Projeto Mutirão de Catarata em centro de referência oftalmológico, em Pernambuco: perfil, grau de satisfação e benefício visual do usuário

Ventura, Liana O.; Brandt, Carlos Teixeira

doi:10.1590/s0004-27492004000200009

Cited by 7 publications

(11 citation statements)

References 15 publications

(42 reference statements)

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“…The outcomes of this cross-sectional study of cataract patients indicated that those who presented to the referral hospital were younger and mainly females. This observation is similar to other Brazilian studies [ 11 – 13 ] and is likely due to the characteristics of the Brazilian population which has a greater number of elderly women (IBGE – 2010) [ 10 ]. Although the current study reported greater female presentation to the referral hospital, there was no statistical difference between genders ( p >0.05).…”

Section: Discussionsupporting

confidence: 91%

Outcomes of and barriers to cataract surgery in Sao Paulo State, Brazil

et al. 2017

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BackgroundCataract is the leading cause of blindness in developing countries and identification of the barriers to accessing treatment is essential for developing appropriate public healthcare interventions. To evaluate the barriers to cataract surgery after diagnosis and assess the postoperative outcomes in Sao Paolo State, Brazil.MethodsThis prospective study evaluated cataract patients from 13 counties in São Paulo State in 2014. Cataract was diagnosed in the community by a mobile ophthalmic unit and patients were referred to a hospital for management. Gender, age, distance to the hospital and local municipal health structure were evaluated as possible barriers. Data were analyzed for postoperative outcomes and the impact on blindness and visual impairment.ResultsSix hundred patients were diagnosed with cataract with a mean age of 68.8±10.3 years and 374 (62.3%) were females. Two hundred and fifty-four (42.3%) patients presented to the referral hospital. One hundred forty-four (56.7%) underwent surgery, 56 (22.0%) decided not to undergo surgery, 40 (15.7%) required only YAG-Laser and 14 (5.5%) required a spectacle prescription only. Visual acuity increased statistically significantly from 1.07±0.73 logMAR at presentation to 0.25±0.41 logMAR at the final visit after intraocular lens implantation (p=0.000). There was a statistically significantly decrease from 17 (11.8%) blind patients and 55 (38.2%) visually impaired patients at presentation to 2 (1.4%) and 5 (3.5%) patients respectively after treatment (p=0.000).ConclusionLess than half of the individuals with cataract presented to the hospital for surgery. Among the patients who underwent treatment, there was an overall decrease in the number of blind individuals and visually impaired individuals. The barriers to cataract surgery were older age, greater distance to the hospital, municipalities with fewer inhabitants and less ophthalmic services.

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Section: Discussionsupporting

confidence: 91%

Outcomes of and barriers to cataract surgery in Sao Paulo State, Brazil

et al. 2017

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“…Esses dados são semelhantes aos observados em outros estudos (10,(15)(16)(17) . Segundo censo demográfico de 2000 existe mais mulheres idosas do que homens idosos no Brasil (18) , o que também já foi evidenciado em estudos epidemiológicos, realizados em São Paulo e Pernambuco, com resultados de maior número de portadores de catarata no sexo feminino (10,17) . Os dados relativos à escolaridade e ocupação demonstraram que a maioria dos pacientes possuía escolaridade baixa e eram aposentados ou do lar, além de possuírem baixa renda familiar.…”

Section: Discussionunclassified

“…Isso demonstra o grau elevado de carência da população assistida pelos hospitais públicos, sendo estes economicamente inativos e com grande dificuldade de acesso a saúde. O mesmo resultado foi encontrado em estudos epidemiológicos feitos no estado de São Paulo e Pernambuco, mostrando que este problema possivelmente é vivenciado em todo o Brasil (10,17) . Observamos também que 57,4% dos pacientes chegaram ao nosso serviço com acuidade visual pior ou igual a 20/200 e 44% com acuidade visual pior ou igual que 20/400, demonstrando mais uma vez a provável demora no atendimento desses pacientes e todas as prováveis dificuldades que essa baixa visual avançada acarreta na vida dessas pessoas.…”

Section: Discussionunclassified

Perfil socioeconômico e epidemiológico dos pacientes submetidos à cirurgia de catarata em um hospital universitário

Gomes¹,

Biancardi²,

Netto³

et al. 2008

Rev. bras.oftalmol.

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“…A similar profile (53.0% women) was found by Kara-José and Temporini in a study conducted in 5 urban areas in the state of São Paulo;¹ 67% were women in a large-scale cataract program in the state of Pernambuco, in 2002. 5 This predominance may be explained by the fact that in Brazil women have the role of caretakers of the family's health status.…”

Section: Discussionmentioning

confidence: 99%

Perceptions of Patients About Cataract

Oliveira

Temporini

José

et al. 2005

Clinics

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OBJECTIVE: To identify in adult patients suffering from cataract the perceptions regarding the disease and its surgical treatment. MATERIALS AND METHODS: An exploratory survey was conducted among adult patients suffering from cataract and participating in a large-scale cataract management program at the University of São Paulo General Hospital in 2004. The interviews were conducted by research assistants previously trained to pose questions and record answers. RESULTS: The sample consisted of 170 men and women (43.5% and 56.5%, respectively), aged between 40 and 88 years. Of the 170 participants, 43.5% were from the State of São Paulo, 14.7% from the State of Bahia, 12.4% from the State of Minas Gerais, 5.9% from the State of Pernambuco, 1.8% from other countries, and the remaining 21.7% were from other Brazilian states. Of those who were actively working (n = 87), 43.7% had an occupational level corresponding to nonspecialized manual labor, 27.6% were in specialized manual labor jobs, 25.3% had routine nonmanual occupations, 1.1% supervised manual labor, and 2.3% had low-ranking supervision or inspection jobs over nonmanual occupations. Of those who were not actively working (n = 82), 53.6% were retired, 45.2% were housewives, and 1.2% were unemployed. Concerning conceptions about cataract, 79.0% referred to it as "a small skin fold that gradually covers the eye" and 32.4% mentioned, in addition, other conceptions. Concerning the cause, of the alternatives presented to them, 80% reported aging, 47.1% blamed "overusing the eyes in the workplace or at home", 7.1% believed they had cataract due to some kind of "spell." Of the associated answers, 94.1% referred to "blurred vision" in people suffering from cataract, 72.4% thought the person may become blind, and 66.5% believed that the patients suffering from cataract are depressed because they cannot see. Regarding surgery, 28.8% were afraid of undergoing surgery; of those, 16.3% cited with the fear of dying during surgery, 55.1% thought they might become blind, 40.8% believed the surgery would be painful, and 8.2% followed religious practices that do not permit surgery. CONCLUSION: Some misconceptions were identified, and the fear of blindness was the most mentioned reason for not seeking cataract surgery, which indicates the need for orientation.

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Projeto Mutirão de Catarata em centro de referência oftalmológico, em Pernambuco: perfil, grau de satisfação e benefício visual do usuário

Cited by 7 publications

References 15 publications

Outcomes of and barriers to cataract surgery in Sao Paulo State, Brazil

Outcomes of and barriers to cataract surgery in Sao Paulo State, Brazil

Perfil socioeconômico e epidemiológico dos pacientes submetidos à cirurgia de catarata em um hospital universitário

Perceptions of Patients About Cataract

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