Evidence map›Paper›PMID 34826983›Full record

ArticleIndian journal of ophthalmology2021

A multicentric cross-sectional study measuring the equity of cataract surgical services in three high-volume eyecare organizations in North India: Equitable cataract surgical rate as a new indicator.

Shalinder Sabherwal, Subeesh Kuyyadiyil, Vijay P S Tomar, Ishaana Sood, Kunal V Singh, Elesh K Jain, Atanu Majumdar, Ken Bassett

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Indian journal of ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Shalinder SabherwalDepartment of Community Ophthalmology and Public Health Research, Dr Shroff's Charity Eye Hospital, New Delhi; The Bodhya Eye Consortium a. Dr Shroff's Charity Eye Hospital, New Delhi, b. Sadguru Netra Chikitsalaya, Jankikund, Chitrakoot, Madhya Pradesh, c. Regional Institute of Ophthalmology and Sitapur Eye Hospital, Sitapur, Uttar Pradesh, d. MGM Eye Institute, Raipur, Chhattisgarh, e. CL Gupta Eye Institute, Moradabad, Uttar Pradesh, India, f. LJ Eye Institute, Ambala City, Haryana, India.
Subeesh KuyyadiyilCentre for Community Ophthalmology, Sadguru Netra Chikitsalaya, Chitrakoot, Madhya Pradesh; The Bodhya Eye Consortium a. Dr Shroff's Charity Eye Hospital, New Delhi, b. Sadguru Netra Chikitsalaya, Jankikund, Chitrakoot, Madhya Pradesh, c. Regional Institute of Ophthalmology and Sitapur Eye Hospital, Sitapur, Uttar Pradesh, d. MGM Eye Institute, Raipur, Chhattisgarh, e. CL Gupta Eye Institute, Moradabad, Uttar Pradesh, India, f. LJ Eye Institute, Ambala City, Haryana, India.
Vijay P S TomarRegional Institute of Ophthalmology, Sitapur Eye Hospital, Sitapur, Uttar Pradesh; The Bodhya Eye Consortium a. Dr Shroff's Charity Eye Hospital, New Delhi, b. Sadguru Netra Chikitsalaya, Jankikund, Chitrakoot, Madhya Pradesh, c. Regional Institute of Ophthalmology and Sitapur Eye Hospital, Sitapur, Uttar Pradesh, d. MGM Eye Institute, Raipur, Chhattisgarh, e. CL Gupta Eye Institute, Moradabad, Uttar Pradesh, India, f. LJ Eye Institute, Ambala City, Haryana, India.
Ishaana SoodDepartment of Community Ophthalmology and Public Health Research, Dr Shroff's Charity Eye Hospital, New Delhi; The Bodhya Eye Consortium a. Dr Shroff's Charity Eye Hospital, New Delhi, b. Sadguru Netra Chikitsalaya, Jankikund, Chitrakoot, Madhya Pradesh, c. Regional Institute of Ophthalmology and Sitapur Eye Hospital, Sitapur, Uttar Pradesh, d. MGM Eye Institute, Raipur, Chhattisgarh, e. CL Gupta Eye Institute, Moradabad, Uttar Pradesh, India, f. LJ Eye Institute, Ambala City, Haryana, India.
Kunal V SinghRegional Institute of Ophthalmology, Sitapur Eye Hospital, Sitapur, Uttar Pradesh; The Bodhya Eye Consortium a. Dr Shroff's Charity Eye Hospital, New Delhi, b. Sadguru Netra Chikitsalaya, Jankikund, Chitrakoot, Madhya Pradesh, c. Regional Institute of Ophthalmology and Sitapur Eye Hospital, Sitapur, Uttar Pradesh, d. MGM Eye Institute, Raipur, Chhattisgarh, e. CL Gupta Eye Institute, Moradabad, Uttar Pradesh, India, f. LJ Eye Institute, Ambala City, Haryana, India.
Elesh K JainCentre for Community Ophthalmology, Sadguru Netra Chikitsalaya, Chitrakoot, Madhya Pradesh; The Bodhya Eye Consortium a. Dr Shroff's Charity Eye Hospital, New Delhi, b. Sadguru Netra Chikitsalaya, Jankikund, Chitrakoot, Madhya Pradesh, c. Regional Institute of Ophthalmology and Sitapur Eye Hospital, Sitapur, Uttar Pradesh, d. MGM Eye Institute, Raipur, Chhattisgarh, e. CL Gupta Eye Institute, Moradabad, Uttar Pradesh, India, f. LJ Eye Institute, Ambala City, Haryana, India.
Atanu MajumdarDepartment of Community Ophthalmology and Public Health Research, Dr Shroff's Charity Eye Hospital, New Delhi, India.
Ken BassettUniversity of British Columbia; Seva Canada, Seva Canada Society, Vancouver, BC, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCataract remains the leading cause of blindness and visual impairment in most low-and middle-income countries, with the greatest burden borne by women. To achieve Global Action Plan targets, cataract programs must target people, especially women, with maximum need. This study examines whether cataract surgical programs in three major north Indian eyecare institutions are equitable and describes a refined indicator for reporting equity.

methodsRetrospective one-year cross-sectional study of cataract surgery utilization using routine administrative data from three north Indian eyecare institutions. Patient data were categorized by paying category, sex, and preoperative visual acuity. Comparisons were made between payment categories and sexes.

resultsOut of the total number of patients operated, 86,230 were in the non-paying category and 56,738 in the paying category. Overall, 8.2% were blind, 21.1% were severely visual impaired (SVI) or worse, and 86.1% were moderate visual impaired (MVI) or worse. Non-paying patients had a significantly higher proportion of poorer visual categories compared to paying patients [(blind, 9.7% vs. 5.8%; SVI or worse, 24.6% vs. 15.8%; and MVI or worse, 89.1% vs. 81.6%, respectively, (P < 0.001)]. Women had significantly higher proportion of poorer visual categories than men [(blind, 8.9% vs. 7.4%, SVI or worse, 21.9% vs. 20.3% and MVI or worse 87.6 vs. 84.7%) (P < 0.001)].

conclusionThe institutions primarily provided surgery to patients with maximum need: too poor to pay, low visual acuity, and women. Similar data from all service providers of a region can help estimate the proposed "equitable cataract surgical rate": the proportion of patients operated with maximum need among those operated in a year. This can be used for targeting people in need.

Indexed as

CataractCataract ExtractionBlindnessCross-Sectional StudiesFemaleHumansIndiaMalePrevalenceRetrospective StudiesBlindcataract surgical ratemoderate visual impairmentpreoperative visual acuitypublic healthsevere visual impairment

Identifiers

PMID34826983
PMCPMC8837367

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

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.