Effect of deprivation and ethnicity on primary macula-on retinal detachment repair success rate and clinical outcomes: A study of 568 patients
Socio-economic deprivation and ethnic variation have been frequently linked to poorer health outcomes. We collected a large series of primary macula-on rhegmatogenous retinal detachment (RRD) cases and analysed the effect of socio-economic deprivation and ethnicity on both six-month retinal re-detac...
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| creator | Moussa, George Kalogeropoulos, Dimitrios Ch'ng, Soon Wai Lett, Kim Son Mitra, Arijit Tyagi, Ajai K Sharma, Ash Andreatta, Walter |
| description | Socio-economic deprivation and ethnic variation have been frequently linked to poorer health outcomes. We collected a large series of primary macula-on rhegmatogenous retinal detachment (RRD) cases and analysed the effect of socio-economic deprivation and ethnicity on both six-month retinal re-detachment rate and visual outcomes.
Retrospective consecutive case series of 568 patients attending Birmingham and Midlands Eye Centre from January 2017-2020. Multiple Indices of Deprivation (IMD) deciles were used for deprivation status and split to two groups: IMD-A (Decile 1-5) and IMD-B (Decile 6-10). The two largest subgroups of ethnicities were compared, White and South Asians (SA).
We report an overall retinal re-detachment rate of 8.5%. IMD-A re-detached significantly more than IMD-B (11.2% vs 6.0% respectively, p = 0.034). No statistical significance was found between White and SA re-detachment rate (9.1% and 5.6% respectively, p = 0.604). SA median age significantly lower at 49 years (IQR: 37-61) compared to White patients at 57 years (IQR: 50-65) (p = |
| doi_str_mv | 10.1371/journal.pone.0259714 |
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Retrospective consecutive case series of 568 patients attending Birmingham and Midlands Eye Centre from January 2017-2020. Multiple Indices of Deprivation (IMD) deciles were used for deprivation status and split to two groups: IMD-A (Decile 1-5) and IMD-B (Decile 6-10). The two largest subgroups of ethnicities were compared, White and South Asians (SA).
We report an overall retinal re-detachment rate of 8.5%. IMD-A re-detached significantly more than IMD-B (11.2% vs 6.0% respectively, p = 0.034). No statistical significance was found between White and SA re-detachment rate (9.1% and 5.6% respectively, p = 0.604). SA median age significantly lower at 49 years (IQR: 37-61) compared to White patients at 57 years (IQR: 50-65) (p = <0.001). IMD-A median age of 55 years (IQR: 46-64) was significantly lower to IMD-B median age of 58 years (IQR: 51-65) (p = 0.011). No differences in final visual outcomes were detected across all groups.
We demonstrated an increased retinal re-detachment rate in our more deprived patients according to IMD and a younger cohort of SA compared to White ethnicity. Further prospective studies are required to demonstrate the link between socio-economic deprivation and surgical success.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0259714</identifier><identifier>PMID: 34752493</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Age ; Aged ; Biology and Life Sciences ; Cataracts ; Clinical outcomes ; Complications and side effects ; Consent ; Cryotherapy ; Deprivation ; Economic analysis ; Ethnicity ; Female ; Hospitals ; Humans ; Macula Lutea - pathology ; Male ; Median (statistics) ; Medicine and Health Sciences ; Middle Aged ; Minority & ethnic groups ; Ophthalmology ; Patient outcomes ; Patients ; People and Places ; Retina ; Retinal detachment ; Retinal Detachment - surgery ; Retrospective Studies ; Social Sciences ; Socioeconomic Factors ; Socioeconomics ; Statistical analysis ; Subgroups ; Surgery ; Surgical outcomes ; Treatment Outcome ; Visual Acuity ; White People</subject><ispartof>PloS one, 2021-11, Vol.16 (11), p.e0259714</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Moussa et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 Moussa et al 2021 Moussa et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-3e55de08a9d1a6b17592f6278942086ab6a4d021ab42f8e93f451bff2a3d36c33</citedby><cites>FETCH-LOGICAL-c692t-3e55de08a9d1a6b17592f6278942086ab6a4d021ab42f8e93f451bff2a3d36c33</cites><orcidid>0000-0002-5136-6841</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8577769/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8577769/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34752493$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Khetan, Vikas</contributor><creatorcontrib>Moussa, George</creatorcontrib><creatorcontrib>Kalogeropoulos, Dimitrios</creatorcontrib><creatorcontrib>Ch'ng, Soon Wai</creatorcontrib><creatorcontrib>Lett, Kim Son</creatorcontrib><creatorcontrib>Mitra, Arijit</creatorcontrib><creatorcontrib>Tyagi, Ajai K</creatorcontrib><creatorcontrib>Sharma, Ash</creatorcontrib><creatorcontrib>Andreatta, Walter</creatorcontrib><title>Effect of deprivation and ethnicity on primary macula-on retinal detachment repair success rate and clinical outcomes: A study of 568 patients</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Socio-economic deprivation and ethnic variation have been frequently linked to poorer health outcomes. We collected a large series of primary macula-on rhegmatogenous retinal detachment (RRD) cases and analysed the effect of socio-economic deprivation and ethnicity on both six-month retinal re-detachment rate and visual outcomes.
