Cataract surgery: factors influencing decision to treat and implications for training (south-east Scotland 2008–2014)

Jan J Sniatecki, Caroline Styles, Natalie Boyle, Roshini Sanders Cataract Unit, Queen Margaret Hospital, Dunfermline, Fife, UK Purpose: To describe the population referred for cataract surgery, identify factors that influenced decision to treat, and patients suitable for ophthalmic training. Patient...

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Autores principales:	Sniatecki JJ, Styles C, Boyle N, Sanders R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/20a7bd2dc896465abb1303025a127162
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spelling	oai:doaj.org-article:20a7bd2dc896465abb1303025a1271622021-12-02T03:48:31ZCataract surgery: factors influencing decision to treat and implications for training (south-east Scotland 2008–2014)1177-5483https://doaj.org/article/20a7bd2dc896465abb1303025a1271622015-09-01T00:00:00Zhttps://www.dovepress.com/cataract-surgery-factors-influencing-decision-to-treat-and-implication-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Jan J Sniatecki, Caroline Styles, Natalie Boyle, Roshini Sanders Cataract Unit, Queen Margaret Hospital, Dunfermline, Fife, UK Purpose: To describe the population referred for cataract surgery, identify factors that influenced decision to treat, and patients suitable for ophthalmic training. Patients and methods: A total of 2,693 consecutive referrals over 6 years were interrogated using Business Objects software on cataract electronic patient records. Results: A total of 2,693 patients were referred for cataract surgery (group A). Of these patients 2,132 (79%) had surgery (group B) and 561 (21%) did not (group C). Age for group B vs group C: 672 (32%) vs 115 (20%) ≤69 years, P<0.001; 803 (38%) vs 225 (40%) 70–79 years, P=0.48; 586 (27%) vs 203 (36%) 80–89 years, P<0.05; 71 (3%) vs 18 (3%) ≥90 years, P=1.0. Visual acuity, group B vs group C: 556 (26%) vs 664 (59%) 6/12 or better; 1,275 (60%) vs 367 (33%) 6/18–6/60; 266 (12%) vs 64 (6%) counting fingers or worse, P<0.05. Medical history for group B vs C: cognitive impairment: 55 (2.6%) vs 29 (5.2%), P<0.05; cardiovascular accident: 158 (7.4%) vs 60 (10.7%), P<0.05; diabetes: 372 (17.4%) vs 96 (17.1%), P=0.87; COPD/asthma: 382 (17.9%) vs 93 (16.6%), P=0.53; heart disease: 535 (25.1%) vs 155 (27.6%), P=0.35; hypertension: 971 (45.5%) vs 263 (46.9%), P=0.73. Ocular history for group B vs C was significant (P<0.05) for age-related macular degeneration 255 (12.0%) vs 93 (16.6%), other macular pathology 38 (1.8%) vs 25 (4.5%), corneal pathology 92 (4.3%) vs 36 (6.4%), amblyopia 37 (1.7%) vs 22 (3.9%). Detailed data on presenting complaint, ophthalmic history, and social status is discussed. Conclusion: We observed that surgery at a younger age with good levels of visual acuity was a factor in deferring cataract surgery. Cognitive impairment, cardiovascular accident, amblyopia, corneal and macular pathology significantly affected decision not to operate. We estimate that 80% of patients would be suitable for ophthalmic training. Keywords: audit, electronic patient record, cataract surgery, co-morbidity, guarded visual prognosis, ophthalmic trainingSniatecki JJStyles CBoyle NSanders RDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 1821-1827 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Sniatecki JJ Styles C Boyle N Sanders R Cataract surgery: factors influencing decision to treat and implications for training (south-east Scotland 2008–2014)
