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Longitudinal incidence of adverse outcomes of age-related macular degeneration.

Publication ,  Journal Article
Wysong, A; Lee, PP; Sloan, FA
Published in: Arch Ophthalmol
March 2009

OBJECTIVE: To describe the visual, functional, and general health complication rates associated with age-related macular degeneration (AMD) in a nationally representative longitudinal sample of elderly persons. METHODS: This is a longitudinal retrospective cohort study (January 1, 1994-December 31, 2004) that used Medicare claims data. We identified beneficiaries aged 68 years and older who had newly diagnosed AMD in 1994 (n = 32,702) and age-, sex-, and race-matched controls who had routine eye surveillance and no diagnosis of AMD throughout the observational period (n = 32,702). Main outcome measures included cumulative incidence of vision loss, blindness, hip fracture, depression, and nursing home placement and prevalence of 16 general health conditions. RESULTS: Elderly individuals with newly diagnosed AMD had higher rates of blindness, vision loss, depression, hip fracture, and residence in a nursing home than those without AMD during a 10-year follow-up period. Individuals with AMD also had a higher prevalence of 11 of 16 general health conditions compared with controls. CONCLUSIONS: Individuals aged 68 years and older with AMD had higher rates of visual and functional impairments and had more illness than controls. Our findings demonstrate the substantial resource commitment of caring for the multifaceted health issues of persons diagnosed with AMD.

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Published In

Arch Ophthalmol

DOI

EISSN

1538-3601

Publication Date

March 2009

Volume

127

Issue

3

Start / End Page

320 / 327

Location

United States

Related Subject Headings

  • Visually Impaired Persons
  • Vision Disorders
  • United States
  • Retrospective Studies
  • Ophthalmology & Optometry
  • Nursing Homes
  • Medicare
  • Male
  • Macular Degeneration
  • Longitudinal Studies
 

Citation

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Wysong, A., Lee, P. P., & Sloan, F. A. (2009). Longitudinal incidence of adverse outcomes of age-related macular degeneration. Arch Ophthalmol, 127(3), 320–327. https://doi.org/10.1001/archophthalmol.2008.613
Wysong, Ashley, Paul P. Lee, and Frank A. Sloan. “Longitudinal incidence of adverse outcomes of age-related macular degeneration.Arch Ophthalmol 127, no. 3 (March 2009): 320–27. https://doi.org/10.1001/archophthalmol.2008.613.
Wysong A, Lee PP, Sloan FA. Longitudinal incidence of adverse outcomes of age-related macular degeneration. Arch Ophthalmol. 2009 Mar;127(3):320–7.
Wysong, Ashley, et al. “Longitudinal incidence of adverse outcomes of age-related macular degeneration.Arch Ophthalmol, vol. 127, no. 3, Mar. 2009, pp. 320–27. Pubmed, doi:10.1001/archophthalmol.2008.613.
Wysong A, Lee PP, Sloan FA. Longitudinal incidence of adverse outcomes of age-related macular degeneration. Arch Ophthalmol. 2009 Mar;127(3):320–327.

Published In

Arch Ophthalmol

DOI

EISSN

1538-3601

Publication Date

March 2009

Volume

127

Issue

3

Start / End Page

320 / 327

Location

United States

Related Subject Headings

  • Visually Impaired Persons
  • Vision Disorders
  • United States
  • Retrospective Studies
  • Ophthalmology & Optometry
  • Nursing Homes
  • Medicare
  • Male
  • Macular Degeneration
  • Longitudinal Studies