Evidence map›Paper›PMID 37975843›Full record

ArticleTranslational vision science & technology2023

Racial Disparities in Cataract Surgery Timeline and Intraocular Lens Selection: A Retrospective Study.

Seth E Buscho, Ardalan Sharifi, Samir Cayenne, Yuanyi Zhang, Kevin H Merkley, Praveena K Gupta

Open access · goldAbstract read
In one paragraph

Article in Translational vision science & technology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

8 citing papers in PubMed, 14 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Seth E BuschoJohn Sealy School of Medicine, University of Texas Medical Branch, Galveston, Texas, USA.
Ardalan SharifiDepartment of Ophthalmology & Visual Sciences, University of Texas Medical Branch, Galveston, Texas, USA.
Samir CayenneJohn Sealy School of Medicine, University of Texas Medical Branch, Galveston, Texas, USA.
Yuanyi ZhangOffice of Biostatistics, University of Texas Medical Branch, Galveston, Texas, USA.
Kevin H MerkleyDepartment of Ophthalmology & Visual Sciences, University of Texas Medical Branch, Galveston, Texas, USA.
Praveena K GuptaDepartment of Ophthalmology & Visual Sciences, University of Texas Medical Branch, Galveston, Texas, USA.
The University of Texas Medical Branch at Galveston · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: There is a significant amount of literature focusing on racial inequities in utilization rates and intraoperative complications of cataract surgery. Unfortunately, little is known about racial disparities regarding the timeline of cataract surgery and intraocular lens (IOL) selection. This study investigated whether black patients have a different preoperative and postoperative cataract surgery timeline and IOL selection than white patients. Methods: A total of 10,235 patients (83.47% white) were retrospectively identified from a tertiary academic center who underwent cataract surgery between 2015 and 2022. Each patient's best corrected visual acuity (BCVA), slit lamp findings, and surgical timeline were recorded. IOL selection was categorized as standard or premium. Results: Black patients had significantly worse mean ± SD preoperative logMAR BCVA than white patients (0.47 ± 0.55 vs. 0.58 ± 0.70, respectively; P = 0.0117) and were significantly less likely to receive surgery within 120 days of referral (RR, 0.71 [95% confidence interval {CI}, 0.64-0.79]; P < 0.0001). White patients were 25%, 24%, and 29% less likely to follow-up than black patients at postoperative day 1, day 7, and day 30, respectively (P < 0.0001). White patients were 6.09 (95% CI, 3.49, 10.63) times more likely to receive a premium IOL compared to black patients (P < 0.0001). Conclusions: Black patients experienced more delays with receiving cataract surgery but are more adherent with postoperative follow-up. Black patients were far less likely to receive a premium IOL than white patients. Translational Relevance: Increased awareness of racial inequities in cataract surgery may improve the delivery of eye care to minority groups.

Indexed as

CataractEthnic and Racial MinoritiesHealthcare DisparitiesLenses, IntraocularHealth Services AccessibilityHumansLens Implantation, IntraocularRetrospective StudiesSocial Determinants of HealthVisual Acuity

Identifiers

PMID37975843
PMCPMC10668610
OpenAlexW4388760366

What OpenQuestion holds

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Registered trials

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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.