Seven-year trends in cataract surgery indications and quality of outcomes at Aravind Eye Hospitals, India
Purpose To report trends in cataract surgery indications, visual acuity outcomes, complication rates and reoperation rates at ten Aravind Eye Hospitals in Tamil Nadu, India. Methods In this retrospective database study we analyzed seven years of data of cataract surgeries at Aravind during January 1...
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| Veröffentlicht in: | Eye (London) 2021-07, Vol.35 (7), p.1895-1903 |
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| creator | Ravindran, Ravilla D. Gupta, Sachin Haripriya, Aravind Ravilla, Thulasiraj S, Ashok Vardhan Subburaman, Ganesh-Babu B. |
| description | Purpose
To report trends in cataract surgery indications, visual acuity outcomes, complication rates and reoperation rates at ten Aravind Eye Hospitals in Tamil Nadu, India.
Methods
In this retrospective database study we analyzed seven years of data of cataract surgeries at Aravind during January 1, 2012 to December 31, 2018. Our main outcome measures were preoperative and 1-month postoperative uncorrected visual acuity (UCVA) and best-corrected visual acuity (BCVA); and rates of intraoperative complications and reoperations. We performed Cochran–Armitage trend tests.
Results
In 1.86 million eyes that underwent cataract surgery, the percentage of eyes undergoing phacoemulsification (PE) showed an increasing trend (
p
|
| doi_str_mv | 10.1038/s41433-020-0954-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2544661945</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2544661945</sourcerecordid><originalsourceid>FETCH-LOGICAL-c470t-7f64bd9ccdfb26fe2b937ebd571a0ba284854f19928f5b2b2574b7a1c7d6eb443</originalsourceid><addsrcrecordid>eNqNkk1rFTEUhgdR7LX6A9xIwI2go0kmmY9NoVyqLRRcqOAuJJkzNWVucptkrsy_9wxTrx8guAhJ3jzv4RzeFMVzRt8yWrXvkmCiqkrKaUk7KUr5oNgw0dSlFFI8LDYo0pJz_vWkeJLSLaX42NDHxUnFO7asTeE-wQF8OYOOJEfwfSLOE6uzjtpmkqZ4A3FGrXcouuAT0b4nd5MeXZ5JGEiYsg07QD2T86gPiJKLGchlSHuX9ZjekCt066fFowFv8Ox-Py2-vL_4vL0srz9-uNqeX5dWNDSXzVAL03fW9oPh9QDcdFUDppcN09Ro3opWioF1HW8HabjhshGm0cw2fQ1GiOq0OFvr7iezg96Cz1GPah_dTsdZBe3Uny_efVM34aBazmUtOyzw6r5ADHcTpKx2LlkYR-0hTElxIVhNJZctoi__Qm_DFD2Op7gUoq5ZJyRSbKVsDClFGI7NMKqWINUapMIg1RKkWjwvfp_i6PiZHALtCnwHE4ZkHXgLR4xSKuuWCcrwRNkWg1jC24bJZ7S-_n8r0nylExIef8OvGf_d_g92sMsy</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2544661945</pqid></control><display><type>article</type><title>Seven-year trends in cataract surgery indications and quality of outcomes at Aravind Eye Hospitals, India</title><source>MEDLINE</source><source>Web of Science - Science Citation Index Expanded - 2021<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" /></source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Ravindran, Ravilla D. ; Gupta, Sachin ; Haripriya, Aravind ; Ravilla, Thulasiraj ; S, Ashok Vardhan ; Subburaman, Ganesh-Babu B.</creator><creatorcontrib>Ravindran, Ravilla D. ; Gupta, Sachin ; Haripriya, Aravind ; Ravilla, Thulasiraj ; S, Ashok Vardhan ; Subburaman, Ganesh-Babu B.</creatorcontrib><description><![CDATA[Purpose
To report trends in cataract surgery indications, visual acuity outcomes, complication rates and reoperation rates at ten Aravind Eye Hospitals in Tamil Nadu, India.
Methods
In this retrospective database study we analyzed seven years of data of cataract surgeries at Aravind during January 1, 2012 to December 31, 2018. Our main outcome measures were preoperative and 1-month postoperative uncorrected visual acuity (UCVA) and best-corrected visual acuity (BCVA); and rates of intraoperative complications and reoperations. We performed Cochran–Armitage trend tests.
