The impact of diabetic retinopathy: Understanding the patient's perspective

E Fenwick, Konrad Pesudovs, Gwyn Rees, M Dirani, R Kawasaki, Tien Wong, Ecosse Lamoureux

    Research output: Contribution to journalReview articlepeer-review

    59 Citations (Scopus)


    Understanding the impact of a condition from the patient's perspective is important, and different types of patient-reported outcomes or instruments are available to help with this. This review article summarises the current evidence on the impact of diabetic retinopathy (DR) and its associated vision impairment on patient-reported outcomes. We have included research that has used a range of outcome measures to assess the impact of DR on generic health-related quality of life, utility, vision-functioning and vision-specific quality of life. This review also offers clarification on frequently misused psychometric terminologies to help clinicians and researchers better understand the literature associated with patient-reported outcome research. Overall, the evidence suggests that DR, particularly in its vision-threatening stages, has a substantial, negative impact on the patient. However, our understanding of the impact of DR is currently restricted due to limitations inherent in currently available patient-reported outcome measures. We conclude by discussing potential directions for future research in this area, such as item banking and computer adaptive testing.

    Original languageEnglish
    Pages (from-to)774-782
    Number of pages9
    JournalBritish Journal of Ophthalmology
    Issue number6
    Publication statusPublished - Jun 2011


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