Evidence map›Paper›PMID 33328775›Full record

ArticlePatient related outcome measures2020

Outcomes and Associated Factors of Cataract Surgery Among Adults Attending a Tertiary Hospital in Addis Ababa, Ethiopia.

Cherinet M Markos, Lemlem T Tamrat, Mulusew A Asferaw

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Article in Patient related outcome measures, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

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5citing papers in PubMed, 1 pooled it
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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

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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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Cherinet M MarkosDepartment of Ophthalmology, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Lemlem T TamratDepartment of Ophthalmology, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Mulusew A AsferawDepartment of Ophthalmology, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.ORCID 0000-0001-6003-0728

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVisual outcomes and factors associated with cataract surgery vary from country to country and within countries. This study aimed to evaluate associated factors and visual outcomes following cataract surgery among adults attending Saint Paul's Hospital Millennium Medical College (SPHMMC), Addis Ababa, Ethiopia. PATIENTS AND

methodsWe conducted a prospective, longitudinal study of consecutive adult patients scheduled for cataract surgery between May 2018 and April 2019. Preoperative, intraoperative and postoperative data were collected and analyzed using SPSS version 23.0. Descriptive statistics and binary logistic regressions were used to analyze the data. We used World Health Organization (WHO) criteria for cataract surgery outcome assessment as a reference for comparison.

resultsThree hundred fourteen eyes of 314 participants (mean age 64.16±8.83 SD, 52% females, 44% from rural location) were included in the study. Most, 283 (90.1%) had preoperative visual acuity less than 6/60. At final follow-up visit (6 to 8 weeks), best-corrected visual acuity (BCVA) was good (≥6/18) in 215 (68.5%), borderline (<6/18-6/60) in 63 (20.1%) and poor (<6/60) in 36 (11.5%) eyes. Age-related macular degeneration (AMD) [OR = 4.57, 95% CI [1.12-17.24], p=0.03] and preoperative astigmatism [OR = 3.22, 95% CI [1.25-8.33], p=0.01] were significantly associated with poor postoperative visual outcome.

conclusionWhile the majority of patients had good postoperative BCVA following cataract surgery, the percentage of patients with poor visual outcomes was higher than the WHO standard. Greater attention to pre-existing co-morbidities such as retinal disease and high astigmatism could improve outcomes by optimizing patient selection and surgical approach.

Indexed as

cataract surgeryEthiopiafactorsoutcome

Identifiers

PMID33328775
PMCPMC7734045

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