The effect of socio-economic deprivation on severity of glaucoma at presentation

W S Ng, P K Agarwal, S Sidiki, L McKay, J Townend, A Azuara-Blanco

Research output: Contribution to journalArticle

57 Citations (Scopus)

Abstract

OBJECTIVE: To evaluate the influence of socio-economic factors on severity of glaucoma at presentation METHODS: All newly diagnosed glaucoma patients at the University Hospitals-NHS, Aberdeen and South Glasgow University Hospitals-NHS, in 2006, were included. Glaucoma was severe at presentation if there was a repeatable visual-field loss with a mean deviation index greater than 12 dB in the Humphreys visual fields test or an absolute paracentral scotoma within the central 5 degrees of the visual fields. Home address was used to determine the Scottish Index of Multiple Deprivation (SIMD) rank. The SIMD rank, demographics and severity of glaucoma at presentation were investigated using general linear modelling. RESULTS: There were 48 patients with severe glaucoma and 74 patients with non-severe glaucoma. In four, the severity could not be determined. Severity of glaucoma at presentation was significantly associated with SIMD rank, being most severe in patients from areas with the lowest ranks (p = 0.026). Age was a significant factor (p = 0.024), with severe glaucoma being more common in elderly patients. CONCLUSIONS: Age and socio-economic deprivation were associated with severity of glaucoma at presentation, with patients from areas of higher socio-economic deprivation presenting with more advanced glaucoma.
Original languageEnglish
Pages (from-to)85-87
Number of pages3
JournalBritish Journal of Ophthalmology
Volume94
Issue number1
Early online date23 Jul 2009
DOIs
Publication statusPublished - Jan 2010

Fingerprint

Glaucoma
Economics
Visual Fields
Scotoma
Visual Field Tests
Demography

Keywords

  • age factors
  • aged
  • aged, 80 and over
  • female
  • glaucoma
  • humans
  • male
  • middle aged
  • poverty areas
  • risk factors
  • Scotland
  • scotoma
  • severity of illness index
  • socioeconomic factors
  • vision disorders
  • visual fields

Cite this

Ng, W. S., Agarwal, P. K., Sidiki, S., McKay, L., Townend, J., & Azuara-Blanco, A. (2010). The effect of socio-economic deprivation on severity of glaucoma at presentation. British Journal of Ophthalmology, 94(1), 85-87. https://doi.org/10.1136/bjo.2008.153312

The effect of socio-economic deprivation on severity of glaucoma at presentation. / Ng, W S; Agarwal, P K; Sidiki, S; McKay, L; Townend, J; Azuara-Blanco, A.

In: British Journal of Ophthalmology, Vol. 94, No. 1, 01.2010, p. 85-87.

Research output: Contribution to journalArticle

Ng, WS, Agarwal, PK, Sidiki, S, McKay, L, Townend, J & Azuara-Blanco, A 2010, 'The effect of socio-economic deprivation on severity of glaucoma at presentation', British Journal of Ophthalmology, vol. 94, no. 1, pp. 85-87. https://doi.org/10.1136/bjo.2008.153312
Ng, W S ; Agarwal, P K ; Sidiki, S ; McKay, L ; Townend, J ; Azuara-Blanco, A. / The effect of socio-economic deprivation on severity of glaucoma at presentation. In: British Journal of Ophthalmology. 2010 ; Vol. 94, No. 1. pp. 85-87.
@article{573eed726ffa47a9bbd66d52b45e2c4d,
title = "The effect of socio-economic deprivation on severity of glaucoma at presentation",
abstract = "OBJECTIVE: To evaluate the influence of socio-economic factors on severity of glaucoma at presentation METHODS: All newly diagnosed glaucoma patients at the University Hospitals-NHS, Aberdeen and South Glasgow University Hospitals-NHS, in 2006, were included. Glaucoma was severe at presentation if there was a repeatable visual-field loss with a mean deviation index greater than 12 dB in the Humphreys visual fields test or an absolute paracentral scotoma within the central 5 degrees of the visual fields. Home address was used to determine the Scottish Index of Multiple Deprivation (SIMD) rank. The SIMD rank, demographics and severity of glaucoma at presentation were investigated using general linear modelling. RESULTS: There were 48 patients with severe glaucoma and 74 patients with non-severe glaucoma. In four, the severity could not be determined. Severity of glaucoma at presentation was significantly associated with SIMD rank, being most severe in patients from areas with the lowest ranks (p = 0.026). Age was a significant factor (p = 0.024), with severe glaucoma being more common in elderly patients. CONCLUSIONS: Age and socio-economic deprivation were associated with severity of glaucoma at presentation, with patients from areas of higher socio-economic deprivation presenting with more advanced glaucoma.",
keywords = "age factors, aged, aged, 80 and over, female, glaucoma, humans, male, middle aged, poverty areas, risk factors, Scotland, scotoma, severity of illness index, socioeconomic factors, vision disorders, visual fields",
author = "Ng, {W S} and Agarwal, {P K} and S Sidiki and L McKay and J Townend and A Azuara-Blanco",
year = "2010",
month = "1",
doi = "10.1136/bjo.2008.153312",
language = "English",
volume = "94",
pages = "85--87",
journal = "British Journal of Ophthalmology",
issn = "0007-1161",
publisher = "BMJ Publishing Group",
number = "1",

