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 |
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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 |
format | Article |
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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 & 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 & 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. C.</creator><creator>Yip, Wilson W. K.</creator><creator>Ho, Mary</creator><creator>Lok, Julie Y. C.</creator><creator>Lau, Henry H. W.</creator><creator>Young, Alvin L.</creator><general>Springer Netherlands</general><general>Springer Nature B.V</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>3V.</scope><scope>7QL</scope><scope>7T7</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20190401</creationdate><title>Trends in the incidence of retinopathy of prematurity over a 10-year period</title><author>Chow, Prudence P. C. ; Yip, Wilson W. K. ; Ho, Mary ; Lok, Julie Y. C. ; Lau, Henry H. W. ; Young, Alvin L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-dfde849aaa4a4fce9a35e71374eac202c7a343e8f373dbd056d76bfa383115e43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Birth Weight</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Hong Kong - epidemiology</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Infants</topic><topic>Intervals</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neonates</topic><topic>Newborn babies</topic><topic>Ophthalmology</topic><topic>Original Paper</topic><topic>Oxygenation</topic><topic>Retina</topic><topic>Retinopathy</topic><topic>Retinopathy of Prematurity - epidemiology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Statistical analysis</topic><topic>Statistical significance</topic><topic>Trends</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><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><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>Bacteriology Abstracts (Microbiology B)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS 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>Technology Research Database</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</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>International ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chow, Prudence P. 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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source | MEDLINE; SpringerLink Journals - AutoHoldings |
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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