June 2021
Volume 62, Issue 8
Open Access
ARVO Annual Meeting Abstract  |   June 2021
Age, race and sex influence utilization of care for the inflammatory and infectious eye diseases in the United States
Author Affiliations & Notes
  • Krati Chauhan
    Southen Illinois University- School of Medicine, Springfield, Illinois, United States
  • James T Rosenbaum
    Oregon Health & Science University School of Medicine, Portland, Oregon, United States
    Legacy Health System, Portland, Oregon, United States
  • Footnotes
    Commercial Relationships   Krati Chauhan, None; James Rosenbaum, Abbive (C), Affibody (C), Corvus (C), Gilead (C), Horizon (C), Horizon (F), Immure Response (C), Kyverna (C), Novartis (C), Prizer (F), Roche (C), Santen (C), UptoDate (R)
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2021, Vol.62, 1709. doi:
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      Krati Chauhan, James T Rosenbaum; Age, race and sex influence utilization of care for the inflammatory and infectious eye diseases in the United States. Invest. Ophthalmol. Vis. Sci. 2021;62(8):1709.

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Abstract

Purpose : Utilization of the eye care in the United States is influenced by health care disparities, which are defined as care affected by patient’s age, race or sex. There is a lack of national level data regarding trend of utilization for inflammatory and infectious eye diseases in the United States, and whether this trend is influenced by health care disparities. We have conducted a retrospective, observational study based on the intelligent research in sight (IRIS) data to study this trend and how this trend is affected by age, race and sex of the patient.

Methods : We have used intelligent research in sight (IRIS) registry data available through National Vision and Eye Health Surveillance System (VEHSS). IRIS, is the United States’ first comprehensive eye disease clinical registry. VEHSS uses ICD-10 codes to identify ocular disorders. Each code is categorized in one subgroup and multiple subgroups are combined to form a category. Inflammatory and infectious eye disease category includes subgroups of ocular inflammatory conditions, lacrimal system and orbital inflammation, keratitis, conjunctivitis, eyelid inflammation and infection, and endophthalmitis.
Utilization for the inflammatory and infectious eye disease category is stratified by age, sex and race. We have measured trends of utilization for the years 2016-2018. We have identified the effect of stratification on utilization; by race, sex, age alone; combining race and sex; age and sex; and the combination of race, sex and age.

Results : There is a decrease in utilization for the inflammatory and infectious eye diseases from the years, 2016 to 2018. This trend remains, when utilization is stratified by sex, race and age. Asians and Native American have higher utilization for all the three years for both males and females. (Figure 1). Utilization is low for the younger age groups (0-17, 18-39) and then steadily increases for age > 40 years for 2016-2018 for both males and females and for all the races (Figure 2).Females have higher utilization for all the races from 2016-2018. This remains when utilization is stratified by race; a black female has higher utilization than a black male.

Conclusions : Utilization of care for inflammatory and infectious eye diseases is influenced by age, race and sex. Asian, Native Americans, females and older age groups have higher utilization.

This is a 2021 ARVO Annual Meeting abstract.

 

 

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