Delay in presentation to hospital for childhood cataract surgery in India
Purpose Cataract is one of the major causes of avoidable visual disability in children and the aim of this study was to investigate the age at which children with cataract present for surgery at tertiary hospitals across India. Methods A prospective multicenter study collected data from 9 eye hospit...
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| Veröffentlicht in: | Eye (London) 2018-12, Vol.32 (12), p.1811-1818 |
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| creator | Sheeladevi, Sethu Lawrenson, John G. Fielder, Alistair Kekunnaya, Ramesh Ali, Rahul Borah, Rishi R. Suttle, Catherine |
| description | Purpose
Cataract is one of the major causes of avoidable visual disability in children and the aim of this study was to investigate the age at which children with cataract present for surgery at tertiary hospitals across India.
Methods
A prospective multicenter study collected data from 9 eye hospitals in 8 states in India. All children admitted for cataract surgery between Nov 2015 and March 2016 were considered eligible. Parents were interviewed at the hospital by trained personnel and socio demographic information, age at diagnosis and at surgery and the relevant clinical data were obtained from the medical records. Mean age, age range at surgery were used and performed logistic regression analyses.
Results
Parents of 751 consecutive cases were interviewed, of which 469(63%) were boys and 548 (73%) were from rural areas. Cataract was bilateral in 493 (66%) and unilateral in 258 (34%); of the unilateral cases, 179 (69%) were due to trauma. The mean age at surgery for ‘congenital’ and ‘developmental’ cataract was 48.2 ± 50.9 and 99.7 ± 46.42 months, respectively and the mean age was lower in the southern region compared to other regions. Children with 2 or more siblings at home were five times more likely to undergo surgery within 12 months (OR, 4.69; 95% CI: 2.04–10.79;
p
= |
| doi_str_mv | 10.1038/s41433-018-0176-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6292888</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2080840367</sourcerecordid><originalsourceid>FETCH-LOGICAL-c470t-e3a4fca9318b425b2cae4cc8701aefb2104ae82807e9df1b1bb0f71621a28a8d3</originalsourceid><addsrcrecordid>eNp1kUtLxTAQhYMoen38ADdScOOmOpOmbboRxOcFwY2CuzBNU2-kt7kmreC_N3p9g4uQwPnmzEwOY7sIhwiZPAoCRZalgDKeskj5CpugiI9c5GKVTaDKIeWc32-wzRAeAaJYwjrbyAAKLHKcsOmZ6eglsX2y8CaYfqDBuj4ZXDJzYWEH6pLW-UTPbNfMnGsSTQN50kMSRv9g_HvptG8sbbO1lrpgdj7uLXZ3cX57epVe31xOT0-uUy1KGFKTkWg1VRnKWvC85pqM0FqWgGTamiMIMpJLKE3VtFhjXUNbYsGRuCTZZFvseOm7GOu5aXSc2VOnFt7Oyb8oR1b9Vno7Uw_uWRW84lLKaHDwYeDd02jCoOY2aNN11Bs3BsVBghSQFWVE9_-gj270fVxPccxzWZUyryKFS0p7F4I37dcwCOotKLUMSsWg1FtQiseavZ9bfFV8JhMBvgRClPr409-t_3d9BZ4nnw8</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2155897859</pqid></control><display><type>article</type><title>Delay in presentation to hospital for childhood cataract surgery in India</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Sheeladevi, Sethu ; Lawrenson, John G. ; Fielder, Alistair ; Kekunnaya, Ramesh ; Ali, Rahul ; Borah, Rishi R. ; Suttle, Catherine</creator><creatorcontrib>Sheeladevi, Sethu ; Lawrenson, John G. ; Fielder, Alistair ; Kekunnaya, Ramesh ; Ali, Rahul ; Borah, Rishi R. ; Suttle, Catherine</creatorcontrib><description>Purpose
Cataract is one of the major causes of avoidable visual disability in children and the aim of this study was to investigate the age at which children with cataract present for surgery at tertiary hospitals across India.
Methods
A prospective multicenter study collected data from 9 eye hospitals in 8 states in India. All children admitted for cataract surgery between Nov 2015 and March 2016 were considered eligible. Parents were interviewed at the hospital by trained personnel and socio demographic information, age at diagnosis and at surgery and the relevant clinical data were obtained from the medical records. Mean age, age range at surgery were used and performed logistic regression analyses.
Results
Parents of 751 consecutive cases were interviewed, of which 469(63%) were boys and 548 (73%) were from rural areas. Cataract was bilateral in 493 (66%) and unilateral in 258 (34%); of the unilateral cases, 179 (69%) were due to trauma. The mean age at surgery for ‘congenital’ and ‘developmental’ cataract was 48.2 ± 50.9 and 99.7 ± 46.42 months, respectively and the mean age was lower in the southern region compared to other regions. Children with 2 or more siblings at home were five times more likely to undergo surgery within 12 months (OR, 4.69; 95% CI: 2.04–10.79;
p
= < 0.001).
