Clinical practice variation in cataract surgery

García-Martín, Mikel; Giménez-Gómez, R.; García-Catalán, R.; Herrador, M.A.; Gallardo, J.M.

doi:10.1016/j.oftale.2015.05.004

Cited by 1 publication

(1 citation statement)

References 142 publications

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“…3 Although the surgical procedure is very consistently performed worldwide, practice patterns related to patients' preoperative and postoperative care, diagnostics, surgical setting, precautions and follow-up, greatly differ, according to countless variables including institutions and country regulations, insurance company requirements, payment agreements and even surgeons' preferences and habits. 4 Given the exceedingly high volume of cataract procedures worldwide, perioperative setting and organisation are at least as important as the technical quality of surgery itself, due to their impact on patients' rehabilitation, satisfaction, healthcare organisation, expenditures as well as on the medico-legal burden. Defining and validating a golden standard of 'perioperative' care, diagnostics and surgical theatre setting, would greatly help deliver homogeneous, evidence-based healthcare services throughout the world.…”

Section: Introductionmentioning

confidence: 99%

Cataract surgery practice patterns worldwide: a survey

et al. 2021

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ObjectiveTo report the results of a global survey on cataract practice patterns related to preoperative, intraoperative and postoperative care, surgical setting and personnel allocation.Methods and analysisAn online 28 questions survey was sent to 240 ophthalmologists asking to describe prevailing trends in their institutions across 38 countries and 5 continents. Questions inquired country, institution, surgical volume and setting, anaesthesia, preoperative and intraoperative examination and postsurgical care. Statistical analysis used crosstabs lambda statistics for non-parametric nominal variables. P value less than 0.05 was considered statistically significant.Results209/240 (87%) ophthalmologists responded: 38% representing public hospitals, 36% private practices and 26% academic sites; overall surgical volume was between 241 700 and 410 500 cataracts per year. There was a significant correlation between type of institution and surgical volume. Complete results available in online (https://freeonlinesurveys.com/r/W6BcLLxy).ConclusionCataract surgery related patterns of perioperative care showed significant difference among respondents, regardless to type of institution, surgical volume and country. Many evidence-based procedures are unevenly practiced around the world and some widespread and expensive habits lack solid scientific evidence while consuming enormous amount of resources both monetary and human. There is a need to reach consensus and share evidence-based practice patterns.

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Section: Introductionmentioning

confidence: 99%