TFOS DEWS II Epidemiology Report.
Identifieur interne : 000864 ( PubMed/Corpus ); précédent : 000863; suivant : 000865TFOS DEWS II Epidemiology Report.
Auteurs : Fiona Stapleton ; Monica Alves ; Vatinee Y. Bunya ; Isabelle Jalbert ; Kaevalin Lekhanont ; Florence Malet ; Kyung-Sun Na ; Debra Schaumberg ; Miki Uchino ; Jelle Vehof ; Eloy Viso ; Susan Vitale ; Lyndon JonesSource :
- The ocular surface [ 1937-5913 ] ; 2017.
Abstract
The subcommittee reviewed the prevalence, incidence, risk factors, natural history, morbidity and questionnaires reported in epidemiological studies of dry eye disease (DED). A meta-analysis of published prevalence data estimated the impact of age and sex. Global mapping of prevalence was undertaken. The prevalence of DED ranged from 5 to 50%. The prevalence of signs was higher and more variable than symptoms. There were limited prevalence studies in youth and in populations south of the equator. The meta-analysis confirmed that prevalence increases with age, however signs showed a greater increase per decade than symptoms. Women have a higher prevalence of DED than men, although differences become significant only with age. Risk factors were categorized as modifiable/non-modifiable, and as consistent, probable or inconclusive. Asian ethnicity was a mostly consistent risk factor. The economic burden and impact of DED on vision, quality of life, work productivity, psychological and physical impact of pain, are considerable, particularly costs due to reduced work productivity. Questionnaires used to evaluate DED vary in their utility. Future research should establish the prevalence of disease of varying severity, the incidence in different populations and potential risk factors such as youth and digital device usage. Geospatial mapping might elucidate the impact of climate, environment and socioeconomic factors. Given the limited study of the natural history of treated and untreated DED, this remains an important area for future research.
DOI: 10.1016/j.jtos.2017.05.003
PubMed: 28736337
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pubmed:28736337Le document en format XML
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<affiliation><nlm:affiliation>School of Optometry and Vision Science, UNSW Sydney, Sydney, NSW, Australia. Electronic address: f.stapleton@unsw.edu.au.</nlm:affiliation>
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<author><name sortKey="Alves, Monica" sort="Alves, Monica" uniqKey="Alves M" first="Monica" last="Alves">Monica Alves</name>
<affiliation><nlm:affiliation>University of Campinas, Discipline of Ophthalmology, Faculty of Medical Sciences, Brazil.</nlm:affiliation>
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<author><name sortKey="Bunya, Vatinee Y" sort="Bunya, Vatinee Y" uniqKey="Bunya V" first="Vatinee Y" last="Bunya">Vatinee Y. Bunya</name>
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<author><name sortKey="Jalbert, Isabelle" sort="Jalbert, Isabelle" uniqKey="Jalbert I" first="Isabelle" last="Jalbert">Isabelle Jalbert</name>
<affiliation><nlm:affiliation>School of Optometry and Vision Science, UNSW Sydney, Sydney, NSW, Australia.</nlm:affiliation>
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<author><name sortKey="Lekhanont, Kaevalin" sort="Lekhanont, Kaevalin" uniqKey="Lekhanont K" first="Kaevalin" last="Lekhanont">Kaevalin Lekhanont</name>
<affiliation><nlm:affiliation>Department of Ophthalmology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.</nlm:affiliation>
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<author><name sortKey="Malet, Florence" sort="Malet, Florence" uniqKey="Malet F" first="Florence" last="Malet">Florence Malet</name>
<affiliation><nlm:affiliation>Pellegrin Hospital, Bordeaux, 33000, France.</nlm:affiliation>
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<author><name sortKey="Na, Kyung Sun" sort="Na, Kyung Sun" uniqKey="Na K" first="Kyung-Sun" last="Na">Kyung-Sun Na</name>
<affiliation><nlm:affiliation>Department of Ophthalmology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Schaumberg, Debra" sort="Schaumberg, Debra" uniqKey="Schaumberg D" first="Debra" last="Schaumberg">Debra Schaumberg</name>
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</affiliation>
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<author><name sortKey="Uchino, Miki" sort="Uchino, Miki" uniqKey="Uchino M" first="Miki" last="Uchino">Miki Uchino</name>
<affiliation><nlm:affiliation>Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Vehof, Jelle" sort="Vehof, Jelle" uniqKey="Vehof J" first="Jelle" last="Vehof">Jelle Vehof</name>
<affiliation><nlm:affiliation>Department of Twin Research & Genetic Epidemiology, King's College London, St Thomas' Hospital, London, United Kingdom; Department of Ophthalmology, King's College London, St Thomas' Hospital, London, United Kingdom; Departments of Ophthalmology and Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Viso, Eloy" sort="Viso, Eloy" uniqKey="Viso E" first="Eloy" last="Viso">Eloy Viso</name>
<affiliation><nlm:affiliation>Department of Ophthalmology, Complexo Hospitalario Universitario de Pontevedra, Pontevedra, Spain.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Vitale, Susan" sort="Vitale, Susan" uniqKey="Vitale S" first="Susan" last="Vitale">Susan Vitale</name>
