Influence of new societal factors on neovascular age-related macular degeneration outcomes

Abstract Background To assess the impact of unstudied societal factors for neovascular age-related macular degeneration (nAMD) on functional outcomes after anti-VEGFs. Methods Charts of 94 nAMD patients treated in the Monticelli-Paradis Centre, Marseille, France, were reviewed. Phone interviews were conducted to assess societal factors, including transportation, living status, daily reading and social security scheme (SSS). Primary outcome was the impact of family support and disease burden on functional improvement in nAMD. Results Between baseline and month 24 (M24), 42.4% of the variability in best-corrected visual acuity (BCVA) was explained by the cumulative effect of the following societal factors: intermittent out-patient follow-up, marital status, daily reading, transportation type, commuting time. No isolated societal factor significantly correlated with ETDRS BCVA severity at M24. A trend to correlation was observed between the EDTRS score at M24 and the SSS (P = 0.076), economic burden (P = 0.075), time between diagnosis and treatment initiation (P = 0.070). A significant correlation was found for the disease burdensome on the patient (P = 0.034) and low vision rehabilitation (P = 0.014). Conclusions Societal factors could influence functional outcomes in nAMD patients treated with anti-VEGFs. They could contribute to the healing process or sustain disease progression.

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PID https://www.doi.org/10.6084/m9.figshare.c.3992763.v1
PID https://www.doi.org/10.6084/m9.figshare.c.3992763
URL https://dx.doi.org/10.6084/m9.figshare.c.3992763.v1
URL https://dx.doi.org/10.6084/m9.figshare.c.3992763
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Author Giocanti-Aurégan, Audrey
Author Elige Chbat
Author Darugar, Adil
Author Morel, Christophe
Author Morin, Bruno
Author Conrath, John
Author Devin, François
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Collected From Datacite
Hosted By figshare
Publication Date 2018-02-01
Publisher Figshare
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keyword FOS: Biological sciences
keyword FOS: Health sciences
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Source https://science-innovation-policy.openaire.eu/search/dataset?datasetId=dedup_wf_001::341a7ec8402ff9fe25b96e3a3dce612d
Author jsonws_user
Last Updated 12 January 2021, 13:59 (CET)
Created 12 January 2021, 13:59 (CET)