ArticleAmerican journal of ophthalmology2020
Sex Differences in the Repair of Retinal Detachments in the United States.
Article in American journal of ophthalmology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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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.
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Who cites it
14 citing papers in PubMed, 23 citations in OpenAlex.
- Removal of scleral buckle: indications, long-term outcomes and comparison with the literature.International journal of retina and vitreous · 2026Article
- Privatization of ophthalmology: unveiling disparities in the surgical arena.Israel journal of health policy research · 2026Observational
- Incidence and risk factors for recurrence after surgical treatment of rhegmatogenous retinal detachment: a retrospective cohort study.International journal of retina and vitreous · 2025Article
- Recurrent Rhegmatogenous Retinal Detachment: Characteristics, Risk Factors, and Outcomes.Therapeutics and clinical risk management · 2025Article
- Updates on Treatment Modalities for Primary Rhegmatogenous Retinal Detachment Repair.Diagnostics (Basel, Switzerland) · 2024Review
- Gender Disparities in Depression, Stress, and Social Support Among Glaucoma Patients.Translational vision science & technology · 2023Article
- Demographic trends of patients undergoing ophthalmic surgery in Ontario, Canada: a population-based study.BMJ open ophthalmology · 2023Article
- Rhegmatogenous retinal detachment repair-does age, sex, and lens status make a difference?Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2022Article
- Incidence and Risk Factors Affecting the Recurrence of Primary Retinal Detachment in a Tertiary Hospital in Spain.Journal of clinical medicine · 2022Article
- Pneumatic retinopexy: an update.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2022Review
- Characteristics of spontaneous reattachment of rhegmatogenous retinal detachment: optical coherence tomography features and follow-up outcomes.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2021Article
- Regional and sex differences in retinal detachment surgery: Japan-retinal detachment registry report.Scientific reports · 2021Article
- Clinical Outcomes of Rhegmatogenous Retinal Detachment Treated With Pneumatic Retinopexy.JAMA ophthalmology · 2021Article
- Reply to Comment on: Sex Differences in the Repair of Retinal Detachments in the United States.American journal of ophthalmology · 2021Article
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
purposeTo investigate differences between women and men in the repair of rhegmatogenous retinal detachments (RRDs) in the United States.
designRetrospective cohort study.
methodsSetting: A large insurance claims database.
participantsSubjects with an incident RRD between 2007 and 2015. DATA: Demographic data, comorbid ocular conditions associated with RRD, systemic comorbidities, and surgical intervention (pneumatic retinopexy [PR], pars plana vitrectomy [PPV], laser barricade, or scleral buckle [SB]) were collected.
main outcome measuresOdds of receipt of surgical intervention for incident RRD, time to repair, type of intervention, and the rate of reoperation by sex.
resultsThe study period included 133 million eligible records with 61,071 cases of incident RRD among which 43% (n = 26,289) were women. The primary outcome model had 23,933 confirmed RRD cases with a 93% retinal detachment repair rate. Women had 34% reduced odds of receipt of surgical repair of an RRD (odds ratio [OR] 0.66, 95% confidence interval [CI] 0.59, 0.73; P < .001) after adjusting for confounders. This effect persisted in all sensitivity models. Among patients who received repair, women were more often delayed (0.17 days, P = .04). Women were more likely to undergo primary laser barricade (relative risk ratio [RRR] 1.68, P < .001), primary SB (RRR 1.15, P < .001), and PR (RRR 1.07, P < .04) than men. The odds of reoperation were lower in women (OR 0.91, 95% CI 0.85, 0.96; P = .002) after adjustment.
conclusionsInsured women are less likely than insured men to receive surgical intervention for an RRD. Based on the results of this study, if the odds of repair were equal between women and men in the United States, then 781 more women would receive surgery each year, or 7,029 more during the study period. Women are more likely to have the repair performed with scleral buckle, laser barricade, and pneumatic retinopexy. The reason for these sex differences in RRD repair remains unknown and requires further investigation.
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