Background-There is debate as to the completeness of the blind and partial sight registers in England and Wales.
The purpose of this study was to estimate the proportion of eligible visually impaired people attending the hospital eye service who have a BD8 certificate and to identify factors associated with not being certified.
Methods-Cross sectional survey of patients attending outpatients by medical record review analysed by multiple logistic regression.
51% (43%, 58%) of patients identified as eligible for registration did not have a BD8 certificate.
The severity of visual impairment and the main diagnosis in terms of requirements for treatment, permanence of visual loss, and visual field loss were independently associated with non-certification.
A partially sighted patient is estimated to be three times more likely to not have a BD8 certificate as a blind patient of similar diagnosis (adj OR : 3.4 (95% CI : 1.7,6.8)). A patient whose impairment is due to abnormal visual fields is estimated to be greater than three times more likely to be non-certified than one with low visual acuity of similar severity and cause (adj OR : 3.6 (95% CI : 1.0,12.7)). People whose impairment is potentially reversible are estimated to be eight times (8.3 (2.2,31. (...)
Mots-clés Pascal : Cécité, Registre, Certification, Angleterre, Grande Bretagne, Royaume Uni, Europe, Pays de Galles, Hospitalisation, Délai, Recommandation, Homme, Oeil pathologie, Trouble vision
Mots-clés Pascal anglais : Blindness, Register, Certification, England, Great Britain, United Kingdom, Europe, Wales, Hospitalization, Time lag, Recommendation, Human, Eye disease, Vision disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0068681
Code Inist : 002B09K. Création : 14/05/1998.