Epidemiologic characteristics of 10 years hospitalized patients with glaucoma at shanghai eye and ear, nose, and throat hospital

Zheng, Yingying; Zhang, Yu‐Qiu; Sun, Xinghuai

doi:10.1097/md.0000000000004254

Cited by 8 publications

(6 citation statements)

References 17 publications

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“…Our work showed that POAG accounted for 7.6% of the total cases (POAG/PACG = 0.13), which was consistent with the data from Shanghai and Jinan [ 7 , 8 ]. A meta-analysis of the epidemiology of the general population showed that, in 2015, 54.42% of all glaucoma patients in China had PACG and 39.79% had POAG [ 12 ].…”

Section: Discussionsupporting

confidence: 91%

“…The median age of glaucoma inpatients was 63 years, and the median age of the PACG group was the highest, consistent with previous reports [ 7 , 8 ]. The mechanism may be that as age increases, the lens ages and thickens, and the center shifts forward [ 9 ].…”

Section: Discussionsupporting

confidence: 91%

“…PACG is more common in Asians than in Africans or Europeans [ 1 ]. This study showed that PACG and SG were the most important types of glaucoma inpatients at Tianjin Eye Hospital, and the findings were similar to those in Shanghai, Jinan, and Beijing [ 7 , 8 , 14 ]. In this study, PACG occurred most frequently, which might be due to anatomical factors of the Chinese population.…”

Section: Discussionsupporting

confidence: 74%

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Epidemiological Characteristics of Inpatients Undergoing Surgery for Glaucoma at Tianjin Eye Hospital from 2013 to 2017

Yang

et al. 2021

Journal of Ophthalmology

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Purpose. To analyze the epidemiological characteristics of inpatients who underwent surgery for glaucoma at Tianjin Eye Hospital from 2013 to 2017. Methods. All glaucoma inpatients who underwent surgery at Tianjin Eye Hospital from 2013 to 2017 were evaluated. The relationships of age and sex with different types of glaucoma were analyzed. The differences in the prevalence and family history of glaucoma among patients with different systemic diseases were compared. Additionally, the effects of different surgical methods for primary angle-closure glaucoma (PACG) and primary open-angle glaucoma (POAG) were compared. Results. A total of 4539 patients with glaucoma were retrospectively analyzed. The most prevalent type was PACG (60.15%), followed by secondary glaucoma (SG, 25.53%), POAG (7.6%), uncontrollable intraocular pressure (IOP) after antiglaucoma surgery (4.71%), mixed glaucoma (MG, 10%), and congenital glaucoma (CG, 0.9%). The main surgical methods were phacoemulsification (phaco), phacotrabeculectomy (phaco-trab), and trabeculectomy (trab). The rate of phaco-trab increased, while that of trab decreased. The proportion of women in the PACG group was higher than those in the POAG and SG groups, and there was a pronounced tendency for family clustering ( P < 0.001 ), while in the POAG and SG groups, the proportions of men and those with diabetes were higher ( P < 0.05 ). Conclusions. In Tianjin Eye Hospital from 2013 to 2017, the main type of glaucoma was PACG. Female sex and a family history of glaucoma were risk factors for PACG, while male sex and hyperglycemia were risk factors for POAG and SG. Among the antiglaucoma surgery methods, the proportion of phaco-trab increased, while the proportion of trab decreased.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 74%

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Epidemiological Characteristics of Inpatients Undergoing Surgery for Glaucoma at Tianjin Eye Hospital from 2013 to 2017

Yang

et al. 2021

Journal of Ophthalmology

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“…PACG is more common in Asians than in Africans or Europeans [34] . This study showed that angle-closure glaucoma and secondary glaucoma were the most common types of glaucoma cases at the Eye Hospital of Wenzhou Medical University, which matched the findings of studies conducted in Shanghai [35] , Tianjin [36] , and Beijing [37] . In regard to angleclosure glaucoma, the proportion of internal filtration surgeries increased slightly from 2015 to 2021 to over 70% of patients.…”