Results
In 1.86 million eyes that underwent cataract surgery, the percentage of eyes undergoing phacoemulsification (PE) showed an increasing trend (
p
< 0.0001), from 26.8% in 2012 to 33.5% in 2018. The percentage of eyes undergoing manual small incision cataract surgery (SICS) showed a decreasing trend (
p
< 0.0001), from 70.0% in 2012 to 65.1% in 2018. For SICS, the percentages of eyes with good postoperative UCVA and BCVA showed increasing trends (
p
< 0.0001 for each), and the percentages of eyes with poor postoperative UCVA and BCVA showed decreasing trends (
p
< 0.0001 for each). Results for PE surgeries were mixed. For both PE and SICS rates of intraoperative complications showed a declining trend (
p
< 0.0001 for each) and a slight increasing trend for reoperations (PE
p
< 0.02; SICS
p
< 0.0001).
Conclusions
During this seven-year period there were noticeable trends in cataract surgeries performed at Aravind in terms of the mix of surgical procedures, preoperative vision, and cataract surgical outcomes.]]></description><identifier>ISSN: 0950-222X</identifier><identifier>EISSN: 1476-5454</identifier><identifier>DOI: 10.1038/s41433-020-0954-5</identifier><identifier>PMID: 32913291</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/499 ; 692/699/3161/3168 ; Acuity ; Cataract ; Cataract Extraction ; Cataracts ; Eye ; Eye surgery ; Hospitals ; Humans ; India - epidemiology ; Laboratory Medicine ; Lens Implantation, Intraocular ; Life Sciences & Biomedicine ; Medicine ; Medicine & Public Health ; Ophthalmology ; Phacoemulsification ; Pharmaceutical Sciences/Technology ; Postoperative Complications - epidemiology ; Retrospective Studies ; Science & Technology ; Surgery ; Surgical Oncology ; Surgical outcomes ; Treatment Outcome ; Trends</subject><ispartof>Eye (London), 2021-07, Vol.35 (7), p.1895-1903</ispartof><rights>The Author(s), under exclusive licence to The Royal College of Ophthalmologists 2020</rights><rights>The Author(s), under exclusive licence to The Royal College of Ophthalmologists 2020.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>7</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000568140100001</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c470t-7f64bd9ccdfb26fe2b937ebd571a0ba284854f19928f5b2b2574b7a1c7d6eb443</citedby><cites>FETCH-LOGICAL-c470t-7f64bd9ccdfb26fe2b937ebd571a0ba284854f19928f5b2b2574b7a1c7d6eb443</cites><orcidid>0000-0002-1935-7443 ; 0000-0002-4882-4290</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/PMC8225659/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8225659/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,729,782,786,887,27931,27932,39265,53798,53800</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32913291$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ravindran, Ravilla D.</creatorcontrib><creatorcontrib>Gupta, Sachin</creatorcontrib><creatorcontrib>Haripriya, Aravind</creatorcontrib><creatorcontrib>Ravilla, Thulasiraj</creatorcontrib><creatorcontrib>S, Ashok Vardhan</creatorcontrib><creatorcontrib>Subburaman, Ganesh-Babu B.</creatorcontrib><title>Seven-year trends in cataract surgery indications and quality of outcomes at Aravind Eye Hospitals, India</title><title>Eye (London)</title><addtitle>Eye</addtitle><addtitle>EYE</addtitle><addtitle>Eye (Lond)</addtitle><description><![CDATA[Purpose
To report trends in cataract surgery indications, visual acuity outcomes, complication rates and reoperation rates at ten Aravind Eye Hospitals in Tamil Nadu, India.
Methods
In this retrospective database study we analyzed seven years of data of cataract surgeries at Aravind during January 1, 2012 to December 31, 2018. Our main outcome measures were preoperative and 1-month postoperative uncorrected visual acuity (UCVA) and best-corrected visual acuity (BCVA); and rates of intraoperative complications and reoperations. We performed Cochran–Armitage trend tests.