<affiliation><nlm:affiliation>Division of Epidemiology and Clinical Applications, National Eye Institute, National Institutes of Health, Bethesda, MD, USA.</nlm:affiliation>
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</author>
<author><name sortKey="Jones, Lyndon" sort="Jones, Lyndon" uniqKey="Jones L" first="Lyndon" last="Jones">Lyndon Jones</name>
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<author><name sortKey="Alves, Monica" sort="Alves, Monica" uniqKey="Alves M" first="Monica" last="Alves">Monica Alves</name>
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</affiliation>
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<author><name sortKey="Bunya, Vatinee Y" sort="Bunya, Vatinee Y" uniqKey="Bunya V" first="Vatinee Y" last="Bunya">Vatinee Y. Bunya</name>
<affiliation><nlm:affiliation>Scheie Eye Institute, University of Pennsylvania, Philadelphia, PA, USA.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Jalbert, Isabelle" sort="Jalbert, Isabelle" uniqKey="Jalbert I" first="Isabelle" last="Jalbert">Isabelle Jalbert</name>
<affiliation><nlm:affiliation>School of Optometry and Vision Science, UNSW Sydney, Sydney, NSW, Australia.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Lekhanont, Kaevalin" sort="Lekhanont, Kaevalin" uniqKey="Lekhanont K" first="Kaevalin" last="Lekhanont">Kaevalin Lekhanont</name>
<affiliation><nlm:affiliation>Department of Ophthalmology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Malet, Florence" sort="Malet, Florence" uniqKey="Malet F" first="Florence" last="Malet">Florence Malet</name>
<affiliation><nlm:affiliation>Pellegrin Hospital, Bordeaux, 33000, France.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Na, Kyung Sun" sort="Na, Kyung Sun" uniqKey="Na K" first="Kyung-Sun" last="Na">Kyung-Sun Na</name>
<affiliation><nlm:affiliation>Department of Ophthalmology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Schaumberg, Debra" sort="Schaumberg, Debra" uniqKey="Schaumberg D" first="Debra" last="Schaumberg">Debra Schaumberg</name>
<affiliation><nlm:affiliation>Department of Epidemiology, Harvard TH Chan School of Public Health, USA; John A. Moran Eye Center, Department of Ophthalmology and Visual Sciences, University of Utah School of Medicine, USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Uchino, Miki" sort="Uchino, Miki" uniqKey="Uchino M" first="Miki" last="Uchino">Miki Uchino</name>
<affiliation><nlm:affiliation>Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Vehof, Jelle" sort="Vehof, Jelle" uniqKey="Vehof J" first="Jelle" last="Vehof">Jelle Vehof</name>
<affiliation><nlm:affiliation>Department of Twin Research & Genetic Epidemiology, King's College London, St Thomas' Hospital, London, United Kingdom; Department of Ophthalmology, King's College London, St Thomas' Hospital, London, United Kingdom; Departments of Ophthalmology and Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Viso, Eloy" sort="Viso, Eloy" uniqKey="Viso E" first="Eloy" last="Viso">Eloy Viso</name>
<affiliation><nlm:affiliation>Department of Ophthalmology, Complexo Hospitalario Universitario de Pontevedra, Pontevedra, Spain.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Vitale, Susan" sort="Vitale, Susan" uniqKey="Vitale S" first="Susan" last="Vitale">Susan Vitale</name>
<affiliation><nlm:affiliation>Division of Epidemiology and Clinical Applications, National Eye Institute, National Institutes of Health, Bethesda, MD, USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Jones, Lyndon" sort="Jones, Lyndon" uniqKey="Jones L" first="Lyndon" last="Jones">Lyndon Jones</name>
<affiliation><nlm:affiliation>Centre for Contact Lens Research, School of Optometry and Vision Science, University of Waterloo, Waterloo, Ontario, Canada.</nlm:affiliation>
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<front><div type="abstract" xml:lang="en">The subcommittee reviewed the prevalence, incidence, risk factors, natural history, morbidity and questionnaires reported in epidemiological studies of dry eye disease (DED). A meta-analysis of published prevalence data estimated the impact of age and sex. Global mapping of prevalence was undertaken. The prevalence of DED ranged from 5 to 50%. The prevalence of signs was higher and more variable than symptoms. There were limited prevalence studies in youth and in populations south of the equator. The meta-analysis confirmed that prevalence increases with age, however signs showed a greater increase per decade than symptoms. Women have a higher prevalence of DED than men, although differences become significant only with age. Risk factors were categorized as modifiable/non-modifiable, and as consistent, probable or inconclusive. Asian ethnicity was a mostly consistent risk factor. The economic burden and impact of DED on vision, quality of life, work productivity, psychological and physical impact of pain, are considerable, particularly costs due to reduced work productivity. Questionnaires used to evaluate DED vary in their utility. Future research should establish the prevalence of disease of varying severity, the incidence in different populations and potential risk factors such as youth and digital device usage. Geospatial mapping might elucidate the impact of climate, environment and socioeconomic factors. Given the limited study of the natural history of treated and untreated DED, this remains an important area for future research.</div>
