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[PMID]: | 28728174 |
[Au] Autor: | Wang W; Yan W; Müller A; He M |
[Ad] Endereço: | State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangzhou, China. |
[Ti] Título: | A Global View on Output and Outcomes of Cataract Surgery With National Indices of Socioeconomic Development. |
[So] Source: | Invest Ophthalmol Vis Sci;58(9):3669-3676, 2017 Jul 01. | [Is] ISSN: | 1552-5783 |
[Cp] País de publicação: | United States |
[La] Idioma: | eng |
[Ab] Resumo: | Purpose: Cataract blindness accounts for a substantial proportion of blindness worldwide. Understanding the correlations between national levels of socioeconomic development with the quantity and quality of cataract surgery may provide insight for the prioritization and resource allocation for blindness prevention programs. Methods: The relationships between human development index (HDI), gross domestic product (GDP) per capita, and cataract surgical coverage (CSC) and visual outcome of cataract surgery were examined in a multinational study utilizing secondary data from the repository for Rapid Assessment of Avoidable Blindness (RAAB), World Health Organization, Global Burden of Disease, United Nations, and the World Bank. Results: A total of 266 RAAB studies across 73 countries/territories were retrieved. Linear regression model results revealed strong associations of HDI with prevalence of cataract blindness (ß = -7.056, P < 0.001), CSC (ß = 60.808, P = 0.004), proportion of intraocular lens (IOL) implantation (ß = 87.040, P = 0.001), and proportion of cases with good vision outcomes among operated eyes (ß = 73.351, P < 0.001) in studies performed between 1995 and 2009. Similar associations were observed for studies performed between 2010 and 2015. In addition, countries with lower GDP per capita showed a higher rate of cataract blindness (ß = -0.527, P = 0.001), lower CSC (ß = 9.800, P < 0.001), lower percentage of IOL implantation (ß = 6.871, P = 0.001), and fewer patients with good vision outcomes after surgery (ß = 7.959, P < 0.001). After controlling survey year, country, and other factors, GDP per capita and HDI were also found to be significantly associated with CSC and visual outcomes after cataract surgery (all P < 0.05). Conclusions: We documented the strong associations of socioeconomic indices with quantity and quality of cataract surgery. These socioeconomic indicators should be considered as important factors for developing strategies aimed to improve worldwide cataract surgery service delivery. |
[Mh] Termos MeSH primário: |
Cegueira/epidemiologia Extração de Catarata/estatística & dados numéricos Catarata/epidemiologia Assistência à Saúde Saúde Global/estatística & dados numéricos Avaliação de Resultados (Cuidados de Saúde)/estatística & dados numéricos Fatores Socioeconômicos
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[Mh] Termos MeSH secundário: |
Idoso Cegueira/fisiopatologia Catarata/fisiopatologia Assistência à Saúde/economia Assistência à Saúde/estatística & dados numéricos Feminino Produto Interno Bruto Desenvolvimento Humano Seres Humanos Renda Masculino Meia-Idade Avaliação de Resultados (Cuidados de Saúde)/economia Acuidade Visual/fisiologia
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[Pt] Tipo de publicação: | JOURNAL ARTICLE |
[Em] Mês de entrada: | 1707 |
[Cu] Atualização por classe: | 170728 |
[Lr] Data última revisão:
| 170728 |
[Sb] Subgrupo de revista: | IM |
[Da] Data de entrada para processamento: | 170721 |
[St] Status: | MEDLINE |
[do] DOI: | 10.1167/iovs.17-21489 |
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