Factors associated with delayed uptake of cataract surgery among adult patients at Mulago National Referral Hospital, Uganda

Background: Cataract is the leading cause of blindness globally. Many patients with cataract in developing countries delay to come for cataract surgery. Objectives: This study aimed to determine the factors associated with delayed uptake of cataract surgery among adult patients seen at Mulago Nation...

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Veröffentlicht in:African health sciences 2021-09, Vol.21 (3), p.1259-1265
Hauptverfasser: Sebabi, Francis O, Okello, Walter O, Nakubulwa, Faith, Sempindu, Rogers, Driciru, Catherine, Nalukenge, Caroline, Mulinde, Ben, Nakiyingi, Lydia, Nakanjako, Damalie, Ssali, Grace N, Musika, Anne A
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container_end_page 1265
container_issue 3
container_start_page 1259
container_title African health sciences
container_volume 21
creator Sebabi, Francis O
Okello, Walter O
Nakubulwa, Faith
Sempindu, Rogers
Driciru, Catherine
Nalukenge, Caroline
Mulinde, Ben
Nakiyingi, Lydia
Nakanjako, Damalie
Ssali, Grace N
Musika, Anne A
description Background: Cataract is the leading cause of blindness globally. Many patients with cataract in developing countries delay to come for cataract surgery. Objectives: This study aimed to determine the factors associated with delayed uptake of cataract surgery among adult patients seen at Mulago National Referral Hospital eye clinic in Uganda. Methods: Employing a hospital based cross-sectional study, adult patients with cataract and having moderate visual impairment or blindness were recruited. Patient-related factors for delayed surgery were assessed using a predetermined questionnaire. Data was analyzed using stata version 14.2. Logistic regressions were used to determine the factors associated with delayed uptake of cataract surgery among these patients. Results: Eighty two participants with operable cataract were evaluated. Females were 44 (54%) and the mean age of participants was 67 years. Fifty three (65%) had delayed uptake of cataract surgery. The factors associated with delayed uptake of cataract surgery among patients with cataract were financial constraint, felt no need for surgery and good unilateral vision. Conclusions: Financial constraints, no felt need for cataract surgery and having good unilateral vision are the factors associated with delayed uptake of cataract surgery among cataract patients. We recommend cataract surgical outreach to remote areas and health education.
doi_str_mv 10.4314/ahs.v21i3.36
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Many patients with cataract in developing countries delay to come for cataract surgery. Objectives: This study aimed to determine the factors associated with delayed uptake of cataract surgery among adult patients seen at Mulago National Referral Hospital eye clinic in Uganda. Methods: Employing a hospital based cross-sectional study, adult patients with cataract and having moderate visual impairment or blindness were recruited. Patient-related factors for delayed surgery were assessed using a predetermined questionnaire. Data was analyzed using stata version 14.2. Logistic regressions were used to determine the factors associated with delayed uptake of cataract surgery among these patients. Results: Eighty two participants with operable cataract were evaluated. Females were 44 (54%) and the mean age of participants was 67 years. Fifty three (65%) had delayed uptake of cataract surgery. The factors associated with delayed uptake of cataract surgery among patients with cataract were financial constraint, felt no need for surgery and good unilateral vision. Conclusions: Financial constraints, no felt need for cataract surgery and having good unilateral vision are the factors associated with delayed uptake of cataract surgery among cataract patients. We recommend cataract surgical outreach to remote areas and health education.</description><identifier>ISSN: 1680-6905</identifier><identifier>EISSN: 1729-0503</identifier><identifier>EISSN: 1680-6905</identifier><identifier>DOI: 10.4314/ahs.v21i3.36</identifier><identifier>PMID: 35222590</identifier><language>eng</language><publisher>Uganda: Makerere University Medical School</publisher><subject>Adult ; Aged ; Blindness - epidemiology ; Blindness - etiology ; cataract ; Cataract - epidemiology ; Cross-Sectional Studies ; Female ; Hospitals ; Humans ; operable cataract ; Prevalence ; Referral and Consultation ; Risk factors ; sub-Saharan Africa ; surgery ; Uganda ; Uganda - epidemiology</subject><ispartof>African health sciences, 2021-09, Vol.21 (3), p.1259-1265</ispartof><rights>Copyright 2021 - Sebabi FO et al.