Comparison of 2007–2012 Korean trends in laser peripheral iridotomy and cataract surgery rates

Kim, Young Kook; Park, Ki Ho

doi:10.1007/s10384-013-0287-z

Cited by 4 publications

(4 citation statements)

References 26 publications

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“…In this study, iridectomy (75%) and iris laser (77%) procedures decreased during the study period. In Korea, by analyzing the Korean Health Insurance Review and Assessment service database between 2007 and 2012 regarding the treatment of primary angle closure (PAC), LI manifested a slow decline (17% decrease), and cataract surgery showed a sharp rise (49% increase) [28]. In Japan, for the treatment of primary angle closure glaucoma (PACG), the amount of antiglaucoma medications dispensed decreased and the frequency of cataract surgery increased, while the frequency of laser LI procedures decreased between 2010 and 2020 [29].…”

Section: Discussionmentioning

confidence: 99%

Nationwide Analysis of Glaucoma Surgeries in Fiscal Years of 2014 and 2020 in Japan

Tanito

2023

JPM

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Nationwide trends in glaucoma surgical procedures were assessed by using the NDB Open Data 2014 and 2020. In Japan, 33,340 non-laser, 54,569 laser, and 88,019 total glaucoma surgeries were performed in 2014. In 2020, 60,108 non-laser, 60,547 laser, and 120,655 total glaucoma surgeries were performed. The rates from 2014 to 2020 were 180%, 111%, and 137%, respectively. In each procedure, angle surgery (326%), tube shunt surgery (383%), ciliary coagulation (489%), and gonio-laser (225%) were remarkably increased, while iridectomy (75%) and iris laser (77%) decreased during the same period. An increase in laser surgery was seen in young age groups, namely, 55–59 years old and younger, while non-laser surgery was increased in old age groups, namely, 45–49 years old and older. In 2020, 47.6 non-laser, 48.0 laser, and 95.6 total glaucoma surgeries were performed per 100,000 persons. None of the vital statistics, including prefectural population, mean age, and rate of ≥65-year-old people, were significantly associated with the number of glaucoma surgeries. Glaucoma practice patterns changed each time a new device or procedure was introduced. The results of the current study reflected the use of new procedures, such as minimally invasive glaucoma surgery, tube shunt, selective laser trabeculoplasty, and micropulse cyclophotocoagulation.

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Section: Discussionmentioning

confidence: 99%

Nationwide Analysis of Glaucoma Surgeries in Fiscal Years of 2014 and 2020 in Japan

Tanito

2023

JPM

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“…Another major risk factor for RRD is a pseudophakic eye after cataract extraction [ 14 , 28 ]. With improvements in the technical difficulty and surgical safety of phacoemulsification for cataract extraction, the number of phacoemulsification has been increasing year by year, and cataract extraction tends to be performed at an earlier stage in Korea [ 29 ]. Furthermore, in patients with high myopia, cataract surgery also tends to be performed at a younger age, and RRD as a postoperative complication after surgery is known to be more frequent [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

Increasing trend in rhegmatogenous retinal detachment in Korea from 2004 to 2015

et al. 2021

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Background To determine the 12-year incidence of and trends in rhegmatogenous retinal detachment (RRD) requiring surgery in Korea. Methods This was a nationwide, population-based, retrospective study. We identified 53,179 patients with incident RRD requiring surgery using the Korean National Health Claims Database from 2004 to 2015. We estimated the crude incidence rates and age- and sex-standardized incidence rates per 100,000 person-years in each year during the study period. A joinpoint regression analysis was performed to determine the trend. Results The average annual incidence rate was 9.78 (95% CI: 9.70–9.86). Male patients showed an incidence rate (10.68 [95% CI: 10.57–10.80]) 1.20 times that of female patients (8.87 [95% CI: 8.76–8.98]). The incidence showed a bimodal distribution; the highest peak was in the 60–64 year age group (23.77 [95% CI: 23.18–24.35]) and the second peak was in the 20–24 year age group (7.68 [95% CI: 7.41–7.95]). An increasing trend of RRD incidence was observed in the total population throughout the study period using joinpoint analysis (annual percentage change [APC], 2.05; 95% CI: 0.7–3.4). The increasing trend was more prominent among individuals aged under 50 years (APC, 3.44; 95% CI: 2.3–4.6), while among those aged 50 years or above, the increasing incidence was observed only in male patients. Conclusions In Korea, the incidence of RRD has increased recently. People in the < 50 year age group accounted for the major part of this significant increase, which is related to the increasing incidence of myopia in the young generation in Asia.

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“…Studies in England ( 15 ) using the 1968–2004 health administrative database and studies in Scotland using the 1998–2012 national database suggested that the rates of cataract surgery may decrease the number of PACGs ( 16 ). However, these studies were performed early ( 14 – 17 ), and the results fail to represent the current situation of health care utilization and disease prevalence in China.…”

Section: Introductionmentioning

confidence: 99%

Trends in admission rates of primary angle closure diseases for the urban population in China, 2011–2021

Chen,

Shen,

Zhou

et al. 2024

Front. Public Health

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BackgroundCataract surgery and laser peripheral iridotomy (LPI) are effective approaches for preventing primary angle closure diseases (PACDs), as well as acute primary angle closure (APAC). Due to the development of population screening and increases in cataract surgery rates, this study aimed to examine trends in the admission rates of PACD among the urban population in China.MethodsThis cross-sectional study examined patients who were admitted to a hospital for PACD, and who underwent cataract surgery or LPI operations. The data were obtained from the Yinzhou Regional Health Information Platform (YRHIP) from 2011 to 2021. The annual rates of PACD and APAC admissions, cataract surgery and LPI were analyzed, with the number of cases used as numerators and the annual resident population in Yinzhou district used as denominators.ResultsA total of 2,979 patients with PACD admissions, 1,023 patients with APAC admissions, 53,635 patients who underwent cataract surgery and 16,450 patients who underwent LPI were included. The number of annual admissions for PACD gradually increased from 22 cases (1.6/100000) in 2011 to 387 cases (30.8/100000) in 2016, after which it decreased to 232 cases (16.2/100000) in 2019 and then increased to 505 cases (30.6/100000) in 2021. The number of cataract surgeries gradually increased from 1728 (127.7/100000) in 2011 to 7002 (424.9/100000) in 2021. Similarly, the number of LPI gradually increased from 109 (8.0/100000) in 2011 to 3704 (224.8/100000) in 2021.ConclusionThe admission rates of PACD for the urban population in China have declined in recent years after a long increasing trend in the rates of cataract surgery and LPI. However, it increased rapidly during the COVID-19 epidemic. The national health database should be further utilized to investigate temporal trends in the prevalence of PACD.

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Comparison of 2007–2012 Korean trends in laser peripheral iridotomy and cataract surgery rates

Abstract: The respective trends in the LPI and cataract surgery rates showed a negative correlation. Although other possible explanations might exist, this result supports the hypothesis that cataract surgery contributes to a reduction in the incidence of LPI in PAC(G) patients.

Cited by 4 publications

References 26 publications

Nationwide Analysis of Glaucoma Surgeries in Fiscal Years of 2014 and 2020 in Japan

Nationwide Analysis of Glaucoma Surgeries in Fiscal Years of 2014 and 2020 in Japan

Increasing trend in rhegmatogenous retinal detachment in Korea from 2004 to 2015

Trends in admission rates of primary angle closure diseases for the urban population in China, 2011–2021

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