Abstract

IntroductionVision impairment (VI) places a burden on individuals, health systems and society in general. In order to support the case for investing in eye health services, an updated cost of illness study that measures the global impact of VI is necessary. To perform such a study, a systematic review of the literature is needed. Here we outline the protocol for a systematic review to describe and summarise the costs associated with VI and its major causes.Methods and analysisWe will systematically search in Medline (Ovid) and the Centre for Reviews and Dissemination database which includes the National Health Service Economics Evaluation Database. No language or geographical restriction will be applied. Additional literature will be identified by reviewing the references in the included studies and by contacting field experts. Grey literature will be considered. The review will include any study published from 1 January 2000 to November 2019 that provides information about costs of illness, burden of disease and/or loss of well-being in participants with VI due to an unspecified cause or due to one of the seven leading causes globally.Two reviewers will independently screen studies and extract relevant data from included studies. Methodological quality of economic studies will be assessed based on the British Medical Journal checklist for economic submissions adapted to costs of illness studies. This protocol has been prepared following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis protocols and has been published prospectively in Open Science Framework.Ethics and disseminationFormal ethical approval is not required, as primary data will not be collected in this review. The findings of this study will be disseminated through peer-reviewed publications, stakeholder meetings and inclusion in the ongoing Lancet Global Health Commission on Global Eye Health.Registration detailshttps://osf.io/9au3w (DOI 10.17605/OSF.IO/6F8VM).

Highlights

  • Vision impairment (VI) places a burden on individuals, health systems and society in general

  • In 2015, 87% of blindness and 75% of moderate and severe VI was due to seven causes—uncorrected refractive error, cataract, glaucoma, age-r­elated macular degeneration (AMD), diabetic retinopathy, corneal opacity and trachoma.[2]

  • In 2012, a systematic review was conducted to inform a cost of illness study on VI and main causes of VI in high-­ income countries and a total of 22 studies were identified that reported direct and/or indirect costs related to VI.[28]

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Summary

Strengths and limitations of this study

►► This protocol adheres to the Preferred Reporting Items for Systematic Reviews and Meta-A­nalysis protocols and has been published prospectively in Open Science Framework. In 2012, a systematic review was conducted to inform a cost of illness study on VI and main causes of VI in high-­ income countries and a total of 22 studies were identified that reported direct and/or indirect costs related to VI.[28] Since 2012, new treatments (eg, anti-­vascular endothelial growth factor (anti-V­ EGF) therapy) and technologies (eg, ocular imaging) have emerged. These are expected to increase direct costs and, if effective, improve outcomes. PURPOSE The aim of this systematic review is to describe and summarise the costs associated with VI and its major causes

METHODS AND ANALYSIS
Findings
Participants Interventions Comparators Outcomes Study Design

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