</rights><rights>2021 Sebabi FO et al.</rights><rights>2021 Sebabi FO et al. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b385t-2b543acf0c8724d88bfac3a1036e06146053e49a423be704b6fe249b9e0e0b173</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8843270/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8843270/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,725,778,782,883,27907,27908,53774,53776,79177</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35222590$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sebabi, Francis O</creatorcontrib><creatorcontrib>Okello, Walter O</creatorcontrib><creatorcontrib>Nakubulwa, Faith</creatorcontrib><creatorcontrib>Sempindu, Rogers</creatorcontrib><creatorcontrib>Driciru, Catherine</creatorcontrib><creatorcontrib>Nalukenge, Caroline</creatorcontrib><creatorcontrib>Mulinde, Ben</creatorcontrib><creatorcontrib>Nakiyingi, Lydia</creatorcontrib><creatorcontrib>Nakanjako, Damalie</creatorcontrib><creatorcontrib>Ssali, Grace N</creatorcontrib><creatorcontrib>Musika, Anne A</creatorcontrib><title>Factors associated with delayed uptake of cataract surgery among adult patients at Mulago National Referral Hospital, Uganda</title><title>African health sciences</title><addtitle>Afr Health Sci</addtitle><description>Background: Cataract is the leading cause of blindness globally. Many patients with cataract in developing countries delay to come for cataract surgery. Objectives: This study aimed to determine the factors associated with delayed uptake of cataract surgery among adult patients seen at Mulago National Referral Hospital eye clinic in Uganda. Methods: Employing a hospital based cross-sectional study, adult patients with cataract and having moderate visual impairment or blindness were recruited. Patient-related factors for delayed surgery were assessed using a predetermined questionnaire. Data was analyzed using stata version 14.2. Logistic regressions were used to determine the factors associated with delayed uptake of cataract surgery among these patients. Results: Eighty two participants with operable cataract were evaluated. Females were 44 (54%) and the mean age of participants was 67 years. Fifty three (65%) had delayed uptake of cataract surgery. The factors associated with delayed uptake of cataract surgery among patients with cataract were financial constraint, felt no need for surgery and good unilateral vision. Conclusions: Financial constraints, no felt need for cataract surgery and having good unilateral vision are the factors associated with delayed uptake of cataract surgery among cataract patients. We recommend cataract surgical outreach to remote areas and health education.</description><subject>Adult</subject><subject>Aged</subject><subject>Blindness - epidemiology</subject><subject>Blindness - etiology</subject><subject>cataract</subject><subject>Cataract - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Hospitals</subject><subject>Humans</subject><subject>operable cataract</subject><subject>Prevalence</subject><subject>Referral and Consultation</subject><subject>Risk factors</subject><subject>sub-Saharan Africa</subject><subject>surgery</subject><subject>Uganda</subject><subject>Uganda - epidemiology</subject><issn>1680-6905</issn><issn>1729-0503</issn><issn>1680-6905</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>RBI</sourceid><sourceid>EIF</sourceid><recordid>eNpVkU1v1DAQhiMEoqVw44x85NAs4484yQUJVS1FKiAherYmziRryMbBdopW4sdj2HYFJ4_Hjx6_0lsULzlslOTqDW7j5k5wJzdSPypOeS3aEiqQj_OsGyh1C9VJ8SzGbwBC85Y_LU5kJYSoWjgtfl2hTT5EhjF66zBRz366tGU9TbjPl3VJ-J2YH5jFhCHTLK5hpLBnuPPzyLBfp8QWTI7mlD2JfVwnHD37lFd-xol9oYFCyMO1j4tLOJ2z2xHnHp8XTwacIr24P8-K26vLrxfX5c3n9x8u3t2UnWyqVIquUhLtALapheqbphvQSuQgNYHmSkMlSbWohOyoBtXpgYRqu5aAoOO1PCveHrzL2u2otzlojmOW4HYY9sajM_-_zG5rRn9nmkZJUUMWvL4XBP9jpZjMzkVL04Qz-TUaoaWqoNYgMnp-QG3wMQYajt9wMH8KM7kw87cwI3XGX_0b7Qg_NJSBzQHonJ_cTEfCBofmYZmV2yg4NI38Dej1phQ</recordid><startdate>20210901</startdate><enddate>20210901</enddate><creator>Sebabi, Francis O</creator><creator>Okello, Walter O</creator><creator>Nakubulwa, Faith</creator><creator>Sempindu, Rogers</creator><creator>Driciru, Catherine</creator><creator>Nalukenge, Caroline</creator><creator>Mulinde, Ben</creator><creator>Nakiyingi, Lydia</creator><creator>Nakanjako, Damalie</creator><creator>Ssali, Grace N</creator><creator>Musika, Anne A</creator><general>Makerere University Medical School</general><general>Makerere Medical School</general><scope>RBI</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>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210901</creationdate><title>Factors