Evidence map›Paper›PMID 27682985›Full record

Trial reportActa ophthalmologica2017

Portable electronic vision enhancement systems in comparison with optical magnifiers for near vision activities: an economic evaluation alongside a randomized crossover trial.

Nathan Bray, Andrew Brand, John Taylor, Zoe Hoare, Christine Dickinson, Rhiannon T Edwards

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Acta ophthalmologica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Reading aids for adults with low vision.The Cochrane database of systematic reviews · 2018
    Pooled it
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Validation and comparison of five preference-based measures among age-related macular degeneration patients: evidence from mainland China.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Article
  8. Review
  9. Design considerations for the ideal low vision aid: insights from de-brief interviews following a real-world recording study.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2021
    Article
  10. Capability instruments in economic evaluations of health-related interventions: a comparative review of the literature.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020
    Review
  11. [Evaluation of the medical treatment situation of the visually impaired : Significant differences between young and old].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2019
    Article
  12. Utilization and Abandonment of Low Vision Devices Prescribed on a Mobile Clinic.Optometry and vision science : official publication of the American Academy of Optometry · 2018
    Article
  13. [Electronic vision aids : New options for rehabilitation of the visually impaired].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2018
    Review
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Nathan BrayCentre for Health Economics and Medicines Evaluation, Bangor University, Bangor, Gwynedd, UK.ORCID http://orcid.org/0000-0001-7646-5435
Andrew BrandNorth Wales Organisation for Randomised Trials in Health, Bangor, Gwynedd, UK.
John TaylorFaculty of Life Sciences, The University of Manchester, Manchester, UK.
Zoe HoareNorth Wales Organisation for Randomised Trials in Health, Bangor, Gwynedd, UK.
Christine DickinsonFaculty of Life Sciences, The University of Manchester, Manchester, UK.
Rhiannon T EdwardsCentre for Health Economics and Medicines Evaluation, Bangor University, Bangor, Gwynedd, UK.
Bangor University · GBUniversity of Manchester · GB

Funding

Department of Health PB-PG-0211-24105
6 · The paper itself

Abstract

purposeTo determine the incremental cost-effectiveness of portable electronic vision enhancement system (p-EVES) devices compared with optical low vision aids (LVAs), for improving near vision visual function, quality of life and well-being of people with a visual impairment.

methodsAn AB/BA randomized crossover trial design was used. Eighty-two participants completed the study. Participants were current users of optical LVAs who had not tried a p-EVES device before and had a stable visual impairment. The trial intervention was the addition of a p-EVES device to the participant's existing optical LVA(s) for 2 months, and the control intervention was optical LVA use only, for 2 months. Cost-effectiveness and cost-utility analyses were conducted from a societal perspective.

resultsThe mean cost of the p-EVES intervention was £448. Carer costs were £30 (4.46 hr) less for the p-EVES intervention compared with the LVA only control. The mean difference in total costs was £417. Bootstrapping gave an incremental cost-effectiveness ratio (ICER) of £736 (95% CI £481 to £1525) for a 7% improvement in near vision visual function. Cost per quality-adjusted life year (QALY) ranged from £56 991 (lower 95% CI = £19 801) to £66 490 (lower 95% CI = £23 055). Sensitivity analysis varying the commercial price of the p-EVES device reduced ICERs by up to 75%, with cost per QALYs falling below £30 000.

conclusionPortable electronic vision enhancement system (p-EVES) devices are likely to be a cost-effective use of healthcare resources for improving near vision visual function, but this does not translate into cost-effective improvements in quality of life, capability or well-being.

Indexed as

Optical DevicesQuality of LifeVisual AcuityAgedCost-Benefit AnalysisCross-Over StudiesEquipment DesignFemaleHumansImage Processing, Computer-AssistedMaleMyopiaPersons with Visual DisabilitiesReadingSensory AidsSurveys and Questionnaireseconomic evaluationhealth economicslow vision aidportable electronic vision enhancement systemvisual impairment

Identifiers

PMID27682985
PMCPMC5516226
OpenAlexW2526115534

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.