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Burden of vision loss associated with eye disease in China 19902020: findings from the Global Burden of Disease Study 2015
  1. Bingsong Wang1,2,
  2. Nathan Congdon3,4,5,
  3. Rupert Bourne6,
  4. Yichong Li7,
  5. Kai Cao1,
  6. Aiping Zhao1,
  7. Mayinuer Yusufu1,
  8. Wenlan Dong8,
  9. Maigeng Zhou8,
  10. Ningli Wang1,2
  1. 1Beijing Institute of Ophthalmology, Beijing, China
  2. 2Beijing Tongren Hospital, Capital Medical University, Beijing, China
  3. 3Centre for Public Health, Queen’s University Belfast, Belfast, UK
  4. 4Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China
  5. 5Orbis International, New York, New York, USA
  6. 6Vision and Eye Research Unit, Postgraduate Medical Institute, Anglia Ruskin University, Cambridge, UK
  7. 7Clinical Research Institute, Peking University, Beijing, China
  8. 8National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China
  1. Correspondence to Professor Ningli Wang, Beijing Institute of Ophthalmology, Beijing Tongren Hospital, Capital Medical University, Beijing, China; wningli{at}vip.163.com

Abstract

Aims To assess the burden of vision loss due to eye disease in China between 1990 and 2015, and to predict the burden in 2020.

Methods Data from the GBD 2015 (Global Burden of Diseases, Injuries, and Risk Factors Study 2015) were used. The main outcome measures were prevalence and years lived with disability (YLDs) for vision loss due to cataract, glaucoma, macular degeneration, other vision loss, refraction and accommodation disorders and trachoma.

Results Prevalence for eye diseases increased steadily from 1990 to 2015, and will increase until 2020. From 1990 to 2015, the most common eye disorder was refraction and accommodation disorders. From 1990 to 2015, the vision loss burden due to eye disease decreased for those aged 0–14 years, and increased for those aged 15 years and above, with the most notable increases occurring among those aged 50 years and above. China ranked 10th when comparing YLDs for vision loss due to eye disease with the other members of the G20 (Group of Twenty, an international forum for the governments from 20 major economies) . Age-standardised YLD rates for vision loss due to eye disease declined in all 19 countries, except for China. The burden from vision loss due to eye disease ranked 12th and 11th among all causes of health loss in China in 1990 and 2015, respectively.

Conclusion Alone among major economies, China has experienced an increase in the burden of age-standardised vision loss from eye disease over the last two decades. In the future, China may expect a growing burden of vision loss due to population growth and ageing.

  • vision
  • epidemiology
  • public health
  • years lived with disability

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Footnotes

  • Contributors BW did the literature search, designed the study, collected and interpreted the data, and contributed to the writing of this article. NC designed the study, interpreted the data, and contributed to the writing of this article. RB collected and interpreted the data, and contributed to the writing of this article. YL interpreted the data, and contributed to the writing of this article. KC, AZ, MY, WD and MZ collected the data. NW designed the study and contributed to the writing of this article. All authors gave final approval of the version to be published.

  • Competing interests None declared.

  • Patient consent No specific patient involved.

  • Ethics approval Beijing Tongren Hospital.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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