Trends in the incidence of retinopathy of prematurity over a 10-year period

Aim To describe and evaluate the trends in the incidence of retinopathy of prematurity over a 10-year period in a tertiary hospital in Hong Kong. Methods A retrospective review was performed on all preterm infants screened and/or treated for retinopathy of prematurity from January 2006 to December 2...

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Veröffentlicht in:International ophthalmology 2019-04, Vol.39 (4), p.903-909
Hauptverfasser: Chow, Prudence P. C., Yip, Wilson W. K., Ho, Mary, Lok, Julie Y. C., Lau, Henry H. W., Young, Alvin L.
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container_issue 4
container_start_page 903
container_title International ophthalmology
container_volume 39
creator Chow, Prudence P. C.
Yip, Wilson W. K.
Ho, Mary
Lok, Julie Y. C.
Lau, Henry H. W.
Young, Alvin L.
description Aim To describe and evaluate the trends in the incidence of retinopathy of prematurity over a 10-year period in a tertiary hospital in Hong Kong. Methods A retrospective review was performed on all preterm infants screened and/or treated for retinopathy of prematurity from January 2006 to December 2015 at Prince of Wales Hospital, Hong Kong. Preterm infants with incomplete records or transferred-in from other hospitals/region solely for treatment of ROP were excluded. The incidence of any ROP or Type 1 ROP was analysed with gestational age and birth weight over a 10-year period with consecutive 2-year intervals to evaluate the trends. Results Of all 754 infants included in the study, 234 (31.0%) patients had any ROP and 34 (4.5%) infants developed Type 1 ROP. The incidence of any ROP demonstrated a statistically significant decreasing trend over the five consecutive 2-year intervals ( p  = 0.016), but the incidence trend of Type 1 ROP is not statistically significant. No infants weighing more than 1250 g developed Type 1 ROP. Conclusion We observed a decreasing trend in the incidence of any ROP across the 10-year period in a tertiary hospital in Hong Kong, while the incidence of Type 1 ROP remained stable at 4.5%. The factors leading to the trend were unclear. Improved prenatal care, changing proportion of cases with different birth weight and gestational age, oxygenation level practice in neonatal unit may all contribute to the decreasing trend. Revision of screening criteria may be made according to local experience to maximise cost-effectiveness.
doi_str_mv 10.1007/s10792-018-0896-0
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C. ; Yip, Wilson W. K. ; Ho, Mary ; Lok, Julie Y. C. ; Lau, Henry H. W. ; Young, Alvin L.</creator><creatorcontrib>Chow, Prudence P. C. ; Yip, Wilson W. K. ; Ho, Mary ; Lok, Julie Y. C. ; Lau, Henry H. W. ; Young, Alvin L.</creatorcontrib><description>Aim To describe and evaluate the trends in the incidence of retinopathy of prematurity over a 10-year period in a tertiary hospital in Hong Kong. Methods A retrospective review was performed on all preterm infants screened and/or treated for retinopathy of prematurity from January 2006 to December 2015 at Prince of Wales Hospital, Hong Kong. Preterm infants with incomplete records or transferred-in from other hospitals/region solely for treatment of ROP were excluded. The incidence of any ROP or Type 1 ROP was analysed with gestational age and birth weight over a 10-year period with consecutive 2-year intervals to evaluate the trends. Results Of all 754 infants included in the study, 234 (31.0%) patients had any ROP and 34 (4.5%) infants developed Type 1 ROP. The incidence of any ROP demonstrated a statistically significant decreasing trend over the five consecutive 2-year intervals ( p  = 0.016), but the incidence trend of Type 1 ROP is not statistically significant. No infants weighing more than 1250 g developed Type 1 ROP. Conclusion We observed a decreasing trend in the incidence of any ROP across the 10-year period in a tertiary hospital in Hong Kong, while the incidence of Type 1 ROP remained stable at 4.5%. The factors leading to the trend were unclear. Improved prenatal care, changing proportion of cases with different birth weight and gestational age, oxygenation level practice in neonatal unit may all contribute to the decreasing trend. Revision of screening criteria may be made according to local experience to maximise cost-effectiveness.