Evidence map›Paper›PMID 36369618›Full record

ArticleOphthalmology and therapy2023

The Basic VRS-Effect Study: Clinical Trial Outcomes and Cost-Effectiveness of Low Vision Rehabilitation in Portugal.

Laura Hernández-Moreno, Hugo Senra, Ana Patricia Marques, Natacha Moreno Perdomo, Antonio Filipe Macedo

Open access · goldAbstract read
In one paragraph

Article in Ophthalmology and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Perceived stress levels among patients treated for neovascular age-related macular degeneration with anti-VEGF injections.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
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  2. Review
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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

5 authors at 4 institutions in 3 countries.

Laura Hernández-MorenoDepartment and Center of Physics-Optometry and Vision Science, University of Minho, Braga, Portugal.
Hugo SenraCentre for Research in Neuropsychology and Cognitive and Behavioural Intervention (CINEICC), University of Coimbra, Coimbra, Portugal.
Ana Patricia MarquesInternational Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UK.ORCID https://orcid.org/0000-0001-8242-7021
Natacha Moreno PerdomoHospital Santa Maria Maior E.P.E., Barcelos, Portugal.
Antonio Filipe MacedoDepartment and Center of Physics-Optometry and Vision Science, University of Minho, Braga, Portugal. a.macedo@ulc.ac.uk.ORCID http://orcid.org/0000-0003-3436-2010
Linnaeus University · SEUniversity of Essex · GBUniversity of Lisbon · PTUniversity of Minho · PT

Funding

Fundação para a Ciência e a Tecnologia PTDC/DPT-EPI/0412/2012Fundação para a Ciência e a Tecnologia SFRH/BD/119420/2016Fundação para a Ciência e a Tecnologia UID/FIS/04650/2013/
6 · The paper itself

Abstract

introductionThe aim of this study was twofold: (1) to investigate the clinical impact of vision rehabilitation in patients with vision impairment and (2) to investigate the cost-effectiveness of a basic vision rehabilitation service in Portugal.

methodsThe trial recruited patients diagnosed with age-related macular degeneration or diabetic retinopathy (DR) and visual acuity in the range 0.4-1.0logMAR in the better-seeing eye. Participants were randomised to one of the study arms consisting of immediate intervention and delayed intervention. The intervention included: new refractive correction, optical reading aids, in-office training and advice about modifications at home. Visual ability, health-related quality of life and costs were measured. Economic analysis was performed to evaluate whether the intervention was cost-effective. The trial compared the outcomes 12 weeks after the start in both arms.

resultsOf the 46 participants, 34 (74%) were diagnosed with DR, 25 (54%) were female, and mean age was 70.08 years (SD = 8.74). In the immediate intervention arm visual ability increased a mean of 0.523 logits (SE = 0.11) (p < 0.001). Changes in the delayed intervention arm were not statistically significant (p = 0.95). Acuity in the better-seeing eye, near acuity and critical print size also improved during the study. The mean cost of the intervention was €118.79 (SD = 24.37). The incremental cost-effectiveness ratio using the EQ-5D-5L was 30,421€/QALY and 1186€/QALY when using near acuity.

conclusionThe current study gives evidence of positive clinical impact of a basic vision rehabilitation intervention and shows that a basic vision rehabilitation service is cost-effective. These findings are important to clinical and rehabilitation practices and for planning vision rehabilitation services.

trial registrationRetrospectively registered, 21/01/2019. ISRCTN10894889, https://www.isrctn.com/ISRCTN10894889.

Indexed as

Cost-effectivenessHealth-related quality of lifeLow visionMagnificationRandomised controlled trialVision impairmentVision rehabilitationVisual ability

Identifiers

PMID36369618
PMCPMC9651903
OpenAlexW4309047526

What Socratic 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 Socratic graph.