associated with delayed uptake of cataract surgery among adult patients at Mulago National Referral Hospital, Uganda</title><author>Sebabi, Francis O ; Okello, Walter O ; Nakubulwa, Faith ; Sempindu, Rogers ; Driciru, Catherine ; Nalukenge, Caroline ; Mulinde, Ben ; Nakiyingi, Lydia ; Nakanjako, Damalie ; Ssali, Grace N ; Musika, Anne A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b385t-2b543acf0c8724d88bfac3a1036e06146053e49a423be704b6fe249b9e0e0b173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Blindness - epidemiology</topic><topic>Blindness - etiology</topic><topic>cataract</topic><topic>Cataract - epidemiology</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Hospitals</topic><topic>Humans</topic><topic>operable cataract</topic><topic>Prevalence</topic><topic>Referral and Consultation</topic><topic>Risk factors</topic><topic>sub-Saharan Africa</topic><topic>surgery</topic><topic>Uganda</topic><topic>Uganda - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sebabi, Francis O</creatorcontrib><creatorcontrib>Okello, Walter O</creatorcontrib><creatorcontrib>Nakubulwa, Faith</creatorcontrib><creatorcontrib>Sempindu, Rogers</creatorcontrib><creatorcontrib>Driciru, Catherine</creatorcontrib><creatorcontrib>Nalukenge, Caroline</creatorcontrib><creatorcontrib>Mulinde, Ben</creatorcontrib><creatorcontrib>Nakiyingi, Lydia</creatorcontrib><creatorcontrib>Nakanjako, Damalie</creatorcontrib><creatorcontrib>Ssali, Grace N</creatorcontrib><creatorcontrib>Musika, Anne A</creatorcontrib><collection>Bioline International</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>African health sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sebabi, Francis O</au><au>Okello, Walter O</au><au>Nakubulwa, Faith</au><au>Sempindu, Rogers</au><au>Driciru, Catherine</au><au>Nalukenge, Caroline</au><au>Mulinde, Ben</au><au>Nakiyingi, Lydia</au><au>Nakanjako, Damalie</au><au>Ssali, Grace N</au><au>Musika, Anne A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors associated with delayed uptake of cataract surgery among adult patients at Mulago National Referral Hospital, Uganda</atitle><jtitle>African health sciences</jtitle><addtitle>Afr Health Sci</addtitle><date>2021-09-01</date><risdate>2021</risdate><volume>21</volume><issue>3</issue><spage>1259</spage><epage>1265</epage><pages>1259-1265</pages><issn>1680-6905</issn><eissn>1729-0503</eissn><eissn>1680-6905</eissn><abstract>Background: Cataract is the leading cause of blindness globally. Many patients with cataract in developing countries delay to come for cataract surgery. Objectives: This study aimed to determine the factors associated with delayed uptake of cataract surgery among adult patients seen at Mulago National Referral Hospital eye clinic in Uganda. Methods: Employing a hospital based cross-sectional study, adult patients with cataract and having moderate visual impairment or blindness were recruited. Patient-related factors for delayed surgery were assessed using a predetermined questionnaire. Data was analyzed using stata version 14.2. Logistic regressions were used to determine the factors associated with delayed uptake of cataract surgery among these patients. Results: Eighty two participants with operable cataract were evaluated. Females were 44 (54%) and the mean age of participants was 67 years. Fifty three (65%) had delayed uptake of cataract surgery. The factors associated with delayed uptake of cataract surgery among patients with cataract were financial constraint, felt no need for surgery and good unilateral vision. Conclusions: Financial constraints, no felt need for cataract surgery and having good unilateral vision are the factors associated with delayed uptake of cataract surgery among cataract patients. We recommend cataract surgical outreach to remote areas and health education.</abstract><cop>Uganda</cop><pub>Makerere University Medical School</pub><pmid>35222590</pmid><doi>10.4314/ahs.v21i3.36</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; African Journals Online (Open Access); Bioline International; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Adult
Aged
Blindness - epidemiology
Blindness - etiology
cataract
Cataract - epidemiology
Cross-Sectional Studies
Female
Hospitals
Humans
operable cataract
Prevalence
Referral and Consultation
Risk factors
sub-Saharan Africa
surgery
Uganda
Uganda - epidemiology
title Factors associated with delayed uptake of cataract surgery among adult patients at Mulago National Referral Hospital, Uganda
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