</description><identifier>ISSN: 0165-5701</identifier><identifier>EISSN: 1573-2630</identifier><identifier>DOI: 10.1007/s10792-018-0896-0</identifier><identifier>PMID: 29907928</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Birth Weight ; Female ; Gestational Age ; Hong Kong - epidemiology ; Humans ; Incidence ; Infant ; Infant, Newborn ; Infant, Premature ; Infants ; Intervals ; Male ; Medicine ; Medicine &amp; Public Health ; Neonates ; Newborn babies ; Ophthalmology ; Original Paper ; Oxygenation ; Retina ; Retinopathy ; Retinopathy of Prematurity - epidemiology ; Retrospective Studies ; Risk Factors ; Statistical analysis ; Statistical significance ; Trends</subject><ispartof>International ophthalmology, 2019-04, Vol.39 (4), p.903-909</ispartof><rights>Springer Nature B.V. 2018</rights><rights>International Ophthalmology is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-dfde849aaa4a4fce9a35e71374eac202c7a343e8f373dbd056d76bfa383115e43</citedby><cites>FETCH-LOGICAL-c372t-dfde849aaa4a4fce9a35e71374eac202c7a343e8f373dbd056d76bfa383115e43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10792-018-0896-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10792-018-0896-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29907928$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chow, Prudence P. C.</creatorcontrib><creatorcontrib>Yip, Wilson W. K.</creatorcontrib><creatorcontrib>Ho, Mary</creatorcontrib><creatorcontrib>Lok, Julie Y. C.</creatorcontrib><creatorcontrib>Lau, Henry H. W.</creatorcontrib><creatorcontrib>Young, Alvin L.</creatorcontrib><title>Trends in the incidence of retinopathy of prematurity over a 10-year period</title><title>International ophthalmology</title><addtitle>Int Ophthalmol</addtitle><addtitle>Int Ophthalmol</addtitle><description>Aim To describe and evaluate the trends in the incidence of retinopathy of prematurity over a 10-year period in a tertiary hospital in Hong Kong. Methods A retrospective review was performed on all preterm infants screened and/or treated for retinopathy of prematurity from January 2006 to December 2015 at Prince of Wales Hospital, Hong Kong. Preterm infants with incomplete records or transferred-in from other hospitals/region solely for treatment of ROP were excluded. The incidence of any ROP or Type 1 ROP was analysed with gestational age and birth weight over a 10-year period with consecutive 2-year intervals to evaluate the trends. Results Of all 754 infants included in the study, 234 (31.0%) patients had any ROP and 34 (4.5%) infants developed Type 1 ROP. The incidence of any ROP demonstrated a statistically significant decreasing trend over the five consecutive 2-year intervals ( p  = 0.016), but the incidence trend of Type 1 ROP is not statistically significant. No infants weighing more than 1250 g developed Type 1 ROP. Conclusion We observed a decreasing trend in the incidence of any ROP across the 10-year period in a tertiary hospital in Hong Kong, while the incidence of Type 1 ROP remained stable at 4.5%. The factors leading to the trend were unclear. Improved prenatal care, changing proportion of cases with different birth weight and gestational age, oxygenation level practice in neonatal unit may all contribute to the decreasing trend. Revision of screening criteria may be made according to local experience to maximise cost-effectiveness.