Results
In 1.86 million eyes that underwent cataract surgery, the percentage of eyes undergoing phacoemulsification (PE) showed an increasing trend (
p
< 0.0001), from 26.8% in 2012 to 33.5% in 2018. The percentage of eyes undergoing manual small incision cataract surgery (SICS) showed a decreasing trend (
p
< 0.0001), from 70.0% in 2012 to 65.1% in 2018. For SICS, the percentages of eyes with good postoperative UCVA and BCVA showed increasing trends (
p
< 0.0001 for each), and the percentages of eyes with poor postoperative UCVA and BCVA showed decreasing trends (
p
< 0.0001 for each). Results for PE surgeries were mixed. For both PE and SICS rates of intraoperative complications showed a declining trend (
p
< 0.0001 for each) and a slight increasing trend for reoperations (PE
p
< 0.02; SICS
p
< 0.0001).
Conclusions
During this seven-year period there were noticeable trends in cataract surgeries performed at Aravind in terms of the mix of surgical procedures, preoperative vision, and cataract surgical outcomes.]]></description><subject>692/499</subject><subject>692/699/3161/3168</subject><subject>Acuity</subject><subject>Cataract</subject><subject>Cataract Extraction</subject><subject>Cataracts</subject><subject>Eye</subject><subject>Eye surgery</subject><subject>Hospitals</subject><subject>Humans</subject><subject>India - epidemiology</subject><subject>Laboratory Medicine</subject><subject>Lens Implantation, Intraocular</subject><subject>Life Sciences & Biomedicine</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Ophthalmology</subject><subject>Phacoemulsification</subject><subject>Pharmaceutical Sciences/Technology</subject><subject>Postoperative Complications - epidemiology</subject><subject>Retrospective Studies</subject><subject>Science & Technology</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Surgical outcomes</subject><subject>Treatment Outcome</subject><subject>Trends</subject><issn>0950-222X</issn><issn>1476-5454</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkk1rFTEUhgdR7LX6A9xIwI2go0kmmY9NoVyqLRRcqOAuJJkzNWVucptkrsy_9wxTrx8guAhJ3jzv4RzeFMVzRt8yWrXvkmCiqkrKaUk7KUr5oNgw0dSlFFI8LDYo0pJz_vWkeJLSLaX42NDHxUnFO7asTeE-wQF8OYOOJEfwfSLOE6uzjtpmkqZ4A3FGrXcouuAT0b4nd5MeXZ5JGEiYsg07QD2T86gPiJKLGchlSHuX9ZjekCt066fFowFv8Ox-Py2-vL_4vL0srz9-uNqeX5dWNDSXzVAL03fW9oPh9QDcdFUDppcN09Ro3opWioF1HW8HabjhshGm0cw2fQ1GiOq0OFvr7iezg96Cz1GPah_dTsdZBe3Uny_efVM34aBazmUtOyzw6r5ADHcTpKx2LlkYR-0hTElxIVhNJZctoi__Qm_DFD2Op7gUoq5ZJyRSbKVsDClFGI7NMKqWINUapMIg1RKkWjwvfp_i6PiZHALtCnwHE4ZkHXgLR4xSKuuWCcrwRNkWg1jC24bJZ7S-_n8r0nylExIef8OvGf_d_g92sMsy</recordid><startdate>20210701</startdate><enddate>20210701</enddate><creator>Ravindran, Ravilla D.</creator><creator>Gupta, Sachin</creator><creator>Haripriya, Aravind</creator><creator>Ravilla, Thulasiraj</creator><creator>S, Ashok Vardhan</creator><creator>Subburaman, Ganesh-Babu B.</creator><general>Nature Publishing Group UK</general><general>Springer Nature</general><general>Nature Publishing Group</general><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><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>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1935-7443</orcidid><orcidid>https://orcid.org/0000-0002-4882-4290</orcidid></search><sort><creationdate>20210701</creationdate><title>Seven-year trends in cataract surgery indications and quality of outcomes at Aravind Eye Hospitals, India</title><author>Ravindran, Ravilla D. ; Gupta, Sachin ; Haripriya, Aravind ; Ravilla, Thulasiraj ; S, Ashok Vardhan ; Subburaman, Ganesh-Babu B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-7f64bd9ccdfb26fe2b937ebd571a0ba284854f19928f5b2b2574b7a1c7d6eb443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>692/499</topic><topic>692/699/3161/3168</topic><topic>Acuity</topic><topic>Cataract</topic><topic>Cataract Extraction</topic><topic>Cataracts</topic><topic>Eye</topic><topic>Eye surgery</topic><topic>Hospitals</topic><topic>Humans</topic><topic>India - epidemiology</topic><topic>Laboratory Medicine</topic><topic>Lens Implantation, Intraocular</topic><topic>Life Sciences & Biomedicine</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Ophthalmology</topic><topic>Phacoemulsification</topic><topic>Pharmaceutical Sciences/Technology</topic><topic>Postoperative Complications - epidemiology</topic><topic>Retrospective Studies</topic><topic>Science & Technology</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Surgical outcomes</topic><topic>Treatment Outcome</topic><topic>Trends</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ravindran, Ravilla D.