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AREDS Report No. 11

Age-Related Eye Disease Study Research Group^*

Arch Ophthalmol. 2003;121:1621-1624.

Objective  To estimate the potential public health impact of the findings of the Age-Related Eye Disease Study (AREDS) on reducing the number of persons developing advanced age-related macular degeneration (AMD) during the next 5 years in the United States.

Methods  The AREDS clinical trial provides estimates of AMD progression rates and of reduction in risk of developing advanced AMD when a high-dose nutritional supplement of antioxidants and zinc is used. These results are applied to estimates of the US population at risk, to estimate the number of people who would potentially avoid advanced AMD during 5 years if those at risk were to take a supplement such as that used in AREDS.

Results  An estimated 8 million persons at least 55 years old in the United States have monocular or binocular intermediate AMD or monocular advanced AMD. They are considered to be at high risk for advanced AMD and are those for whom the AREDS formulation should be considered. Of these people, 1.3 million would develop advanced AMD if no treatment were given to reduce their risk. If all of these people at risk received supplements such as those used in AREDS, more than 300 000 (95% confidence interval, 158 000-487 000) of them would avoid advanced AMD and any associated vision loss during the next 5 years.

Conclusion  If people at high risk for advanced AMD received supplements such as those suggested by AREDS results, the potential impact on public health in the United States would be considerable during the next 5 years.

^*The Writing Team for the Age-Related Eye Disease Study (AREDS) Research Group consists of Neil M. Bressler, MD; Susan B. Bressler, MD; Nathan G. Congdon, MD; Frederick L. Ferris III, MD; David S. Friedman, MD; Ronald Klein, MD; Anne S. Lindblad, PhD; Roy C. Milton, PhD; and Johanna M. Seddon, MD. A complete list of the members of the AREDS Research Group appears in Arch Ophthalmol 2001;119:1434. The Writing Team for this report and the AREDS investigators have no relevant financial interest in this article.

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