Prevalence of chronic disease in older adults in multitier eye-care facilities in South India: Electronic medical records-driven big data analytics report
Purpose: To study the prevalence of systemic conditions in older adults, either self-reported or discovered during routine eye examinations, at multitier eye-care facilities over the past decade, and to explore their association with vision and common ocular disorders, including cataract, glaucoma,...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2021-01-01
|
| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=12;spage=3618;epage=3622;aulast=Behera |
| _version_ | 1828344641213169664 |
|---|---|
| author | Umesh Chandra Behera Brooke Salzman Anthony Vipin Das Gumpili Sai Prashanthi Parth Lalakia Richard Derman Bharat Panigrahy |
| author_facet | Umesh Chandra Behera Brooke Salzman Anthony Vipin Das Gumpili Sai Prashanthi Parth Lalakia Richard Derman Bharat Panigrahy |
| author_sort | Umesh Chandra Behera |
| collection | DOAJ |
| description | Purpose: To study the prevalence of systemic conditions in older adults, either self-reported or discovered during routine eye examinations, at multitier eye-care facilities over the past decade, and to explore their association with vision and common ocular disorders, including cataract, glaucoma, and retinopathy. Methods: Retrospective review of a large data set compiled from the electronic medical records of patients older than 60 years who presented to an eye facility of a multitier ophthalmology network located in 200 different geographical locations that included urban and rural eye-care centers spread across four states in India over a 10-year period. Results: 618,096 subjects aged 60 or older were identified as visiting an eye facility over the 10-year study period. The mean age of the study individuals was 67·28 (±6·14) years. A majority of older adults (66·96%) reported being free of systemic illnesses. Patients from lower socioeconomic status had a lower prevalence of chronic systemic disease, but the presenting vision was poorer. Hypertension (21·62%) and diabetes (18·77%) were the most commonly reported chronic conditions in patients who had concomitant systemic illness with visual concerns. Conclusion: The prevalence of chronic systemic illnesses in older adults presenting to multitier eye-care facilities is relatively low, except in those with diabetic retinopathy. These observations suggest a need to include active screening for common chronic diseases in standalone eye-care facilities to achieve a more accurate assessment of chronic disease burden in the older population. |
| first_indexed | 2024-04-14T00:00:16Z |
| format | Article |
| id | doaj.art-6f8e0c0e4c654bd7a4805a518cb73edc |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-04-14T00:00:16Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-6f8e0c0e4c654bd7a4805a518cb73edc2022-12-22T02:23:44ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892021-01-0169123618362210.4103/ijo.IJO_621_21Prevalence of chronic disease in older adults in multitier eye-care facilities in South India: Electronic medical records-driven big data analytics reportUmesh Chandra BeheraBrooke SalzmanAnthony Vipin DasGumpili Sai PrashanthiParth LalakiaRichard DermanBharat PanigrahyPurpose: To study the prevalence of systemic conditions in older adults, either self-reported or discovered during routine eye examinations, at multitier eye-care facilities over the past decade, and to explore their association with vision and common ocular disorders, including cataract, glaucoma, and retinopathy. Methods: Retrospective review of a large data set compiled from the electronic medical records of patients older than 60 years who presented to an eye facility of a multitier ophthalmology network located in 200 different geographical locations that included urban and rural eye-care centers spread across four states in India over a 10-year period. Results: 618,096 subjects aged 60 or older were identified as visiting an eye facility over the 10-year study period. The mean age of the study individuals was 67·28 (±6·14) years. A majority of older adults (66·96%) reported being free of systemic illnesses. Patients from lower socioeconomic status had a lower prevalence of chronic systemic disease, but the presenting vision was poorer. Hypertension (21·62%) and diabetes (18·77%) were the most commonly reported chronic conditions in patients who had concomitant systemic illness with visual concerns. Conclusion: The prevalence of chronic systemic illnesses in older adults presenting to multitier eye-care facilities is relatively low, except in those with diabetic retinopathy. These observations suggest a need to include active screening for common chronic diseases in standalone eye-care facilities to achieve a more accurate assessment of chronic disease burden in the older population.http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=12;spage=3618;epage=3622;aulast=Beheracataractchronic diseaseseye-care servicegeriatricsglaucomaretinopathysocioeconomic statusvisual impairment |
| spellingShingle | Umesh Chandra Behera Brooke Salzman Anthony Vipin Das Gumpili Sai Prashanthi Parth Lalakia Richard Derman Bharat Panigrahy Prevalence of chronic disease in older adults in multitier eye-care facilities in South India: Electronic medical records-driven big data analytics report Indian Journal of Ophthalmology cataract chronic diseases eye-care service geriatrics glaucoma retinopathy socioeconomic status visual impairment |
| title | Prevalence of chronic disease in older adults in multitier eye-care facilities in South India: Electronic medical records-driven big data analytics report |
| title_full | Prevalence of chronic disease in older adults in multitier eye-care facilities in South India: Electronic medical records-driven big data analytics report |
| title_fullStr | Prevalence of chronic disease in older adults in multitier eye-care facilities in South India: Electronic medical records-driven big data analytics report |
| title_full_unstemmed | Prevalence of chronic disease in older adults in multitier eye-care facilities in South India: Electronic medical records-driven big data analytics report |
| title_short | Prevalence of chronic disease in older adults in multitier eye-care facilities in South India: Electronic medical records-driven big data analytics report |
| title_sort | prevalence of chronic disease in older adults in multitier eye care facilities in south india electronic medical records driven big data analytics report |
| topic | cataract chronic diseases eye-care service geriatrics glaucoma retinopathy socioeconomic status visual impairment |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=12;spage=3618;epage=3622;aulast=Behera |
| work_keys_str_mv | AT umeshchandrabehera prevalenceofchronicdiseaseinolderadultsinmultitiereyecarefacilitiesinsouthindiaelectronicmedicalrecordsdrivenbigdataanalyticsreport AT brookesalzman prevalenceofchronicdiseaseinolderadultsinmultitiereyecarefacilitiesinsouthindiaelectronicmedicalrecordsdrivenbigdataanalyticsreport AT anthonyvipindas prevalenceofchronicdiseaseinolderadultsinmultitiereyecarefacilitiesinsouthindiaelectronicmedicalrecordsdrivenbigdataanalyticsreport AT gumpilisaiprashanthi prevalenceofchronicdiseaseinolderadultsinmultitiereyecarefacilitiesinsouthindiaelectronicmedicalrecordsdrivenbigdataanalyticsreport AT parthlalakia prevalenceofchronicdiseaseinolderadultsinmultitiereyecarefacilitiesinsouthindiaelectronicmedicalrecordsdrivenbigdataanalyticsreport AT richardderman prevalenceofchronicdiseaseinolderadultsinmultitiereyecarefacilitiesinsouthindiaelectronicmedicalrecordsdrivenbigdataanalyticsreport AT bharatpanigrahy prevalenceofchronicdiseaseinolderadultsinmultitiereyecarefacilitiesinsouthindiaelectronicmedicalrecordsdrivenbigdataanalyticsreport |