Projection of Eye Disease Burden in Singapore.

dc.contributor.author

Ansah, John P

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Koh, Victoria

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de Korne, Dirk F

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Bayer, Steffen

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Pan, Chong

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Thiyagarajan, Jayabaskar

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Matchar, David B

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Lamoureux, Ecosse

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Quek, Desmond

dc.date.accessioned

2021-05-05T07:34:47Z

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2021-05-05T07:34:47Z

dc.date.issued

2018-01

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2021-05-05T07:34:34Z

dc.description.abstract

Introduction

Singapore's ageing population is likely to see an increase in chronic eye conditions in the future. This study aimed to estimate the burden of eye diseases among resident Singaporeans stratified for age and ethnicity by 2040.

Materials and methods

Prevalence data on myopia, epiretinal membrane (ERM), retinal vein occlusion (RVO), age macular degeneration (AMD), diabetic retinopathy (DR), cataract, glaucoma and refractive error (RE) by age cohorts and educational attainment from the Singapore Epidemiology of Eye Diseases (SEED) study were applied to population estimates from the Singapore population model.

Results

All eye conditions are projected to increase by 2040. Myopia and RE will remain the most prevalent condition, at 2.393 million (2.32 to 2.41 million) cases, representing a 58% increase from 2015. It is followed by cataract and ERM, with 1.33 million (1.31 to 1.35 million), representing an 81% increase, and 0.54 million (0.53 to 0.549 million) cases representing a 97% increase, respectively. Eye conditions that will see the greatest increase from 2015 to 2040 in the Chinese are: DR (112%), glaucoma (100%) and ERM (91.4%). For Malays, DR (154%), ERM (136%), and cataract (122%) cases are expected to increase the most while for Indians, ERM (112%), AMD (101%), and cataract (87%) are estimated to increase the most in the same period.

Conclusion

Results indicate that the burden for all eye diseases is expected to increase significantly into the future, but at different rates. These projections can facilitate the planning efforts of both policymakers and healthcare providers in the development and provision of infrastructure and resources to adequately meet the eye care needs of the population. By stratifying for age and ethnicity, high risk groups may be identified and targeted interventions may be implemented.
dc.identifier.issn

0304-4602

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https://hdl.handle.net/10161/22806

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eng

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ACAD MEDICINE SINGAPORE

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Annals of the Academy of Medicine, Singapore

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Humans

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Eye Diseases

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Chronic Disease

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Prevalence

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Risk Factors

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Age Factors

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Cost of Illness

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Health Care Rationing

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Needs Assessment

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Adult

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Aged

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Middle Aged

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Ethnic Groups

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Health Planning

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Singapore

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Female

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Male

dc.title

Projection of Eye Disease Burden in Singapore.

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Journal article

duke.contributor.orcid

Matchar, David B|0000-0003-3020-2108

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13

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28

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1

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School of Medicine

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Duke Clinical Research Institute

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Duke Global Health Institute

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Pathology

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Medicine, General Internal Medicine

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Duke

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Institutes and Centers

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University Institutes and Centers

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Institutes and Provost's Academic Units

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Clinical Science Departments

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Medicine

pubs.publication-status

Published

pubs.volume

47

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