Page 143 - DISINVESTMENT AND IMPLEMENTATION OF VISION SCREENING TESTS BASED ON THEIR EFFECTIVENESS

High rate of failed visual-acuity measurements with the Amsterdam Picture Chart in screening at the age of 36 months
was taken to repeat the measurement at the next general screening exam nine months later, at age 45 months.
In conclusion, measurement of the VA at the age of 36 months cannot be recommended as a screening test in the general population, considering the high rate of failed VA measurements for the APK and the previously reported failure rates for the Lea Symbols and HOTV.
Compliance with Ethical Standards
The Medical Ethical Committee of the Erasmus Medical Centre declared that the Medical Research Involving Human Subjects Act did not apply to this research proposal as it concerned population-based prevention and that the ‘Besluit Publieke Gezondheid’
(Public Health Decision, Ministry of Health 2008) applied, where only permission from the health inspectorate must be obtained to deviate from the national screening guidelines (reference number MEC-2012-003). This permission was granted. The research adhered to the tenets of the Declaration of Helsinki.
ACKNOWLEDGEMENTS
This study was funded by the foundation “Lijf en Leven”. We gratefully acknowledge the support of all youth health care doctors, nurses and practice assistants at Public Health Service Icare and at the Municipal Health Service Drenthe. The authors have no conflicts of interest.
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