Evidence map›Paper›PMID 37019483›Full record

Observational studyBMJ open2023

Retrospective analysis of cataract surgery outcomes in China from 2009 to 2018: from a national registry system data.

Jingjing Feng, Catherine Jan, Yaguang Peng, Mingguang He, Lei An, Leilei Zhan, Wei Shi, Xiaoxia Peng, Wenhan Shang, Wei Li and 2 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 26% of its field
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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. 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

12 authors at 5 institutions in 2 countries.

Jingjing FengDepartment of Nursing Administration and Rehabilitation Research, National Institute of Hospital Administration, Beijing, China.
Catherine JanLost Child's Vision Project, Sydney, New South Wales, Australia.
Yaguang PengCenter for Clinical Epidemiology and Evidence-based Medicine, Beijing Children's Hospital, Beijing, China.ORCID 0000-0002-7987-6464
Mingguang HeState Key Laboratory of Ophthalmology, Sun Yat-Sen University Zhongshan Ophthalmic Center, Guangzhou, China.ORCID 0000-0002-6912-2810
Lei AnDepartment of Nursing Administration and Rehabilitation Research, National Institute of Hospital Administration, Beijing, China.
Leilei ZhanDepartment of Nursing Administration and Rehabilitation Research, National Institute of Hospital Administration, Beijing, China.
Wei ShiDepartment of Ophthalmology, Beijing Children's Hospital, Capital Medical University, Beijing, China.
Xiaoxia PengCenter for Clinical Epidemiology and Evidence-based Medicine, Beijing Children's Hospital, Beijing, China.ORCID 0000-0001-8789-469X
Wenhan ShangDepartment of Nursing Administration and Rehabilitation Research, National Institute of Hospital Administration, Beijing, China.
Wei LiDepartment of Nursing Administration and Rehabilitation Research, National Institute of Hospital Administration, Beijing, China.
Xiao Xu *Department of Healthcare Service and Safety Research, National Institute of Hospital Administration, Beijing, China po_niha@163.com.ORCID 0000-0002-5262-7257
Li Yao *Department of Nursing Administration and Rehabilitation Research, National Institute of Hospital Administration, Beijing, China.
National Institute of Hospital Administration · CNBeijing Children’s Hospital · CNCapital Medical University · CNSun Yat-sen University · CNThe University of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate patients' benefits after cataract surgery and to form recommendations for Chinese national health policy decision makers and administration departments based on the quality of cataract treatments.

methodAn observational study based on real-world data source from the National Cataract Recovery Surgery Information Registration and Reporting System.

resultsA total of 14 157 463 original records were reported from 1 July 2009 to 31 December 2018. The factors that influenced the 3-day postsurgical best-corrected visual acuity (BCVA), the primary outcome, were analysed by logistic regression analysis. We found that a history of hypertension (OR=0.916) or diabetes (OR=0.912), presurgical pupil abnormality (OR=0.571) and high intraocular pressure (OR=0.578) were harmful to the postsurgical BCVA improvement (BCVA ≥6/20), while male sex (OR=1.113), better presurgical BCVA level (OR=5.996 for ≥6/12-<6/7.5 and OR=2.610 for >6/60-<6/12 taken ≤6/60 as reference), age-related cataract (OR=1.825) and intraocular lens implantation (OR=1.886) were statistically beneficial to the postsurgical BCVA improvement. Compared with extracapsular cataract extraction (ECCE) with large incision, the ECCE with small incision (OR value=1.810) and the phacoemulsification (OR=1.420) significantly improved the benefit probability.

conclusionECCE with small incision has comparable effects on postsurgical BCVA improvement of phacoemulsification. Therefore, ECCE could be an alternative cataract surgical treatment in economically underdeveloped areas in China, provided the surgeons are adequately trained.

Indexed as

CataractCataract ExtractionPhacoemulsificationChinaHumansLens Implantation, IntraocularMaleRegistriesRetrospective StudiesTreatment OutcomeCataract and refractive surgeryEPIDEMIOLOGYHealth policy

Identifiers

PMID37019483
PMCPMC10083822
OpenAlexW4362606572

What OpenQuestion holds

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LicenceCC BY-NC
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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.