</creatorcontrib><creatorcontrib>Gupta, Sachin</creatorcontrib><creatorcontrib>Haripriya, Aravind</creatorcontrib><creatorcontrib>Ravilla, Thulasiraj</creatorcontrib><creatorcontrib>S, Ashok Vardhan</creatorcontrib><creatorcontrib>Subburaman, Ganesh-Babu B.</creatorcontrib><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Eye (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ravindran, Ravilla D.</au><au>Gupta, Sachin</au><au>Haripriya, Aravind</au><au>Ravilla, Thulasiraj</au><au>S, Ashok Vardhan</au><au>Subburaman, Ganesh-Babu B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Seven-year trends in cataract surgery indications and quality of outcomes at Aravind Eye Hospitals, India</atitle><jtitle>Eye (London)</jtitle><stitle>Eye</stitle><stitle>EYE</stitle><addtitle>Eye (Lond)</addtitle><date>2021-07-01</date><risdate>2021</risdate><volume>35</volume><issue>7</issue><spage>1895</spage><epage>1903</epage><pages>1895-1903</pages><issn>0950-222X</issn><eissn>1476-5454</eissn><abstract><![CDATA[Purpose
To report trends in cataract surgery indications, visual acuity outcomes, complication rates and reoperation rates at ten Aravind Eye Hospitals in Tamil Nadu, India.
Methods
In this retrospective database study we analyzed seven years of data of cataract surgeries at Aravind during January 1, 2012 to December 31, 2018. Our main outcome measures were preoperative and 1-month postoperative uncorrected visual acuity (UCVA) and best-corrected visual acuity (BCVA); and rates of intraoperative complications and reoperations. We performed Cochran–Armitage trend tests.
Results
In 1.86 million eyes that underwent cataract surgery, the percentage of eyes undergoing phacoemulsification (PE) showed an increasing trend (
p
< 0.0001), from 26.8% in 2012 to 33.5% in 2018. The percentage of eyes undergoing manual small incision cataract surgery (SICS) showed a decreasing trend (
p
< 0.0001), from 70.0% in 2012 to 65.1% in 2018. For SICS, the percentages of eyes with good postoperative UCVA and BCVA showed increasing trends (
p
< 0.0001 for each), and the percentages of eyes with poor postoperative UCVA and BCVA showed decreasing trends (
p
< 0.0001 for each). Results for PE surgeries were mixed. For both PE and SICS rates of intraoperative complications showed a declining trend (
p
< 0.0001 for each) and a slight increasing trend for reoperations (PE
p
< 0.02; SICS
p
< 0.0001).
Conclusions
During this seven-year period there were noticeable trends in cataract surgeries performed at Aravind in terms of the mix of surgical procedures, preoperative vision, and cataract surgical outcomes.]]></abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>32913291</pmid><doi>10.1038/s41433-020-0954-5</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-1935-7443</orcidid><orcidid>https://orcid.org/0000-0002-4882-4290</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | Eye (London), 2021-07, Vol.35 (7), p.1895-1903 |
| issn | 0950-222X 1476-5454 |
| language | eng |
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| source | MEDLINE; Web of Science - Science Citation Index Expanded - 2021<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" />; PubMed Central; Alma/SFX Local Collection |
| subjects | 692/499 692/699/3161/3168 Acuity Cataract Cataract Extraction Cataracts Eye Eye surgery Hospitals Humans India - epidemiology Laboratory Medicine Lens Implantation, Intraocular Life Sciences & Biomedicine Medicine Medicine & Public Health Ophthalmology Phacoemulsification Pharmaceutical Sciences/Technology Postoperative Complications - epidemiology Retrospective Studies Science & Technology Surgery Surgical Oncology Surgical outcomes Treatment Outcome Trends |
| title | Seven-year trends in cataract surgery indications and quality of outcomes at Aravind Eye Hospitals, India |
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