Evidence map›Paper›PMID 38200502›Full record

ArticleBMC ophthalmology2024

Resident operative time as an independent predictor of early post-operative cataract surgery outcomes and supervising attending surgeon impact: a retrospective case series.

Hans W Andrews, George T Lin, Jennifer L Lindsey, Xiangyu Ji, Qingxia Chen, Amy S Chomsky

Open access · goldAbstract read
In one paragraph

Article in BMC ophthalmology, 2024. 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
1.1field-weighted citation impact, top 28% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Trial
  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

6 authors at 3 institutions in 1 country.

Hans W AndrewsVanderbilt Eye Institute, 2311 Pierce Ave, Nashville, TN, 37232, USA. hanswandrews@gmail.com.
George T LinVanderbilt Eye Institute, 2311 Pierce Ave, Nashville, TN, 37232, USA.
Jennifer L LindseyVanderbilt Eye Institute, 2311 Pierce Ave, Nashville, TN, 37232, USA.
Xiangyu JiDepartment of Biostatistics, Vanderbilt University Medical Center, 2525 West End, Nashville, TN, 37232, USA.
Qingxia ChenVanderbilt Eye Institute, 2311 Pierce Ave, Nashville, TN, 37232, USA.
Amy S ChomskyVanderbilt Eye Institute, 2311 Pierce Ave, Nashville, TN, 37232, USA.
Vanderbilt University Medical Center · USVA Tennessee Valley Healthcare System · USVanderbilt University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe authors sought to determine if resident operative time in cataract extraction and intraocular lens insertion (CE/IOL) affects early visual outcomes and post-operative recovery. They further sought to investigate if attending surgeons can reduce resident operative time.

methodsThis retrospective, chart-review, case series at single Veterans Affairs Hospital (VA Tennessee Valley Healthcare System) studied resident cataract surgeries between March 1, 2018 and March 31, 2020. Following power analysis, 420 eyes of 400 patients from all resident cataract surgeries were included. Eyes with attending as primary surgeon, laser-assisted cataract surgery, or concurrent secondary procedures were excluded. Linear mixed effect models were used to study the association between operative time and visual outcomes while adjusting for covariates including cumulative dissipated energy, preoperative factors, and intraoperative complications.

resultsLonger operative time was statistically associated with worse post-operative-day 1 (POD1) pinhole visual acuity (PH-VA) adjusting for cumulative dissipated energy and other operative factors (p = 0.049). Although resident physicians were the primary surgeons, the operative times were different between the ten supervising attending surgeons in the study (p < 0.001).

conclusionThe results suggest that increased resident operative time is a significant, independent risk factor for decreased POD1 PH-VA. Increased resident operative time is not associated with worsened long term visual outcomes. Attending surgeons may be able to reduce resident operative time, which is associated with improved early visual outcomes.

Indexed as

CataractCataract ExtractionSurgeonsHumansOperative TimeRetrospective StudiesAttendingCataractEducationOperativePhacoemulsificationResidentSurgeryTime

Identifiers

PMID38200502
PMCPMC10777645
OpenAlexW4390701312

What OpenQuestion holds

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LicenceCC BY
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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.