Consequences of waiting for cataract surgery

Gimbel, Howard V.; Dardzhikova, Albena

doi:10.1097/icu.0b013e328341425d

Cited by 28 publications

(27 citation statements)

References 18 publications

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“…Wait times for cataract surgery in the public sector are among the longest for a developed country, with publicly available hospital figures reporting an average of 8 months from initial hospital assessment to cataract surgery . Lengthy waits can have direct consequences on health, which include a reduced quality of life, increased prevalence of road traffic injuries, increased rates of depressive symptoms and increased risk of falls and fractures …”

Section: Introductionmentioning

confidence: 99%

“…1,2 Lengthy waits can have direct consequences on health, which include a reduced quality of life, 3 increased prevalence of road traffic injuries, 4 increased rates of depressive symptoms 5 and increased risk of falls and fractures. 3,6 Efficient clinical pathways optimize use of hospital resources. The first stage of the cataract pathway begins with referral letters sent by medical practitioners and primary eye care practitioners to hospital eye clinics, where ophthalmologists assess a patient's need for cataract surgery.…”

Section: Introductionmentioning

confidence: 99%

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Are cataract surgery referrals to public hospitals in Australia poorly targeted?

Quang

McCluskey

Palagyi

et al. 2017

Clinical Exper Ophthalmology

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This audit highlights a disconnect between referral letter content and hospital assessment of patients. Current referrals to public hospitals are poorly targeted, with high numbers of referred patients not proceeding to surgery. Patients commonly waited over 1 year to have their ophthalmic assessment at these public hospital eye clinics, revealing lengthy 'wait-for-waits' as a barrier to care. Standardized referral templates may facilitate improvement of referral pathways and shorten waiting times.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Are cataract surgery referrals to public hospitals in Australia poorly targeted?

Quang

McCluskey

Palagyi

et al. 2017

Clinical Exper Ophthalmology

View full text Add to dashboard Cite

show abstract

“…After adjusting for age, ethnicity and sex, individuals with a visual acuity (VA) of <0.5 in their better-seeing eye gave significantly less favorable responses for questionnaire items on basic and instrumental ADL. [129][130][131][132] Ivers et al reported that a posterior subcapsular cataract, which increases the likelihood of visual impairment, is associated with an increased rate of falls. 127 Similarly, Lin et al reported an association between visual impairment and ADL in a cohort of community-dwelling older people.…”

Section: Explanationmentioning

confidence: 99%

“…127 Similarly, Lin et al reported an association between visual impairment and ADL in a cohort of community-dwelling older people. 131,133 The American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older Persons states that "cataract surgery on the first eye should be expedited in older persons in which the surgery is indicated." [129][130][131][132] Ivers et al reported that a posterior subcapsular cataract, which increases the likelihood of visual impairment, is associated with an increased rate of falls.…”

Section: Explanationmentioning

confidence: 99%

Chapter 4 Frailty and specific diseases

Sugimoto

Rakugi

Kojima

et al. 2020

Geriatrics Gerontology Int

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CQ18: What is the relationship of frailty with orthostatic hypotension and orthostatic intolerance? Summary • Orthostatic hypotension and orthostatic intolerance are more prevalent among frail individuals than non-frail individuals, and these conditions worsen frailty outcomes (evidence level: E-2). ExplanationOrthostatic hypotension and orthostatic intolerance, both of which are risk factors for falls, are reported to be associated with frailty. O'Connell et al. examined the relationship between orthostatic hypotension, orthostatic intolerance and frailty using data from 5692 individuals aged ≥50 years who participated in the Irish Longitudinal Study on Aging (TILDA). Of these participants, 6.1% had orthostatic hypotension, 6.7% had orthostatic intolerance and 4.3% were identified as frail, and 34.5% participants were identified as pre-frail under the Cardiovascular Health Study (CHS) criteria. Both orthostatic hypotension and orthostatic intolerance were more prevalent in frail participants (8.9% and 14.3%) than they were in robust participants (5.0% and 5.7%). In a multivariate analysis, orthostatic intolerance was found to be independently associated with frailty (odds ratio [OR] 1.80, 95% CI 1.13-2.87), although orthostatic hypotension was not. 1 Similarly, Freud et al. examined associations between orthostatic hypotension and mortality using data of patients who were regularly assessed in the outpatient Comprehensive Geriatric Assessment Unit. These patients were aged ≥65 years (mean age 83.7 years), and 32.1% were diagnosed with orthostatic hypotension. They found that orthostatic hypotension was associated with increased mortality (over the follow-up period, 30.2% and 22.3% of those with and without orthostatic hypotension died, respectively), but a multivariate analysis did not show orthostatic hypotension to be independently associated with increased mortality. 2 These studies suggest that orthostatic hypotension and orthostatic intolerance are more prevalent in frail individuals, and that they worsen frailty outcomes.Romero-Ortuno et al. analyzed a sample of older individuals (average age of 72, 6.1% with orthostatic hypotension, 6.7% with orthostatic intolerance) who did not have dementia or risk factors for autonomic neuropathy. They arranged the participants into non-frail, pre-frail and frail groups, and found that the baseline heart rate decreased across the groups in that order. They also found that the delta heart rate (maximum heart rate within 30 s after standing minus baseline heart rate) increased across the groups in that order. It was reported that 30 s after standing, 98% of the non-frail participants, 95% of the pre-frail participants and 92% of the frail participants recovered to their baseline heart rate. 3 These findings suggest that frailty worsens hypostatic problems that occur when standing.CQ19: What is the relationship of frailty with antihypertensive treatment? Summary • Antihypertensive treatment prevents cardiovascular events whether or not the patient is frail. Intensive anti...

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“…This is in the developing countries. It has been proposed that the number of blindness due to cataract has been reached more than 39 million [6].…”

Section: Introductionmentioning

confidence: 99%

Patterns of Cataract in Patients Reporting to Christian Hospital, Taxila, Pakistan

Rafiq¹

2017

BJSTR

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Consequences of waiting for cataract surgery

Abstract: Consequences of waiting for cataract surgery are multivariate in nature and easily extend beyond the clinical setting into sociodemographic realms and public health costs and policy arenas.

Cited by 28 publications

References 18 publications

Are cataract surgery referrals to public hospitals in Australia poorly targeted?

Are cataract surgery referrals to public hospitals in Australia poorly targeted?

Chapter 4 Frailty and specific diseases

Patterns of Cataract in Patients Reporting to Christian Hospital, Taxila, Pakistan

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