description	Jan J Sniatecki, Caroline Styles, Natalie Boyle, Roshini Sanders Cataract Unit, Queen Margaret Hospital, Dunfermline, Fife, UK Purpose: To describe the population referred for cataract surgery, identify factors that influenced decision to treat, and patients suitable for ophthalmic training. Patients and methods: A total of 2,693 consecutive referrals over 6 years were interrogated using Business Objects software on cataract electronic patient records. Results: A total of 2,693 patients were referred for cataract surgery (group A). Of these patients 2,132 (79%) had surgery (group B) and 561 (21%) did not (group C). Age for group B vs group C: 672 (32%) vs 115 (20%) ≤69 years, P<0.001; 803 (38%) vs 225 (40%) 70–79 years, P=0.48; 586 (27%) vs 203 (36%) 80–89 years, P<0.05; 71 (3%) vs 18 (3%) ≥90 years, P=1.0. Visual acuity, group B vs group C: 556 (26%) vs 664 (59%) 6/12 or better; 1,275 (60%) vs 367 (33%) 6/18–6/60; 266 (12%) vs 64 (6%) counting fingers or worse, P<0.05. Medical history for group B vs C: cognitive impairment: 55 (2.6%) vs 29 (5.2%), P<0.05; cardiovascular accident: 158 (7.4%) vs 60 (10.7%), P<0.05; diabetes: 372 (17.4%) vs 96 (17.1%), P=0.87; COPD/asthma: 382 (17.9%) vs 93 (16.6%), P=0.53; heart disease: 535 (25.1%) vs 155 (27.6%), P=0.35; hypertension: 971 (45.5%) vs 263 (46.9%), P=0.73. Ocular history for group B vs C was significant (P<0.05) for age-related macular degeneration 255 (12.0%) vs 93 (16.6%), other macular pathology 38 (1.8%) vs 25 (4.5%), corneal pathology 92 (4.3%) vs 36 (6.4%), amblyopia 37 (1.7%) vs 22 (3.9%). Detailed data on presenting complaint, ophthalmic history, and social status is discussed. Conclusion: We observed that surgery at a younger age with good levels of visual acuity was a factor in deferring cataract surgery. Cognitive impairment, cardiovascular accident, amblyopia, corneal and macular pathology significantly affected decision not to operate. We estimate that 80% of patients would be suitable for ophthalmic training. Keywords: audit, electronic patient record, cataract surgery, co-morbidity, guarded visual prognosis, ophthalmic training
format	article
author	Sniatecki JJ Styles C Boyle N Sanders R
author_facet	Sniatecki JJ Styles C Boyle N Sanders R
author_sort	Sniatecki JJ
title	Cataract surgery: factors influencing decision to treat and implications for training (south-east Scotland 2008–2014)
title_short	Cataract surgery: factors influencing decision to treat and implications for training (south-east Scotland 2008–2014)
title_full	Cataract surgery: factors influencing decision to treat and implications for training (south-east Scotland 2008–2014)
title_fullStr	Cataract surgery: factors influencing decision to treat and implications for training (south-east Scotland 2008–2014)
title_full_unstemmed	Cataract surgery: factors influencing decision to treat and implications for training (south-east Scotland 2008–2014)
title_sort	cataract surgery: factors influencing decision to treat and implications for training (south-east scotland 2008–2014)
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/20a7bd2dc896465abb1303025a127162
work_keys_str_mv	AT sniateckijj cataractsurgeryfactorsinfluencingdecisiontotreatandimplicationsfortrainingsoutheastscotland2008ndash2014 AT stylesc cataractsurgeryfactorsinfluencingdecisiontotreatandimplicationsfortrainingsoutheastscotland2008ndash2014 AT boylen cataractsurgeryfactorsinfluencingdecisiontotreatandimplicationsfortrainingsoutheastscotland2008ndash2014 AT sandersr cataractsurgeryfactorsinfluencingdecisiontotreatandimplicationsfortrainingsoutheastscotland2008ndash2014
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Cataract surgery: factors influencing decision to treat and implications for training (south-east Scotland 2008&ndash;2014)

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