Conclusions
Late surgery for childhood cataract remains a major challenge and the factors determining this issue in India are pertinent also to several other countries and need to be addressed for every child with cataract to achieve full visual potential.</description><identifier>ISSN: 0950-222X</identifier><identifier>EISSN: 1476-5454</identifier><identifier>DOI: 10.1038/s41433-018-0176-2</identifier><identifier>PMID: 30061651</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/699/3161/3168 ; 692/700/478/174 ; Age ; Cataracts ; Children ; Eye surgery ; Hospitals ; Laboratory Medicine ; Medical records ; Medicine ; Medicine & Public Health ; Ophthalmology ; Pharmaceutical Sciences/Technology ; Surgery ; Surgical Oncology ; Trauma</subject><ispartof>Eye (London), 2018-12, Vol.32 (12), p.1811-1818</ispartof><rights>The Author(s) 2018</rights><rights>2018. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-e3a4fca9318b425b2cae4cc8701aefb2104ae82807e9df1b1bb0f71621a28a8d3</citedby><cites>FETCH-LOGICAL-c470t-e3a4fca9318b425b2cae4cc8701aefb2104ae82807e9df1b1bb0f71621a28a8d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292888/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292888/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,886,27928,27929,53795,53797</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30061651$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sheeladevi, Sethu</creatorcontrib><creatorcontrib>Lawrenson, John G.</creatorcontrib><creatorcontrib>Fielder, Alistair</creatorcontrib><creatorcontrib>Kekunnaya, Ramesh</creatorcontrib><creatorcontrib>Ali, Rahul</creatorcontrib><creatorcontrib>Borah, Rishi R.</creatorcontrib><creatorcontrib>Suttle, Catherine</creatorcontrib><title>Delay in presentation to hospital for childhood cataract surgery in India</title><title>Eye (London)</title><addtitle>Eye</addtitle><addtitle>Eye (Lond)</addtitle><description>Purpose
Cataract is one of the major causes of avoidable visual disability in children and the aim of this study was to investigate the age at which children with cataract present for surgery at tertiary hospitals across India.
Methods
A prospective multicenter study collected data from 9 eye hospitals in 8 states in India. All children admitted for cataract surgery between Nov 2015 and March 2016 were considered eligible. Parents were interviewed at the hospital by trained personnel and socio demographic information, age at diagnosis and at surgery and the relevant clinical data were obtained from the medical records. Mean age, age range at surgery were used and performed logistic regression analyses.
Results
Parents of 751 consecutive cases were interviewed, of which 469(63%) were boys and 548 (73%) were from rural areas. Cataract was bilateral in 493 (66%) and unilateral in 258 (34%); of the unilateral cases, 179 (69%) were due to trauma. The mean age at surgery for ‘congenital’ and ‘developmental’ cataract was 48.2 ± 50.9 and 99.7 ± 46.42 months, respectively and the mean age was lower in the southern region compared to other regions. Children with 2 or more siblings at home were five times more likely to undergo surgery within 12 months (OR, 4.69; 95% CI: 2.04–10.79;
p
= < 0.001).
