Timing of Cataract Surgery

Vasquez-Perez, Alfonso; Liu, Christopher; Sparrow, J M

doi:10.1007/978-3-030-38234-6_2

Cited by 1 publication

(1 citation statement)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Cataract surgery remains the most performed surgical procedure and the second most common elective surgery in Australia [10,11], with more than 250,000 people undergoing cataract surgery each year [12]. Early in the course of the disease, prescription eyeglasses and brighter reading lights may help for a while [13,14], but as people age, cataract is likely to advance and eventually, cataract surgery is the only proven effective treatment [5,13,14]. However, many people in Australia with age-related cataracts are waiting for surgery, with surgery rates not keeping pace with the rising prevalence of cataracts in our ageing population [15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

Application of Andersen–Newman model to assess cataract surgery uptake among older Australian women: findings from the Australian Longitudinal Study on Women’s Health (ALSWH)

2022

View full text Add to dashboard Cite

Introduction Although Cataract Surgery Rate is increasing, the availability of surgery is outstripped by the increasing number of cataract cases as populations age. Aim The study aimed to identify factors associated with cataract surgery uptake in terms of predisposing, enabling, and need factors in very old Australian women. Method This study used ALSWH data included 6229 women aged 79–84 to 85–90 years. Women were asked whether they had undergone eye surgery (including cataracts) three years prior to each survey. Generalised estimating equation modelling was used to determine factors associated with these surgeries. Result At baseline (2005), more than half of the participants either had undergone surgery (43.5%) or had unoperated cataracts (7.6%). Increasing age (AOR = 1.11, 95% CI = 1.07, 1.15) and being current or ex-smokers (AOR = 1.15, 95% CI = 1.03, 1.29) were associated with higher odds of cataract surgery (predisposing factors). Women who had private health insurance had 27% higher odds of having surgery (AOR = 1.27, 95% CI = 1.16, 1.39) (enabling factor). Need factors of more General Practitioner visits (AOR = 1.16, 95% CI = 1.09, 1.25) and skin cancer (AOR = 1.09, 95% CI = 1.01, 1.17) also increased the odds of cataract surgery. Women who had no difficulty seeing newspaper print were more likely to have had cataract surgery (AOR = 1.35, 95% CI = 1.23, 1.48). Conclusion Need factors are the major drivers of cataract surgery; however, predisposing and enabling factors also play a role, including access to private health insurance. This finding indicates some inequity regarding access to cataract surgery in the Australian setting.

show abstract