Evidence map›Paper›PMID 38980416›Full record

ArticleInternational ophthalmology2024

The output of cataract surgery performed by trained non-ophthalmologist physicians in rural areas: study of cataract outcomes and up-take of services report 7.

Laiwen Lv, Zhenmao Wang, Xiu Juan Zhang, Haoyu Chen, Jie Ji, Kunliang Qiu, Qing Lin, Xixuan Ke, