Evidence map›Paper›PMID 36931668›Full record

ArticleBMJ open2023

Patient-reported burden and overall impact of dry eye disease across eight European countries: a cross-sectional web-based survey.

Kostas G Boboridis, Elisabeth M Messmer, José Benítez-Del-Castillo, Juliette Meunier, Brigitte Sloesen, Paul O'Brien, Maria Joao Quadrado, Maurizio Rolando, Marc Labetoulle

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
11.0field-weighted citation impact, top 1% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

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  17. Impact of signs and symptoms of dry eye disease on health-related quality of life: a cross-sectional population study among older adults.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
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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

9 authors at 9 institutions in 9 countries.

Kostas G BoboridisThird Department of Ophthalmology, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Elisabeth M MessmerDepartment of Ophthalmology, Ludwig-Maximilians-University, Munich, Germany.
José Benítez-Del-CastilloHospital Clínico San Carlos, Clínica Rementería, Instituto Castroviejo, University Complutense, Madrid, Spain.
Juliette MeunierModus Outcomes, Lyon, France.
Brigitte SloesenDepartment of Ophthalmology, HEOR, Novartis Pharma AG, Basel, Switzerland.
Paul O'BrienNovartis Ireland Ltd, Dublin, Ireland.
Maria Joao QuadradoCentro de Responsabilidade Integrado de Oftalmologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Maurizio RolandoOcular Surface and Dry Eye Centre, ISPRE Ophthalmics, Genoa, Italy.
Marc LabetoulleOphthalmology, Hôpital Bicêtre, APHP, Le Kremlin-Bicetre, France marc.labetoulle@aphp.fr.ORCID 0000-0002-1680-1887
Aristotle University of Thessaloniki · GRHospitais da Universidade de Coimbra · PTHospital Clínico San Carlos · ESInserm · FRLudwig-Maximilians-Universität München · DENovartis (Ireland) · IENovartis (Switzerland) · CHOcular Surface Center · USPathophysiology, Diagnosis and Treatment of Bone Diseases · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDry eye disease (DED) is a multifactorial disease involving the tears and ocular surface. It impacts a patient's quality of life (QoL) and ability to perform daily activities. This study assessed the burden of self-reported DED among adults in eight European countries.

designOnline cross-sectional survey.

settingGeneral population in France, Italy, Germany, Greece, the Netherlands, Portugal, Spain and Sweden.

participantsAdults aged ≥18 years with (n=6084) and without (n=6161) self-reported DED were recruited via emails and screened.

main outcome measuresAll participants completed National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) and EuroQol-5 Dimension-5 Level Questionnaire (EQ-5D-5L). All DED participants completed the Eye Dryness Score (EDS) Visual Analogue Scale, and Ocular Comfort Index and Work Productivity and Activity Impairment Questionnaire: Specific Health Problem questionnaires. In addition, half of the respondents with DED completed Survey A (Impact of Dry Eye on Everyday Life) and the other half completed Survey B (Standard Patient Evaluation of Eye Dryness Questionnaire) and Dry Eye Questionnaire-5.

resultsParticipants with self-reported DED had lower functional vision and lower overall health status than participants without self-reported DED as measured by the NEI-VFQ and EQ-5D-5L, respectively.Increasing self-reported DED severity as measured by the EDS was shown to correspond with worse symptom severity/frequency, lower functional vision, higher impact on work productivity, daily activities and QoL.

conclusionThis study showed that patients' reported burden of self-reported DED was similar across the eight European countries. Those with self-reported DED reported lower health status and functional vision compared to those without self-reported DED and these parameters worsen with increasing disease severity.

Indexed as

Dry Eye SyndromesQuality of LifeAdolescentAdultCross-Sectional StudiesHumansInternetPatient Reported Outcome MeasuresSurveys and Questionnairescorneal and external diseasesepidemiologyophthalmologyprimary carepublic health

Identifiers

PMID36931668
PMCPMC10030789
OpenAlexW4327811666

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.