SynthesisPloS one2020
Factors associated with the uptake of cataract surgery and interventions to improve uptake in low- and middle-income countries: A systematic review.
Synthesis in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.
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.
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.
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Who cites it
38 citing papers in PubMed, 57 citations in OpenAlex.
- Visible expansion, fragile effective coverage: Using repeated eye health system assessments to interpret limited change in eye health outcomes in Sierra Leone, 2013-2025.Dialogues in health · 2026Article
- The Need for Training and Reporting Standards in Middle Meningeal Artery Embolization.Clinical neuroradiology · 2026Article
- Global burden and cross-country inequalities of age-related eye diseases from 1990 to 2021: a comprehensive analysis of temporal trends and socioeconomic disparities.Eye and vision (London, England) · 2026Article
- Dissemination and implementation science for global ophthalmology: closing the last-mile translational gap.Frontiers in public health · 2026Review
- From national strategy to local implementation: a policy analysis of eye health integration and financing in Kenya's devolved health system.Frontiers in public health · 2026Article
- Under-reporting difficulties in seeing among older people with clinically assessed vision impairment: an exploration of 12 surveys from sub-Saharan Africa.International health · 2025Article
- Access to eye health services among older people with disabilities in Karamoja, Uganda: a qualitative exploration of successful care seeking.International journal for equity in health · 2025Article
- Glaucoma prevalence and treatment in sub-Saharan Africa's elderly population: a scoping review.BMC geriatrics · 2025Article
- Predictors of attendance at the first follow-up and poor visual outcome after paediatric cataract surgery in Kinshasa for the years 2001-2021.Tropical medicine and health · 2025Article
- Changing patterns in cataract surgery indications, outcomes, and costs, 2012-2023: a retrospective study at Aravind Eye Hospitals, India.The Lancet regional health. Southeast Asia · 2025Article
- Association between systemic immune inflammation index and cataract incidence from 2005 to 2008.Scientific reports · 2025Article
- Tools and methods for cataract recognition in low-resource settings: A narrative review.PLOS global public health · 2025Review
- Article
- Global, regional, and national burden of cataract among older adults from 1990 to 2021: a comprehensive analysis based on the global burden of disease study 2021.Frontiers in medicine · 2025Article
- Fear of Cataract Surgery and Vision Loss: The Effects of Health Literacy and Patient Comprehension at an Academic Hospital-Based Eye Clinic.Clinical ophthalmology (Auckland, N.Z.) · 2025Article
- Article
- Association between self-reported visual symptoms (suggesting cataract) and self-reported fall-related injury among adults aged ≥ 65 years from five low- and middle-income countries.Eye (London, England) · 2024Article
- Review
- Evaluation of a telemedicine-enabled universal eye health delivery model in rural southern India.Eye (London, England) · 2024Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite significant evidence around barriers hindering timely access to cataract surgery in low- and middle-income countries (LMICs), little is known about the strategies necessary to overcome them and the factors associated with improved access. Despite significant evidence that certain groups, women for example, experience disproportionate difficulties in access, little is known about how to improve the situation for them. Two reviews were conducted recently: Ramke et al., 2018 reported experimental and quasi-experimental evaluations of interventions to improve access of cataract surgical services, and Mercer et al., 2019 investigated interventions to improve gender equity. The aim of this systematic review was to collate, appraise and synthesise evidence from studies on factors associated with uptake of cataract surgery and strategies to improve the uptake in LMICs. We performed a literature search of five electronic databases, google scholar and a detailed reference review. The review identified several strategies that have been suggested to improve uptake of cataract surgery including surgical awareness campaigns; use of successfully operated persons as champions; removal of patient direct and indirect costs; regular community outreach; and ensuring high quality surgeries. Our findings provide the basis for the development of a targeted combination of interventions to improve access and ensure interventions which address barriers are included in planning cataract surgical services. Future research should seek to examine the effectiveness of these strategies and identify other relevant factors associated with intervention effects.
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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.