</description><subject>Birth Weight</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Hong Kong - epidemiology</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Infants</subject><subject>Intervals</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Neonates</subject><subject>Newborn babies</subject><subject>Ophthalmology</subject><subject>Original Paper</subject><subject>Oxygenation</subject><subject>Retina</subject><subject>Retinopathy</subject><subject>Retinopathy of Prematurity - epidemiology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Statistical analysis</subject><subject>Statistical significance</subject><subject>Trends</subject><issn>0165-5701</issn><issn>1573-2630</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kE1LxDAQhoMo7rr6A7xIwYuX6KRpmuQoi1-44GU9h2wzdbvstjVphf33ptQPEDwNQ573zfAQcs7gmgHIm8BA6pQCUxSUzikckCkTktM053BIpsByQYUENiEnIWwAQEudH5NJqvWQVFPyvPRYu5BUddKtMY6iclgXmDRl4rGr6qa13Xo_rK3Hne16X3Vx_UCf2IQB3aP1SYu-atwpOSrtNuDZ15yR1_u75fyRLl4enua3C1pwmXbUlQ5Vpq21mc3KArXlAiXjMkNbpJAW0vKMoyq55G7lQORO5qvScsUZE5jxGbkae1vfvPcYOrOrQoHbra2x6YNJY4RrrpSI6OUfdNP0vo7XDZSQCjKhI8VGqvBNCB5L0_pqZ_3eMDCDaTOaNtG0GUwbiJmLr-Z-tUP3k_hWG4F0BEJ8qt_Q_379f-snmrqIFQ</recordid><startdate>20190401</startdate><enddate>20190401</enddate><creator>Chow, Prudence P. 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C.</creatorcontrib><creatorcontrib>Yip, Wilson W. K.</creatorcontrib><creatorcontrib>Ho, Mary</creatorcontrib><creatorcontrib>Lok, Julie Y. C.</creatorcontrib><creatorcontrib>Lau, Henry H. 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C.</au><au>Yip, Wilson W. K.</au><au>Ho, Mary</au><au>Lok, Julie Y. C.</au><au>Lau, Henry H. W.</au><au>Young, Alvin L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trends in the incidence of retinopathy of prematurity over a 10-year period</atitle><jtitle>International ophthalmology</jtitle><stitle>Int Ophthalmol</stitle><addtitle>Int Ophthalmol</addtitle><date>2019-04-01</date><risdate>2019</risdate><volume>39</volume><issue>4</issue><spage>903</spage><epage>909</epage><pages>903-909</pages><issn>0165-5701</issn><eissn>1573-2630</eissn><abstract>Aim To describe and evaluate the trends in the incidence of retinopathy of prematurity over a 10-year period in a tertiary hospital in Hong Kong. Methods A retrospective review was performed on all preterm infants screened and/or treated for retinopathy of prematurity from January 2006 to December 2015 at Prince of Wales Hospital, Hong Kong. Preterm infants with incomplete records or transferred-in from other hospitals/region solely for treatment of ROP were excluded. The incidence of any ROP or Type 1 ROP was analysed with gestational age and birth weight over a 10-year period with consecutive 2-year intervals to evaluate the trends. Results Of all 754 infants included in the study, 234 (31.0%) patients had any ROP and 34 (4.5%) infants developed Type 1 ROP. The incidence of any ROP demonstrated a statistically significant decreasing trend over the five consecutive 2-year intervals ( p  = 0.016), but the incidence trend of Type 1 ROP is not statistically significant. No infants weighing more than 1250 g developed Type 1 ROP. Conclusion We observed a decreasing trend in the incidence of any ROP across the 10-year period in a tertiary hospital in Hong Kong, while the incidence of Type 1 ROP remained stable at 4.5%. The factors leading to the trend were unclear. Improved prenatal care, changing proportion of cases with different birth weight and gestational age, oxygenation level practice in neonatal unit may all contribute to the decreasing trend. Revision of screening criteria may be made according to local experience to maximise cost-effectiveness.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>29907928</pmid><doi>10.1007/s10792-018-0896-0</doi><tpages>7</tpages></addata></record>
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subjects Birth Weight
Female
Gestational Age
Hong Kong - epidemiology
Humans
Incidence
Infant
Infant, Newborn
Infant, Premature
Infants
Intervals
Male
Medicine
Medicine & Public Health
Neonates
Newborn babies
Ophthalmology
Original Paper
Oxygenation
Retina
Retinopathy
Retinopathy of Prematurity - epidemiology
Retrospective Studies
Risk Factors
Statistical analysis
Statistical significance
Trends
title Trends in the incidence of retinopathy of prematurity over a 10-year period
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