McLean, Keri 
ORCID: 0000-0002-8907-1176, Ferrara, Mariantonia, Kaye, Rebecca, Romano, Vito ORCID: 0000-0002-5148-7643 and Kaye, Stephen ORCID: 0000-0003-0390-0592
(2021)
Establishing the influence of case complexity on the order of cataract lists: a cross-sectional survey.
BMJ OPEN OPHTHALMOLOGY, 6 (1).
e000809-.
Abstract
<h4>Objective</h4>Order of the theatre list and complexity of the cases are important considerations which are known to influence surgical outcomes. This survey aimed to establish their influence on cataract surgery.<h4>Methods and analysis</h4>Cataract surgeons ordered five cataract cases according to their surgical preference, first using case notes and second using composite ORs (CORs) for posterior capsule rupture. Descriptive and non-parametric statistics were used to analyse the data.<h4>Results</h4>Between 11 June and 14 July 2020, 192 cataract surgeons from 14 countries completed the online survey. Majority of the surgeons (142 vs 50) preferred to choose the order of their list (p<0.01) and to review the case notes prior to the day of surgery (89 vs 53; p=0.04). 39.86% preferred to start with the less risky case and 32.43% reserved the last position on the list for the riskiest case. There was a significant trend to order the list in an ascending level of risk, independent of whether case notes or CORs were used. Additionally, 44.79% of the respondents indicated they would be happy to have their list order planned by an automated program based on their preferred risk score.<h4>Conclusion</h4>This survey demonstrates that cataract surgeons prefer to choose the order of their theatre list and that the order is dependent on the complexity of cases. There is support among surgeons for automated list ordering based on an objective score for risk stratification, such as a COR.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | lens and zonules, 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: | 23 Dec 2021 15:07 |
| Last Modified: | 18 Jan 2023 21:18 |
| DOI: | 10.1136/bmjophth-2021-000809 |
| Open Access URL: | http://dx.doi.org/10.1136/bmjophth-2021-000809 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3145969 |
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