Evidence map›Paper›PMID 34373612›Full record

ArticleEye (London, England)2022

Geographic variation in cumulative incidence of private cataract surgery in Australia and its influencing factors: Findings from the 45 and Up Study.

Zhuoting Zhu, Liying Li, Jane Scheetz, Wei Wang, Xianwen Shang, Lei Zhang, Mingguang He

Abstract read
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Article in Eye (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Observational
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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Zhuoting Zhu *Guangdong Eye Institute, Department of Ophthalmology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.ORCID 0000-0002-9897-1192
Liying Li *Centre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, Melbourne, Australia.
Jane ScheetzCentre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, Melbourne, Australia.ORCID 0000-0003-0523-1927
Wei WangState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China.ORCID 0000-0002-5273-3332
Xianwen ShangCentre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, Melbourne, Australia.
Lei ZhangDepartment of Epidemiology and Biostatistics, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, China. lei.zhang1@xjtu.edu.cn.ORCID 0000-0003-2343-084X
Mingguang HeGuangdong Eye Institute, Department of Ophthalmology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China. mingguanghe@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the geographic variation in the cumulative incidence of private cataract surgery (PCS) and its association with remoteness, socioeconomic, and private health insurance coverage indexes in a large Australian population.

methodsA prospective population-based study of 266,896 Australian adults living in New South Wales (NSW) aged 45 years older and over were enrolled in the 45 and Up Study. PCS was identified using Medicare claims data. Participants were assigned to a Statistical Area Level 3 (SA3) based on residential postcode in NSW. Cumulative incidence of PCS (number of surgery per 100,000 population from 2006 to 2016) among 89 SA3s was calculated and standardized to the baseline population. Remoteness and socioeconomic deprivation was derived from Australian Bureau of Statistics (ABS). Private health insurance coverage rates were obtained from the baseline interview.

resultsA total of 257,237 participants with complete data were included in the current analysis. During the study period, a total of 67,707 cataract surgeries were performed among 39,744 participants. Cumulative incidence of PCS varied from 14,897 to 37,314 per 100,000 across 89 SA3s. Multivariable adjusted regression models showed that remoteness index and private health insurance coverage rates were independently associated with cumulative incidence of PCS (all P < 0.05), while no significant association between socioeconomic deprivation and cumulative incidence of PCS was observed. Collectively, these three variables explained 52.7% of the geographic variability.

conclusionsThe geographical variation in the cumulative incidence of PCS calls for interventions targeted at individuals living in remote areas to reduce the burden of cataract-related vision impairment.

Indexed as

CataractNational Health ProgramsAdultAgedAustraliaHumansIncidenceProspective Studies

Identifiers

PMID34373612
PMCPMC9391482

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