall: 885 (57.0%) Age 50-plus, 91.2% African-American; 2.3% Hispanic Centres for Disease Control and Prevention Vision Health Initiative grant Phase 1 involved testing and refining the screening algorithm and implementing standard referral procedures; in Phase 2, the refined algorithm was adopted, screening venues were expanded; new strategies to maximize attendance at the referral exam were developed and evaluated, including providing a voucher that stated the value of the free eye exam, scheduling follow-up appointments within four weeks, showing testimonial videos on glaucoma's impact and follow-up procedure videos; Concluded that those at high risk should be made aware of the importance of screening despite a lack of symptoms
August 2017, American Journal of Ophthalmology Optimizing Glaucoma Screening in High-Risk Population: Design and 1-Year Findings of the Screening to Prevent (SToP) Glaucoma Study Zhao D et al [24] prospective Baltimore, MD 901 Age 50-plus, 94.9% African-American Centres for Disease Control and Prevention Vision Health Initiative grant Community-based screening intervention of underserved, high-risk population results: 39.5% referred for definitive ey exam; 43% attended the scheduled exam; 51% diagnosed with glaucoma
August 2017, Cogent Medicine Screening for Glaucoma in Populations at High Risk: The eye Screening New York Project Al-Aswad LA et al [8] cross-sectional northern Manhattan, NY 8,547 Age 20-plus, low socioeconomic status, 16.54% African-Americans, 54.37% Hispanic, 14.59% white The Friends of the Congressional Glaucoma Caucus Foundation and Research to Prevent Blindness 25% referred for glaucoma evaluation; African-Americans and Hispanics 75% more likely than whites to need a referral
March 2012, Arch Ophthalmol 130(3): 365-372 Projected Outcomes of Glaucoma Screening in African-American Individuals Ladapo JA et al [9] microsimulation using data from the Eye Diseases Prevalence Research Group and Baltimore Eye Study US unknown Age 50-59, African-American Research to Prevent Blindness and National Institutes fo Health The prevalence of undiagnosed glaucoma would be lowest at 19% among 50 and 59-year-olds and increase to 40% in those over age 80. If glaucoma screening reduced vision loss by 6% to 7% a year, it could save $10 million-plus in medical costs alone.
June 2004, Ophthalmol 111:1121-1131 The Los Angeles Latino Eye Study: design, methods and baseline data Varma et al [12] cross-sectional La Puente, Los Angeles, CA 6,357 Age 40-plus, Latino, 58% female National Eye Institute, National Center on Minority Health and the Health Disparities of the National Institutes of Health 4.7% OAG diagnosed
December 2001, Ophthalmol 119 The Prevalence of Glaucoma in a Population-Based Study of Hispanic Subjects Quigley HA et al [11] cross-sectional Nogales and Tucson, AZ 4,774 Age 40-plus, Latino Public Health Service Research, National Eye Institute, National Institutes of Health 0.50% age 41-49; 0.59% age 50-59; 1.73% age 60-69; 5.66% age 70-79; 12.02% age 80-89; 20.00 age 90 and up