Rossi, Tommaso, Romano, Mario R, Iannetta, Danilo, Romano, Vito 
ORCID: 0000-0002-5148-7643, Gualdi, Luca, D'Agostino, Isabella and Ripandelli, Guido
(2021)
Cataract surgery practice patterns worldwide: a survey.
BMJ OPEN OPHTHALMOLOGY, 6 (1).
e000464-.
Abstract
<h4>Objective</h4>To report the results of a global survey on cataract practice patterns related to preoperative, intraoperative and postoperative care, surgical setting and personnel allocation.<h4>Methods and analysis</h4>An online 28 questions survey was sent to 240 ophthalmologists asking to describe prevailing trends in their institutions across 38 countries and 5 continents. Questions inquired country, institution, surgical volume and setting, anaesthesia, preoperative and intraoperative examination and postsurgical care. Statistical analysis used crosstabs lambda statistics for non-parametric nominal variables. P value less than 0.05 was considered statistically significant.<h4>Results</h4>209/240 (87%) ophthalmologists responded: 38% representing public hospitals, 36% private practices and 26% academic sites; overall surgical volume was between 241 700 and 410 500 cataracts per year. There was a significant correlation between type of institution and surgical volume. Complete results available in online (https://freeonlinesurveys.com/r/W6BcLLxy).<h4>Conclusion</h4>Cataract surgery related patterns of perioperative care showed significant difference among respondents, regardless to type of institution, surgical volume and country. Many evidence-based procedures are unevenly practiced around the world and some widespread and expensive habits lack solid scientific evidence while consuming enormous amount of resources both monetary and human. There is a need to reach consensus and share evidence-based practice patterns.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | epidemiology, lens and zonules, public health, treatment surgery |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 15 Dec 2023 10:31 |
| Last Modified: | 15 Dec 2023 10:31 |
| DOI: | 10.1136/bmjophth-2020-000464 |
| Open Access URL: | http://10.0.4.112/bmjophth-2020-000464 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3177411 |
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