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Reading: Is there a North–South divide in quality of life for children undergoing amblyopia treatment?

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Original article

Is there a North–South divide in quality of life for children undergoing amblyopia treatment?

Author:

Jill Carlton

Health Economics and Decision Science (HEDS). School of Health and Related Research (ScHARR), University of Sheffield, Sheffield
About Jill
PhD MMedSci (Orthoptics) BMedSci (Orthoptics)
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Abstract

Aim: Variation in health care provision between and within countries can lead to differences in clinical outcome. Amblyopia treatment success is widely reported; however, consideration is not always given to whether similar results can be expected in other areas of the world. The impact of treatment upon an individual is poorly documented. This study aimed to investigate whether regional differences in selfreported quality of life (QoL) exist in the treatment of amblyopia.

Methods: Data were collected from three Trusts within the United Kingdom (UK) to form North (one Trust) and South cohorts (two Trusts). QoL data were collected from the child’s perspective using the Child Amblyopia Treatment Questionnaire (CATQoL) instrument. Socio-demographic and clinical data were collected by the clinician. Overall mean scores obtained from the CAT-QoL were compared between a number of clinical and socio-demographic factors (type of amblyopia treatment, patient age, socio-demographic status, ethnicity, amblyopia severity). Two-way ANOVA was calculated for each variable.

Results: The South cohort was found to have a higher CAT-QoL score (South 4.28; North 3.62); this was not statistically significantly different ( p = 0.182). Statistically significant main effects for current treatment type ( p = 0.04) and age were found ( p = 0.04). No statistically significant interactions were found between location and age, treatment type, sociodemographic status, ethnicity or amblyopia severity.

Conclusions: This study could find no statistically significant evidence to suggest that regional differences exist in the self-reported QoL of children undergoing amblyopia treatment. Age and type of amblyopia treatment were factors associated with worse QoL scores.

 
DOI: http://doi.org/10.22599/bioj.80
How to Cite: Carlton, J., (2014). Is there a North–South divide in quality of life for children undergoing amblyopia treatment? . British and Irish Orthoptic Journal . 11 , pp . 15–19 . DOI: http://doi.org/10.22599/bioj.80
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Published on 01 Aug 2014.
Peer Reviewed

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