Inventory of current EU paediatric vision and hearing screening programmes

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Sloot, F. ; Hoeve, H.L.J. ; de Kroon, M.L.A. ; Goedegebure, A. ; Carlton, J. ; Griffiths, H.J. ; Simonsz, H.J. ; Grp, EUSREENS. (2015)
  • Publisher: Sage

Background: We examined the diversity in paediatric vision and hearing screening\ud programmes in Europe.\ud Methods: Themes relevant for comparison of screening programmes were derived from\ud literature and used to compile three questionnaires on vision, hearing and public-health\ud screening. Tests used, professions involved, age and frequency of testing seem to influence\ud sensitivity, specificity and costs most. Questionnaires were sent to ophthalmologists,\ud orthoptists, otolaryngologists and audiologists involved in paediatric screening in all EU fullmember,\ud candidate and associate states. Answers were cross-checked.\ud Results: Thirty-nine countries participated; 35 have a vision screening programme, 33 a\ud nation-wide neonatal hearing screening programme. Visual acuity (VA) is measured in 35\ud countries, in 71% more than once. First measurement of VA varies from three to seven years\ud of age, but is usually before the age of five. At age three and four picture charts, including Lea\ud Hyvarinen are used most, in children over four Tumbling-E and Snellen. As first hearing\ud screening test otoacoustic emission (OAE) is used most in healthy neonates, and auditory\ud brainstem response (ABR) in premature newborns. The majority of hearing testing\ud programmes are staged; children are referred after one to four abnormal tests. Vision\ud screening is performed mostly by paediatricians, ophthalmologists or nurses. Funding is\ud mostly by health insurance or state. Coverage was reported as >95% in half of countries, but\ud reporting was often not first-hand.\ud Conclusion: Largest differences were found in VA charts used (12), professions involved in\ud vision screening (10), number of hearing screening tests before referral (1-4) and funding\ud sources (8).
  • References (15)
    15 references, page 1 of 2

    4. Holmes JM, Lazar EL, Melia BM et al. Paediatric Eye Disease Investigator Group. Effect of age on response to amblyopia treatment in children. Arch Ophthalmol. 2011; 129: 1451-7.

    5. Groenewoud JH, Tjiam AM, Lantau VK et al. Rotterdam Amblyopia Screening Effectiveness Study: detection and causes of amblyopia in a large birth cohort. Invest Ophthalmol Vis Sci. 2010; 51: 3476-84.

    6. Simonsz-Tóth B, Loudon SE, van Kempen-du Saar H et al. Evaluation of visual acuity in a historical cohort of 137 patients treated for amblyopia by occlusion 30-35 years ago. Klin Monbl Augenheilkd. 2007; 224: 40-6.

    7. Wolff R, Hommerich J, Riemsma R et al. Hearing screening in newborns: systematic review of accuracy, effectiveness, and effects of interventions after screening. Arch Dis Child 2010; 95: 130 5.

    8. Neugebauer A, Reier M, Fricke J et al. Kindliche Sehstörungen. Screeningprogramme im internationalen Vergleich. Childhood vision disorders. Screening programmes in international comparison. Ophthalmologe. 2002; 99: 32-7.

    9. Matta NS, Silbert DI, International Orthoptic Association Vision Screening Committee. Vision screening across the world. Am Orthopt J. 2012; 62: 87-9.

    10. Bubbico L, Tognola G, Greco A et al. Universal newborn hearing screening programmes in Italy: survey of year 2006. Acta Otolaryngol. 2008; 128: 1329-36.

    11. Davis A, Hind S. The newborn hearing screening programme in England. Int J Pediatr Otorhinolaryngol. 2003; 67: S193-6.

    12. Bamford J, Uus K, Davis A. Screening for hearing loss in childhood: issues, evidence and current approaches in the UK. J Med Screen. 2005; 12: 119 24.

    13. Wroblewska-Seniuk K, Chojnacka K, Pucher B et al. The results of newborn hearing screening by means of transient evoked otoacoustic emissions. Int J Pediatr Otorhinolaryngol. 2005; 69: 1351-7.

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