Retrospective consecutive case series of 568 patients attending Birmingham and Midlands Eye Centre from January 2017-2020. Multiple Indices of Deprivation (IMD) deciles were used for deprivation status and split to two groups: IMD-A (Decile 1-5) and IMD-B (Decile 6-10). The two largest subgroups of ethnicities were compared, White and South Asians (SA).
We report an overall retinal re-detachment rate of 8.5%. IMD-A re-detached significantly more than IMD-B (11.2% vs 6.0% respectively, p = 0.034). No statistical significance was found between White and SA re-detachment rate (9.1% and 5.6% respectively, p = 0.604). SA median age significantly lower at 49 years (IQR: 37-61) compared to White patients at 57 years (IQR: 50-65) (p = <0.001). IMD-A median age of 55 years (IQR: 46-64) was significantly lower to IMD-B median age of 58 years (IQR: 51-65) (p = 0.011). No differences in final visual outcomes were detected across all groups.
We demonstrated an increased retinal re-detachment rate in our more deprived patients according to IMD and a younger cohort of SA compared to White ethnicity. Further prospective studies are required to demonstrate the link between socio-economic deprivation and surgical success.</description><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>Biology and Life Sciences</subject><subject>Cataracts</subject><subject>Clinical outcomes</subject><subject>Complications and side effects</subject><subject>Consent</subject><subject>Cryotherapy</subject><subject>Deprivation</subject><subject>Economic analysis</subject><subject>Ethnicity</subject><subject>Female</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Macula Lutea - pathology</subject><subject>Male</subject><subject>Median (statistics)</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Minority & ethnic groups</subject><subject>Ophthalmology</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>People and Places</subject><subject>Retina</subject><subject>Retinal detachment</subject><subject>Retinal Detachment - surgery</subject><subject>Retrospective Studies</subject><subject>Social Sciences</subject><subject>Socioeconomic Factors</subject><subject>Socioeconomics</subject><subject>Statistical analysis</subject><subject>Subgroups</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Treatment Outcome</subject><subject>Visual Acuity</subject><subject>White People</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk9tu1DAQhiMEoqXwBggiISG42MWHxE64QKqqApUqVeJ0a03s8a6rJN7GTsW-BM-Md5tWDeoFyoWj8Tf_7xl7suwlJUvKJf1w6cehh3a58T0uCStrSYtH2SGtOVsIRvjje_8H2bMQLgkpeSXE0-yAF7JkRc0Psz-n1qKOube5wc3griE63-fQmxzjunfaxW2eAmmrg2Gbd6DHFhYpMmB0yT-lRdDrDvuYQhtwQx5GrTGEfICIeyXduqSUWD9G7TsMH_PjPMTRbHe-pajyTbJNCuF59sRCG_DFtB5lPz-f_jj5uji_-HJ2cny-0KJmccGxLA2SCmpDQTRUljWzgsmqLhipBDQCCkMYhaZgtsKa26KkjbUMuOFCc36Uvb7R3bQ-qKmVQaUuliUnBROJOLshjIdLNZWvPDi1D_hhpWCITreoiOFYmEZSak3BGwkoKyG1sQ1wIhgmrU-T29h0aHSqdIB2Jjrf6d1arfy1qkoppaiTwLtJYPBXI4aoOhc0ti306Mf9uQWhMrkl9M0_6MPVTdQKUgGutz756p2oOhYVlbKseJGo5QNU-gx2Tqd3Z12KzxLezxISE_F3XMEYgjr7_u3_2Ytfc_btPXaN0MZ18O24e6thDhY3oB58CAPauyZTonZjc9sNtRsbNY1NSnt1_4Lukm7nhP8F8xoUMA</recordid><startdate>20211109</startdate><enddate>20211109</enddate><creator>Moussa, George</creator><creator>Kalogeropoulos, Dimitrios</creator><creator>Ch'ng, Soon Wai</creator><creator>Lett, Kim Son</creator><creator>Mitra, Arijit</creator><creator>Tyagi, Ajai K</creator><creator>Sharma, Ash</creator><creator>Andreatta, Walter</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-5136-6841</orcidid></search><sort><creationdate>20211109</creationdate><title>Effect of deprivation and ethnicity on primary macula-on retinal detachment repair success rate and clinical outcomes: A study of 568 patients</title><author>Moussa, George ; Kalogeropoulos, Dimitrios ; Ch'ng, Soon Wai ; Lett, Kim Son ; Mitra, Arijit ; Tyagi, Ajai K ; Sharma, Ash ; Andreatta, Walter</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-3e55de08a9d1a6b17592f6278942086ab6a4d021ab42f8e93f451bff2a3d36c33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Age</topic><topic>Aged</topic><topic>Biology and Life Sciences</topic><topic>Cataracts</topic><topic>Clinical outcomes</topic><topic>Complications and side