Understanding racial disparities of glaucoma.

IF 3 2区 医学 Q1 OPHTHALMOLOGY Current Opinion in Ophthalmology Pub Date : 2024-03-01 Epub Date: 2023-11-03 DOI:10.1097/ICU.0000000000001017
Viviana Barquet-Pizá, Carla J Siegfried
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Abstract

Purpose of review: Increased prevalence, earlier onset, and more rapid progression to vision loss from glaucoma has demonstrated racial disparity in numerous studies over decades. Precise etiologies of these important differences among patients of African and Hispanic ancestral background have not been elucidated. This review focuses on currently available epidemiologic/population, genetic, socioeconomic and physiologic studies of racial disparities in this blinding disease.

Recent findings: In depth reviews of several landmark studies of glaucoma prevalence in various racial groups have highlighted potential challenges of lack of recruitment of diverse populations in genetic studies and clinical trials, challenges of racial stratification of subjects, and the impact of socioeconomic variables.

Summary: Through a more comprehensive analysis of racial disparities of glaucoma, both clinicians and researchers may provide more effective population screening and management with a holistic approach for individualized patient care to provide improved outcomes. Future studies of interventions in sociodemographic factors and genetic/physiologic variables that influence the prevalence, access, and consequential vision loss from glaucoma will be crucial to minimize/eliminate racial disparities and improve outcomes for all.

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了解青光眼的种族差异。
综述目的:几十年来,在许多研究中,青光眼的患病率增加、发病早、进展更快,显示出种族差异。非洲和西班牙裔祖先背景患者之间这些重要差异的确切病因尚未阐明。这篇综述的重点是目前可用的关于这种致盲疾病种族差异的流行病学/人口、遗传、社会经济和生理学研究。最近的发现:对不同种族群体青光眼患病率的几项里程碑式研究的深入回顾突出了遗传研究和临床试验中缺乏招募不同人群的潜在挑战、受试者种族分层的挑战以及社会经济变量的影响。摘要:通过对青光眼的种族差异进行更全面的分析,临床医生和研究人员可以通过个性化患者护理的整体方法提供更有效的人群筛查和管理,以改善结果。未来对影响青光眼患病率、发病率和相应视力丧失的社会人口因素和遗传/生理变量进行干预研究,对于最大限度地减少/消除种族差异和改善所有人的预后至关重要。
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来源期刊
CiteScore
6.80
自引率
5.40%
发文量
120
审稿时长
6-12 weeks
期刊介绍: Current Opinion in Ophthalmology is an indispensable resource featuring key up-to-date and important advances in the field from around the world. With renowned guest editors for each section, every bimonthly issue of Current Opinion in Ophthalmology delivers a fresh insight into topics such as glaucoma, refractive surgery and corneal and external disorders. With ten sections in total, the journal provides a convenient and thorough review of the field and will be of interest to researchers, clinicians and other healthcare professionals alike.
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