Van Nispen et al evaluated the impact of comorbidity and impaired vision on the decline in the health-related quality of life (QOL) for an older adult. The presence of certain factors can help to identify a patient who may benefit from more aggressive management. The authors are from VU University Medical Center in Amsterdam and Elkerliek Hospital in Helmond, the Netherlands.


Patient selection: age > 50 years with visual impairment


Outcome: rapid decline in the health-related QOL


Risk factors for a rapid decline in the health-related QOL:

(1) stroke

(2) chronic lung disease (COPD and/or asthma)

(3) worse visual acuity

(4) musculoskeletal disorder (arthritis, back pain, rheumatic disorder, other)


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