effects</topic><topic>Consent</topic><topic>Cryotherapy</topic><topic>Deprivation</topic><topic>Economic analysis</topic><topic>Ethnicity</topic><topic>Female</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Macula Lutea - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moussa, George</au><au>Kalogeropoulos, Dimitrios</au><au>Ch'ng, Soon Wai</au><au>Lett, Kim Son</au><au>Mitra, Arijit</au><au>Tyagi, Ajai K</au><au>Sharma, Ash</au><au>Andreatta, Walter</au><au>Khetan, Vikas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of deprivation and ethnicity on primary macula-on retinal detachment repair success rate and clinical outcomes: A study of 568 patients</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2021-11-09</date><risdate>2021</risdate><volume>16</volume><issue>11</issue><spage>e0259714</spage><pages>e0259714-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Socio-economic deprivation and ethnic variation have been frequently linked to poorer health outcomes. We collected a large series of primary macula-on rhegmatogenous retinal detachment (RRD) cases and analysed the effect of socio-economic deprivation and ethnicity on both six-month retinal re-detachment rate and visual outcomes.
Retrospective consecutive case series of 568 patients attending Birmingham and Midlands Eye Centre from January 2017-2020. Multiple Indices of Deprivation (IMD) deciles were used for deprivation status and split to two groups: IMD-A (Decile 1-5) and IMD-B (Decile 6-10). The two largest subgroups of ethnicities were compared, White and South Asians (SA).
We report an overall retinal re-detachment rate of 8.5%. IMD-A re-detached significantly more than IMD-B (11.2% vs 6.0% respectively, p = 0.034). No statistical significance was found between White and SA re-detachment rate (9.1% and 5.6% respectively, p = 0.604). SA median age significantly lower at 49 years (IQR: 37-61) compared to White patients at 57 years (IQR: 50-65) (p = <0.001). IMD-A median age of 55 years (IQR: 46-64) was significantly lower to IMD-B median age of 58 years (IQR: 51-65) (p = 0.011). No differences in final visual outcomes were detected across all groups.
We demonstrated an increased retinal re-detachment rate in our more deprived patients according to IMD and a younger cohort of SA compared to White ethnicity. Further prospective studies are required to demonstrate the link between socio-economic deprivation and surgical success.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>34752493</pmid><doi>10.1371/journal.pone.0259714</doi><tpages>e0259714</tpages><orcidid>https://orcid.org/0000-0002-5136-6841</orcidid><oa>free_for_read</oa></addata></record> |
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| language | eng |
| recordid | cdi_plos_journals_2595530426 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adult Age Aged Biology and Life Sciences Cataracts Clinical outcomes Complications and side effects Consent Cryotherapy Deprivation Economic analysis Ethnicity Female Hospitals Humans Macula Lutea - pathology Male Median (statistics) Medicine and Health Sciences Middle Aged Minority & ethnic groups Ophthalmology Patient outcomes Patients People and Places Retina Retinal detachment Retinal Detachment - surgery Retrospective Studies Social Sciences Socioeconomic Factors Socioeconomics Statistical analysis Subgroups Surgery Surgical outcomes Treatment Outcome Visual Acuity White People |
| title | Effect of deprivation and ethnicity on primary macula-on retinal detachment repair success rate and clinical outcomes: A study of 568 patients |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T07%3A55%3A14IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Effect%20of%20deprivation%20and%20ethnicity%20on%20primary%20macula-on%20retinal%20detachment%20repair%20success%20rate%20and%20clinical%20outcomes:%20A%20study%20of%20568%20patients&rft.jtitle=PloS%20one&rft.au=Moussa,%20George&rft.date=2021-11-09&rft.volume=16&rft.issue=11&rft.spage=e0259714&rft.pages=e0259714-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0259714&rft_dat=%3Cgale_plos_%3EA681775834%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2595530426&rft_id=info:pmid/34752493&rft_galeid=A681775834&rft_doaj_id=oai_doaj_org_article_0d3e4db711fd43b7ae7867cdfba3062e&rfr_iscdi=true |