Cataract surgery practice patterns worldwide: a survey

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-.

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<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 (<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
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