ArticleBMJ (Clinical research ed.)2001
Deprivation and late presentation of glaucoma: case-control study.
Article in BMJ (Clinical research ed.), 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 3 of them syntheses that pooled it.
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Who cites it
76 citing papers in PubMed, 3 syntheses or guidelines pooled it, 198 citations in OpenAlex.
- Glaucoma.BMJ clinical evidence · 2011Pooled it
- Screening for prevention of optic nerve damage due to chronic open angle glaucoma.The Cochrane database of systematic reviews · 2006Pooled it
- The Association of Female Reproductive Factors with Glaucoma and Related Traits: A Systematic Review.Ophthalmology. GlaucomaPooled it
- Primary trabeculectomy for advanced glaucoma: pragmatic multicentre randomised controlled trial (TAGS).BMJ (Clinical research ed.) · 2021Trial
- Geographic Disparities in Access to Glaucoma Surgery: Lessons from a Nationwide Registry Study.Journal of clinical medicine · 2026Article
- The Utility of a Smartphone-Based Retinal Imaging Device as a Screening Tool in an Outpatient Clinic Setting: Protocol for an Observational Study.JMIR research protocols · 2025Observational
- Glaucoma treatment and deprivation: time-series analysis of general practice prescribing in England.BJGP open · 2024Article
- Impact of Social Vulnerability Index on the Development of Severe Visual Impairment or Blindness From Glaucoma.American journal of ophthalmology · 2024Article
- Loneliness and social isolation are associated with an increased risk of glaucoma: a UK Biobank cohort study.BMC public health · 2024Article
- Migraine headache and other risk factors associated with glaucoma among the adult population living in Armenia: a case-control study.International ophthalmology · 2024Article
- Knowledge about age-related eye diseases in the general population in Germany.BMC public health · 2024Review
- Do Socioeconomic Inequalities Exist Within Ophthalmology and Orthoptics in the UK?: A Scoping Review.The British and Irish orthoptic journal · 2024Article
- The relationship between multiple deprivation and severity of glaucoma at diagnosis.Eye (London, England) · 2023Article
- Profiling and factors associated with glaucoma diagnostic practice in sub-Saharan Africa-a cross sectional study of Nigerian and Ghanaian optometrists.BMC ophthalmology · 2023Article
- Determinants of late presentation of glaucoma in Hong Kong.Eye (London, England) · 2023Article
- Race and Ethnicity Differences in Disease Severity and Visual Field Progression Among Glaucoma Patients.American journal of ophthalmology · 2022Article
- Is there an association of socioeconomic deprivation with acute primary angle closure?Eye (London, England) · 2022Article
- Statistical Analysis on Time to Blindness of Glaucoma Patients at Jimma University Specialized Hospital: Application of Accelerated Failure Time Model.Journal of ophthalmology · 2022Article
- Article
- Association of County-Level Social Vulnerability with Elective Versus Non-elective Colorectal Surgery.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
16 more citing papers are in PubMed but not listed here.
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Authors and funding
4 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo identify socioeconomic risk factors for first presentation advanced glaucomatous visual field loss.
designHospital based case-control study with prospective identification of patients.
settingThree hospital eye departments.
participantsConsecutive patients newly diagnosed with glaucoma (n=220). Cases (late presenters) were those presenting with advanced glaucoma (n=110), controls were those with early glaucoma (n=110).
resultsMedian underprivileged area scores were higher among late presenters (29.5; interquartile range 9.0-42.2) than in the control group (21.3; 6.1-37.4) (P=0.035). Late presenters were more likely to be of lower occupational class (odds ratio adjusted for age and referral centre 20.1 (95% confidence interval 2.6 to 155) for group III compared with group I-II and 86.0 (11.0 to 673 for group IV-V compared with group I-II), to have no access to a car (2.2; 1.2 to 4.0), to have left full time education at age 14 or less (7.5; 2.3 to 24.7), and to be tenants rather than owner occupiers (local authority tenants 3.2; 1.7 to 5.8, private tenants 2.1; 0.7 to 5.8). Effects of deprivation were partly accounted for by family history of glaucoma, time since last visit to an optometrist, and lack of an initial diagnosis of glaucoma by an optometrist.
conclusionsArea and individual level deprivation were both associated with late presentation of glaucoma. Existing evidence shows that late presentation is an important risk factor for subsequent blindness. Deprived groups thus seem to be at greater risk of going blind from glaucoma. Material deprivation may be associated with more aggressive disease as well as later presentation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.