Evidence map›Paper›PMID 22978526›Full record

ArticleOphthalmic epidemiology2012

Cataract surgery among Medicare beneficiaries.

Oliver D Schein, Sandra D Cassard, James M Tielsch, Emily W Gower

Registry-linked trialAbstract read
In one paragraph

Article in Ophthalmic epidemiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04104256 (Pragmatic Trial of an Electronic Health Record/Behavioral Economics Intervention to Reduce Pre-Operative Testing for Cataract Surgery), which is not on this map. Cited by 53 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 4 pooled it
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04104256 nacompletednot on this mapstarted 2021, after this paper: background citation

Pragmatic Trial of an Electronic Health Record/Behavioral Economics Intervention to Reduce Pre-Operative Testing for Cataract Surgery

TypeinterventionalSponsorUniversity of California, Los AngelesRan2021 to 2023Enrolled1,045ConditionsPre-Operative Testing for Cataract SurgeryArmsNudge #1: Alert highlighting the safety/potential harms to patients of undergoing pre-op tests, Nudge #2: Alert highlighting the financial harms to the patient experiencing pre-op tests, Nudge #3: Alert highlighting potential psychological harms to the patient of experiencing pre-op tests, Usual Care
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 4 syntheses or guidelines pooled it, 142 citations in OpenAlex.

  1. Cataract surgery and IOP: a systematic review of randomised controlled trials.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2023
    Pooled it
  2. N-acetylcarnosine (NAC) drops for age-related cataract.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
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  7. Massive iris cyst in an adult female.American journal of ophthalmology case reports · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Oliver D ScheinWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. rwhite58@jhmi.edu
Sandra D Cassard
James M Tielsch
Emily W Gower
Johns Hopkins University · USJohns Hopkins Medicine · US

Funding

Rates/Risk Factors for Endophthalmitis After Cataract SuR01EY016769 · NEI · JOHNS HOPKINS UNIVERSITY · PI GOWER, EMILY W · 2005 to 2007
$2.1M
NEI NIH HHS EY016769-01NEI NIH HHS R01 EY016769
6 · The paper itself

Abstract

purposeTo present descriptive epidemiology of cataract surgery among Medicare recipients in the United States.

settingCataract surgery performed on Medicare beneficiaries in 2003 and 2004.

methodsMedicare claims data were used to identify all cataract surgery claims for procedures performed in the United States in 2003-2004. Standard assumptions were used to limit the claims to actual cataract surgery procedures performed. Summary statistics were created to determine the number of procedures performed for each outcome of interest: cataract surgery rates by age, sex, race and state; surgical volume by facility type and surgeon characteristics; time interval between first- and second-eye cataract surgery.

resultsThe national cataract surgery rate for 2003-2004 was 61.8 per 1000 Medicare beneficiary person-years. The rate was significantly higher for females and for those aged 75-84 years. After adjustment for age and sex, blacks had approximately a 30% lower rate of surgery than whites. While only 5% of cataract surgeons performed more than 500 cataract surgeries annually, these surgeons performed 26% of the total cataract surgeries. Increasing surgical volume was found to be highly correlated with use of ambulatory surgical centers and reduced time interval between first- and second-eye surgery in the same patient.

conclusionsThe epidemiology of cataract surgery in the United States Medicare population documents substantial variation in surgical rates by race, sex, age, and by certain provider characteristics.

Indexed as

AgedAged, 80 and overAge DistributionAmbulatory Surgical ProceduresBlack or African AmericanCataract ExtractionDatabases, FactualFemaleHumansMaleMedicare Part BPractice Patterns, Physicians'Sex DistributionUnited StatesWhite People

Identifiers

PMID22978526
PMCPMC4313376
OpenAlexW2020005872

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.