Section: Trend Of Glaucoma Internal Filtration Surgeriessupporting

confidence: 83%

Trend of glaucoma internal filtration surgeries in a tertiary hospital in China

Cao¹,

Mao²,

Yin³

et al. 2023

Int J Ophthalmol

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AIM: To evaluate the trend of glaucoma internal filtration surgeries for inpatients between 2015 and 2021 at the Eye Hospital of Wenzhou Medical University. METHODS: A review of the medical records of inpatients who had been diagnosed with glaucoma and received anti-glaucoma surgery between January 1, 2015 and December 31, 2021 was conducted. The glaucoma diagnosis in this study included primary open angle glaucoma, primary angle-closure glaucoma, secondary glaucoma, and paediatric glaucoma. The types of surgeries were categorised as internal filtration, external filtration, and cyclodestruction surgery based on the pathway of aqueous humor outflow. The trend of these glaucoma surgeries in the sample of patients with different types of glaucoma was then analysed. RESULTS: The number of patients hospitalised for glaucoma surgery increased yearly, from 752 in 2015 to 1373 in 2021, at the Eye Hospital of Wenzhou Medical University. Regarding the patients diagnosed with primary open angle glaucoma, internal filtration surgery increased from 27.40% of the sample to 54.40% of the sample, while external filtration surgery decreased from 71.50% to 44.20% between 2015 and 2021. For paediatric glaucoma, internal filtration surgery increased from 37.50% in 2015 to 88.20% in 2021. Whilst different types of surgeries were performed on the sample of patients with secondary glaucoma, the proportion of internal filtration surgery also showed an increase from 18.20% in 2015 to 40.90% in 2021. Meanwhile, internal filtration surgery in the patient sample with primary angle-closure glaucoma already accounted for over 70.00% in 2015, and showed a small increase by 2021. CONCLUSION: As surgical technology and surgical experience continue to elevate and improve, the range of glaucoma surgeries are correspondingly evolving. This study find that internal filtration surgeries accounted for an increasing proportion of treatments in the surgical management of glaucoma between 2015 and 2021.

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“…Studies investigating this topic in the past have been single-centred and have used data from large academic tertiary hospitals in well-developed areas. [12][13][14] There is a lack of emphasis on smaller, rural and regional hospitals about their therapies and outcomes. We anticipate that there are likely disparities in clinical characteristics, therapeutic strategies and early outcomes at discharge of patients with PACG in different Chinese regions, and the results will reveal the gaps in medical resources and treatment concepts among various areas and hospital types.…”

Section: Discussionmentioning

confidence: 99%

China Glaucoma Treatment Pattern Study I–Primary Angle-Closure Glaucoma: protocol for a multicentre, retrospective, observational study

Chen

Xing

et al. 2023

BMJ Open

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IntroductionPrimary angle-closure glaucoma (PACG) is a leading cause of irreversible blindness globally, and the number of patients with PACG rises every year. Yet, there is a lack of knowledge about the clinical characteristics, therapeutic options and profile of patients with PACG in China. Hence, we design the China Glaucoma Treatment Pattern Study Ⅰ–Primary Angle-Closure Glaucoma (Ch-GTPⅠ). The objective of this paper is to describe the design and methodology of Ch-GTP. The aim of this study is to characterise the profile and trend associated with initial PACG treatment for the last 10 years in China.MethodsCh-GTPⅠ is a national multicentre retrospective observational study that will randomly sample from 50 hospitals throughout China. Over 7000 patient records hospitalised for initial PACG treatment from 2011 to 2020 will be selected randomly. The data from electronic medical records will be uploaded to an encrypted online platform that will receive and collate data from all collaborating hospitals. Data abstraction and monitoring will be performed in a standardised manner by trained statisticians to ensure consistency. Systematic data cleaning will also be conducted by statisticians to ensure data integrity before final data storage. The outcomes will include four broad categories: (1) demographics, (2) clinical characteristics, (3) therapeutic strategies and procedures and (4) early outcomes at discharge. The demographic characteristics and early outcomes will be summarised using descriptive statistics. Comparative analyses of characteristics and treatment pattern changing trends for different regions and years will be used to test for significant differences (t-test or Mann-Whitney U test).Ethics and disseminationThe collaborating hospitals obtained local approval based on a standard ethics application from internal ethics committees or acknowledged an existent ethics approval of the leading institution with approval from internal ethics committees. Due to the retrospective nature, written informed consent from patients was waived by the ethics committee. The results will be published in academic journals and presented at national and international academic conferences.Trial registration numberChiCTR2100054643.

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Epidemiologic characteristics of 10 years hospitalized patients with glaucoma at shanghai eye and ear, nose, and throat hospital

Cited by 8 publications

References 17 publications

Epidemiological Characteristics of Inpatients Undergoing Surgery for Glaucoma at Tianjin Eye Hospital from 2013 to 2017

Epidemiological Characteristics of Inpatients Undergoing Surgery for Glaucoma at Tianjin Eye Hospital from 2013 to 2017

Trend of glaucoma internal filtration surgeries in a tertiary hospital in China

China Glaucoma Treatment Pattern Study I–Primary Angle-Closure Glaucoma: protocol for a multicentre, retrospective, observational study

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