Evidence map›Paper›PMID 38308377›Full record

ArticleTrials2024

Health economic evaluation of a nurse-assisted online eye screening in home healthcare to reduce avoidable vision impairment (iScreen): study protocol for a cluster randomized controlled trial.

Vera Rooth, Hilde van der Aa, Robert P L Wisse, Otto R Maarsingh, Marc Koopmanschap, Jan E E Keunen, Hester Vermeulen, Caroline C W Klaver, Gabriëlle Janssen, Ger H M B van Rens and 1 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06058637 (Online Nurse-assisted Eye-screening in Home Healthcare; Implementation Study and Economic Evaluation, From an Individual, Healthcare and Socio-political Perspective), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT06058637 nacompletednot on this map

Online Nurse-assisted Eye-screening in Home Healthcare; Implementation Study and Economic Evaluation, From an Individual, Healthcare and Socio-political Perspective

TypeinterventionalSponsorAmsterdam UMC, location VUmcRan2023 to 2025Enrolled234ConditionsEye DiseasesArmsEye screening
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Vera RoothDepartment of Ophthalmology, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, The Netherlands. v.rooth@amsterdamumc.nl.ORCID http://orcid.org/0009-0000-6030-7264
Hilde van der AaDepartment of Ophthalmology, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, The Netherlands.
Robert P L WisseDepartment of Ophthalmology, UMC Utrecht, Utrecht, The Netherlands.
Otto R MaarsinghQuality of Care, Aging and Later Life, Health Behaviors and Chronic Diseases, Amsterdam Public Health, Amsterdam, The Netherlands.
Marc KoopmanschapErasmus School of Health Policy & Management, Health Technology Assessment (HTA), Erasmus University Rotterdam, Rotterdam, The Netherlands.
Jan E E KeunenDepartment of Ophthalmology, Radboudumc, Nijmegen, The Netherlands.
Hester VermeulenRadboud Institute for Health Sciences, IQ Healthcare, Radboudumc, Nijmegen, The Netherlands.
Caroline C W KlaverDepartment of Ophthalmology, Radboudumc, Nijmegen, The Netherlands.
Gabriëlle JanssenOptometristen Vereniging Nederland, Utrecht, The Netherlands.
Ger H M B van RensDepartment of Ophthalmology, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, The Netherlands.
Ruth M A van NispenDepartment of Ophthalmology, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, The Netherlands.

Funding

ZonMw grant number 50-55520-98-107
6 · The paper itself

Abstract

backgroundAmong older people undiagnosed and untreated vision impairment and blindness are common. The leading causes are uncorrected refractive errors and cataracts. Vision problems are associated with a lower quality of life, several health problems, and a higher chance of falling accidents and fractures. To eliminate avoidable vision impairment and blindness, targeted eye screening programs are recommended. Older patients, receiving home healthcare, have not yet been considered as a population at risk who could benefit from eye screening.

methodsA cluster-randomized controlled trial will be conducted to investigate the cost-effectiveness and cost-utility of online nurse-assisted eye screening in home healthcare, compared to care as usual, in reducing avoidable vision impairment. A healthcare and societal perspective will be used. The study will be performed in collaboration with several home healthcare organizations in the Netherlands. The online eye screening consists of near and distance visual acuity, followed by an Amsler grading test. Measurements in both groups will take place at baseline and after 6 and 12 months of follow-up. A total of 240 participants will be recruited. Older men and women (65 +), who receive home-based nursing and are cognitively able to participate, will be included. The primary outcome will be the change of two lines or more on the Colenbrander-1 M visual acuity chart between baseline and 12-month follow-up. DISCUSSION: An eye screening for populations at risk contributes to the detection of undiagnosed and untreated vision impairment. This may reduce the health-related consequences of vision loss and the high economic burden associated with vision impairment.

trial registrationClinicalTrials.gov NCT06058637. Registered on 27 September 2023.

Indexed as

Quality of LifeVision DisordersAgedBlindnessCost-Benefit AnalysisDelivery of Health CareFemaleHumansMaleRandomized Controlled Trials as TopicCluster randomized controlled trialEye screeningHome healthcareOlder adultsVision impairment

Identifiers

PMID38308377
PMCPMC10835833

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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.