</front>
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<Abstract><AbstractText>The subcommittee reviewed the prevalence, incidence, risk factors, natural history, morbidity and questionnaires reported in epidemiological studies of dry eye disease (DED). A meta-analysis of published prevalence data estimated the impact of age and sex. Global mapping of prevalence was undertaken. The prevalence of DED ranged from 5 to 50%. The prevalence of signs was higher and more variable than symptoms. There were limited prevalence studies in youth and in populations south of the equator. The meta-analysis confirmed that prevalence increases with age, however signs showed a greater increase per decade than symptoms. Women have a higher prevalence of DED than men, although differences become significant only with age. Risk factors were categorized as modifiable/non-modifiable, and as consistent, probable or inconclusive. Asian ethnicity was a mostly consistent risk factor. The economic burden and impact of DED on vision, quality of life, work productivity, psychological and physical impact of pain, are considerable, particularly costs due to reduced work productivity. Questionnaires used to evaluate DED vary in their utility. Future research should establish the prevalence of disease of varying severity, the incidence in different populations and potential risk factors such as youth and digital device usage. Geospatial mapping might elucidate the impact of climate, environment and socioeconomic factors. Given the limited study of the natural history of treated and untreated DED, this remains an important area for future research.</AbstractText>
<CopyrightInformation>Copyright © 2017 Elsevier Inc. All rights reserved.</CopyrightInformation>
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<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Stapleton</LastName>
<ForeName>Fiona</ForeName>
<Initials>F</Initials>
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</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Alves</LastName>
<ForeName>Monica</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>University of Campinas, Discipline of Ophthalmology, Faculty of Medical Sciences, Brazil.</Affiliation>
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<Author ValidYN="Y"><LastName>Bunya</LastName>
<ForeName>Vatinee Y</ForeName>
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<AffiliationInfo><Affiliation>Scheie Eye Institute, University of Pennsylvania, Philadelphia, PA, USA.</Affiliation>
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<ForeName>Kaevalin</ForeName>
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<AffiliationInfo><Affiliation>Department of Ophthalmology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.</Affiliation>
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<ForeName>Florence</ForeName>
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<Author ValidYN="Y"><LastName>Na</LastName>
<ForeName>Kyung-Sun</ForeName>
<Initials>KS</Initials>
<AffiliationInfo><Affiliation>Department of Ophthalmology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Schaumberg</LastName>
<ForeName>Debra</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>Department of Epidemiology, Harvard TH Chan School of Public Health, USA; John A. Moran Eye Center, Department of Ophthalmology and Visual Sciences, University of Utah School of Medicine, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Uchino</LastName>
<ForeName>Miki</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Vehof</LastName>
<ForeName>Jelle</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Department of Twin Research & Genetic Epidemiology, King's College London, St Thomas' Hospital, London, United Kingdom; Department of Ophthalmology, King's College London, St Thomas' Hospital, London, United Kingdom; Departments of Ophthalmology and Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Viso</LastName>
<ForeName>Eloy</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>Department of Ophthalmology, Complexo Hospitalario Universitario de Pontevedra, Pontevedra, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Vitale</LastName>
<ForeName>Susan</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Division of Epidemiology and Clinical Applications, National Eye Institute, National Institutes of Health, Bethesda, MD, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Jones</LastName>
<ForeName>Lyndon</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Centre for Contact Lens Research, School of Optometry and Vision Science, University of Waterloo, Waterloo, Ontario, Canada.</Affiliation>
</AffiliationInfo>
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<Keyword MajorTopicYN="N">Prevalence</Keyword>
<Keyword MajorTopicYN="N">Quality of life</Keyword>
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