Conclusions
Late surgery for childhood cataract remains a major challenge and the factors determining this issue in India are pertinent also to several other countries and need to be addressed for every child with cataract to achieve full visual potential.</description><subject>692/699/3161/3168</subject><subject>692/700/478/174</subject><subject>Age</subject><subject>Cataracts</subject><subject>Children</subject><subject>Eye surgery</subject><subject>Hospitals</subject><subject>Laboratory Medicine</subject><subject>Medical records</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Ophthalmology</subject><subject>Pharmaceutical Sciences/Technology</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Trauma</subject><issn>0950-222X</issn><issn>1476-5454</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kUtLxTAQhYMoen38ADdScOOmOpOmbboRxOcFwY2CuzBNU2-kt7kmreC_N3p9g4uQwPnmzEwOY7sIhwiZPAoCRZalgDKeskj5CpugiI9c5GKVTaDKIeWc32-wzRAeAaJYwjrbyAAKLHKcsOmZ6eglsX2y8CaYfqDBuj4ZXDJzYWEH6pLW-UTPbNfMnGsSTQN50kMSRv9g_HvptG8sbbO1lrpgdj7uLXZ3cX57epVe31xOT0-uUy1KGFKTkWg1VRnKWvC85pqM0FqWgGTamiMIMpJLKE3VtFhjXUNbYsGRuCTZZFvseOm7GOu5aXSc2VOnFt7Oyb8oR1b9Vno7Uw_uWRW84lLKaHDwYeDd02jCoOY2aNN11Bs3BsVBghSQFWVE9_-gj270fVxPccxzWZUyryKFS0p7F4I37dcwCOotKLUMSsWg1FtQiseavZ9bfFV8JhMBvgRClPr409-t_3d9BZ4nnw8</recordid><startdate>20181201</startdate><enddate>20181201</enddate><creator>Sheeladevi, Sethu</creator><creator>Lawrenson, John G.</creator><creator>Fielder, Alistair</creator><creator>Kekunnaya, Ramesh</creator><creator>Ali, Rahul</creator><creator>Borah, Rishi R.</creator><creator>Suttle, Catherine</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>C6C</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></search><sort><creationdate>20181201</creationdate><title>Delay in presentation to hospital for childhood cataract surgery in India</title><author>Sheeladevi, Sethu ; Lawrenson, John G. ; Fielder, Alistair ; Kekunnaya, Ramesh ; Ali, Rahul ; Borah, Rishi R. ; Suttle, Catherine</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-e3a4fca9318b425b2cae4cc8701aefb2104ae82807e9df1b1bb0f71621a28a8d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>692/699/3161/3168</topic><topic>692/700/478/174</topic><topic>Age</topic><topic>Cataracts</topic><topic>Children</topic><topic>Eye surgery</topic><topic>Hospitals</topic><topic>Laboratory Medicine</topic><topic>Medical records</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Ophthalmology</topic><topic>Pharmaceutical Sciences/Technology</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Trauma</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sheeladevi, Sethu</creatorcontrib><creatorcontrib>Lawrenson, John G.</creatorcontrib><creatorcontrib>Fielder, Alistair</creatorcontrib><creatorcontrib>Kekunnaya, Ramesh</creatorcontrib><creatorcontrib>Ali, Rahul</creatorcontrib><creatorcontrib>Borah, Rishi R.</creatorcontrib><creatorcontrib>Suttle, Catherine</creatorcontrib><collection>Springer Nature OA/Free Journals</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>Sheeladevi, Sethu</au><au>Lawrenson, John G.</au><au>Fielder, Alistair</au><au>Kekunnaya, Ramesh</au><au>Ali, Rahul</au><au>Borah, Rishi R.</au><au>Suttle, Catherine</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Delay in presentation to hospital for childhood cataract surgery in India</atitle><jtitle>Eye (London)</jtitle><stitle>Eye</stitle><addtitle>Eye (Lond)</addtitle><date>2018-12-01</date><risdate>2018</risdate><volume>32</volume><issue>12</issue><spage>1811</spage><epage>1818</epage><pages>1811-1818</pages><issn>0950-222X</issn><eissn>1476-5454</eissn><abstract>Purpose
Cataract is one of the major causes of avoidable visual disability in children and the aim of this study was to investigate the age at which children with cataract present for surgery at tertiary hospitals across India.
Methods
A prospective multicenter study collected data from 9 eye hospitals in 8 states in India. All children admitted for cataract surgery between Nov 2015 and March 2016 were considered eligible. Parents were interviewed at the hospital by trained personnel and socio demographic information, age at diagnosis and at surgery and the relevant clinical data were obtained from the medical records. Mean age, age range at surgery were used and performed logistic regression analyses.
Results
Parents of 751 consecutive cases were interviewed, of which 469(63%) were boys and 548 (73%) were from rural areas. Cataract was bilateral in 493 (66%) and unilateral in 258 (34%); of the unilateral cases, 179 (69%) were due to trauma. The mean age at surgery for ‘congenital’ and ‘developmental’ cataract was 48.2 ± 50.9 and 99.7 ± 46.42 months, respectively and the mean age was lower in the southern region compared to other regions. Children with 2 or more siblings at home were five times more likely to undergo surgery within 12 months (OR, 4.69; 95% CI: 2.04–10.79;
p
= < 0.001).
Conclusions
Late surgery for childhood cataract remains a major challenge and the factors determining this issue in India are pertinent also to several other countries and need to be addressed for every child with cataract to achieve full visual potential.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>30061651</pmid><doi>10.1038/s41433-018-0176-2</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | Eye (London), 2018-12, Vol.32 (12), p.1811-1818 |
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| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6292888 |
| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | 692/699/3161/3168 692/700/478/174 Age Cataracts Children Eye surgery Hospitals Laboratory Medicine Medical records Medicine Medicine & Public Health Ophthalmology Pharmaceutical Sciences/Technology Surgery Surgical Oncology Trauma |
| title | Delay in presentation to hospital for childhood cataract surgery in India |
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