Evidence map›Paper›PMID 30746019›Full record

ArticleAmerican health & drug benefits2018

A Proposed Intervention to Decrease Resident-Performed Cataract Surgery Cancellation in a Tertiary Eye Care Center.

Eileen L Mayro, Laura T Pizzi, Lisa A Hark, Ann P Murchison, Douglas Wisner, Anish Koka, Benjamin E Leiby, Nooreen Dabbish, Adedoyin Okulate, Alexa Dessy and 2 more

Abstract read
In one paragraph

Article in American health & drug benefits, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 25% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
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

12 authors at 8 institutions in 3 countries.

Eileen L MayroResearch Coordinator, Department of Research, Wills Eye Hospital, Philadelphia, PA, and Student, Sidney Kimmel Medical College, Thomas Jefferson University (TJU), Philadelphia.
Laura T PizziProfessor and Director, Center for Health Outcomes, Policy, and Economics, Rutgers University, Piscataway, NJ.
Lisa A HarkDirector, Department of Research, Wills Eye Hospital, and Professor of Ophthalmic Sciences (Ophthalmology), Columbia University Vegalos College of Physicians and Surgeons, New York, NY.
Ann P MurchisonAttending Surgeon and Director, Emergency Department, Wills Eye Hospital, and Associate Professor of Ophthalmology, Sidney Kimmel Medical College, TJU.
Douglas WisnerAttending Surgeon, Cataract and Primary Eye Care Service, Wills Eye Hospital.
Anish KokaAttending Physician, Koka Cardiology, TJU.
Benjamin E LeibyAssociate Professor and Director, Division of Biostatistics, Department of Pharmacology and Experimental Therapeutics, TJU.
Nooreen DabbishBiostatistician, Division of Biostatistics, Department of Pharmacology and Experimental Therapeutics, TJU.
Adedoyin OkulateStudents, all at Sidney Kimmel Medical College, TJU.
Alexa DessyStudents, all at Sidney Kimmel Medical College, TJU.
Caitlin GreenStudents, all at Sidney Kimmel Medical College, TJU.
Robert BaileyAttending Surgeon and Director, Cataract and Primary Eye Care Service, Wills Eye Hospital and Professor of Ophthalmology, Sidney Kimmel Medical College, TJU.
Sidney Kimmel Cancer Center · USWills Eye Hospital · USBiostatistical Consulting (United States) · USColumbia University · USEnvironmental and Occupational Health Sciences Institute · USHe Eye Hospital · CNIo Therapeutics (United States) · USKotka Maritime Research Centre · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCataracts are the leading cause of preventable blindness globally. As a result, competence in cataract surgery is an important component of ophthalmology residency training. Residency programs must optimize the number of cataract surgery cases to train proficient physicians. However, the rate of cataract surgery cancellations is high, and some are canceled because of preventable causes.

objectiveTo evaluate the effect of mandatory on-site preadmission testing, including having a physical examination, on resident-performed cataract surgery cancellation rates.

methodsFor this study, patients scheduled for cataract surgery at the Wills Eye Hospital resident cataract clinic between January 2015 and November 2015 were enrolled and randomized into 2 groups: usual care or intervention. The patients randomized to the usual care group were instructed to complete preadmission testing and to have a physical examination with their primary care physician. The patients randomized to the intervention group were escorted to a Wills Eye Hospital-affiliated cardiologist to complete preadmission testing and to have a physical examination. Patients in both groups received a reminder call before the cataract surgery.

resultsA total of 441 patients were included in the study-240 patients in the usual care group and 201 patients in the intervention group. The overall cataract surgery cancellation rate was 14.5%; the rate was 12.4% in the intervention group and 16.3% in the usual care group (

conclusionsFacilitating the completion of preadmission testing for patients decreased the rates of resident-performed cataract surgery cancellation at a Wills Eye Hospital resident clinic and has the potential to improve patient outcomes and prevent blindness.

Indexed as

blindnesscataractcataract surgeryophthalmology residency trainingpreadmission testingresident-performed surgerysurgery cancellationusual care

Identifiers

PMID30746019
PMCPMC6322594
OpenAlexW2920299029

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.