}

TY - JOUR

T1 - The effect of socio-economic deprivation on severity of glaucoma at presentation

AU - Ng, W S

AU - Agarwal, P K

AU - Sidiki, S

AU - McKay, L

AU - Townend, J

AU - Azuara-Blanco, A

PY - 2010/1

Y1 - 2010/1

N2 - OBJECTIVE: To evaluate the influence of socio-economic factors on severity of glaucoma at presentation METHODS: All newly diagnosed glaucoma patients at the University Hospitals-NHS, Aberdeen and South Glasgow University Hospitals-NHS, in 2006, were included. Glaucoma was severe at presentation if there was a repeatable visual-field loss with a mean deviation index greater than 12 dB in the Humphreys visual fields test or an absolute paracentral scotoma within the central 5 degrees of the visual fields. Home address was used to determine the Scottish Index of Multiple Deprivation (SIMD) rank. The SIMD rank, demographics and severity of glaucoma at presentation were investigated using general linear modelling. RESULTS: There were 48 patients with severe glaucoma and 74 patients with non-severe glaucoma. In four, the severity could not be determined. Severity of glaucoma at presentation was significantly associated with SIMD rank, being most severe in patients from areas with the lowest ranks (p = 0.026). Age was a significant factor (p = 0.024), with severe glaucoma being more common in elderly patients. CONCLUSIONS: Age and socio-economic deprivation were associated with severity of glaucoma at presentation, with patients from areas of higher socio-economic deprivation presenting with more advanced glaucoma.

AB - OBJECTIVE: To evaluate the influence of socio-economic factors on severity of glaucoma at presentation METHODS: All newly diagnosed glaucoma patients at the University Hospitals-NHS, Aberdeen and South Glasgow University Hospitals-NHS, in 2006, were included. Glaucoma was severe at presentation if there was a repeatable visual-field loss with a mean deviation index greater than 12 dB in the Humphreys visual fields test or an absolute paracentral scotoma within the central 5 degrees of the visual fields. Home address was used to determine the Scottish Index of Multiple Deprivation (SIMD) rank. The SIMD rank, demographics and severity of glaucoma at presentation were investigated using general linear modelling. RESULTS: There were 48 patients with severe glaucoma and 74 patients with non-severe glaucoma. In four, the severity could not be determined. Severity of glaucoma at presentation was significantly associated with SIMD rank, being most severe in patients from areas with the lowest ranks (p = 0.026). Age was a significant factor (p = 0.024), with severe glaucoma being more common in elderly patients. CONCLUSIONS: Age and socio-economic deprivation were associated with severity of glaucoma at presentation, with patients from areas of higher socio-economic deprivation presenting with more advanced glaucoma.

KW - age factors

KW - aged

KW - aged, 80 and over

KW - female

KW - glaucoma

KW - humans

KW - male

KW - middle aged

KW - poverty areas

KW - risk factors

KW - Scotland

KW - scotoma

KW - severity of illness index

KW - socioeconomic factors

KW - vision disorders

KW - visual fields

U2 - 10.1136/bjo.2008.153312

DO - 10.1136/bjo.2008.153312

M3 - Article

VL - 94

SP - 85

EP - 87

JO - British Journal of Ophthalmology

JF - British Journal of Ophthalmology

SN - 0007-1161

IS - 1

ER -