ReviewJournal of ophthalmology2020
Female Gender Remains a Significant Barrier to Access Cataract Surgery in South Asia: A Systematic Review and Meta-Analysis.
Review in Journal of ophthalmology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Regional disparities in effective cataract surgical coverage and relative quality gap in India: A systematic review and meta-analysis.Indian journal of ophthalmology · 2026Pooled it
- Strategies for strengthening eye care in India: a consensus-based recommendations.The Lancet regional health. Southeast Asia · 2026Review
- Effective Cataract Surgery Coverage and Potential Influencing Factors for Adults in Fujian, Southeast of China: Fujian Eye Study.BioMed research international · 2026Article
- Nationwide analysis of sex differences in waiting times for cataract surgery in Sweden between 2010 and 2022.Communications medicine · 2025Article
- Improvement in the effective cataract surgical coverage in Malaysia: evidence of impact from a mobile cataract outreach program.BMC public health · 2025Article
- Prevalence of cataract and its associated factors among adult diabetic patients attending at diabetic care clinics in Northwest Ethiopia, 2023.BMC public health · 2025Article
- Article
- Article
- Eye care interventions that reduce access inequities for women, rural residents and older people in low-middle-income countries: a scoping review.Frontiers in public health · 2025Article
- Global trends and disparities in burden of blindness and vision loss caused by non-communicable diseases from 1990 to 2021, and forecasts to 2045: a systematic analysis for the global burden of disease study 2021.Frontiers in medicine · 2025Article
- Quality of Life after Cataract Surgery.Journal of clinical medicine · 2024Article
- Barriers to the Utilization of Low-Vision Rehabilitation Services among Over-50-Year-Old People in East and Southeast Asian Regions: A Scoping Review.International journal of environmental research and public health · 2023Article
- Rethinking referral systems in rural chiapas: A mixed methods study.Dialogues in health · 2023Article
- Cataract services for all: Strategies for equitable access from a global modified Delphi process.PLOS global public health · 2023Article
- Cerebral visual impairment in children: Multicentric study determining the causes, associated neurological and ocular findings, and risk factors for severe vision impairment.Indian journal of ophthalmology · 2022Article
- Effective cataract surgical coverage in adults aged 50 years and older: estimates from population-based surveys in 55 countries.The Lancet. Global health · 2022Article
- Vision centre helps reduce blindness and vision impairment. Proof of concept in a four-year longitudinal study in an urban area in India.Indian journal of ophthalmology · 2022Article
- Vision Delhi: A study of primary eye care model operational in urban slums and resettlement colonies of Delhi.Journal of family medicine and primary care · 2022Article
- Prevalence and sociodemographic factors associated with vision difficulties in Ghana, Gambia, and Togo: a multi-country analysis of recent multiple Indicator cluster surveys.BMC public health · 2021Article
- Urgent and emergent glaucoma care during the COVID-19 pandemic: An analysis at a tertiary care hospital in South India.Indian journal of ophthalmology · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo determine whether the female gender is a barrier for the access to cataract surgery services in South Asia in the last two decades.
methodsEligible cross-sectional studies were identified via computer searches and reviewing the reference lists of the obtained articles. The cataract surgical coverage (CSC) by sex based on person and eyes at visual acuity <3/60 and 6/18 is extracted. Pooled odds ratios (ORs) for males receiving cataract surgery in comparison with females were calculated by a random effect model.
resultsSixteen studies with 135972 subjects were included in the final analysis. The pooled ORs of CSC by sex on a person basis at visual acuity <3/60 and at visual acuity <6/18 were 1.46 (95% CI: 1.23-1.75) and 1.14 (95% CI: 1.05-1.24), respectively. For CSC on a per-eye basis at visual acuity <3/60, the associations were statistically significant, with a pooled OR of 1.40 (95% CI: 1.16-1.70). The values of population attributable risk percentage at a per-person and per-eye basis at visual acuity <3/60 were 6.28% and 7.48%, respectively. Subgroup analyses by design and location types attained similar results as the primary analyses. There was no evidence of publication bias.
conclusionsThe female gender remains a significant barrier for the access to cataract surgery in South Asia. Visual impairment, including blindness, from unoperated cataract, could be reduced by approximately 6.28% with the elimination of gender disparities to access. More efforts are needed to increase eye care service utilization by female population.
Identifiers
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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.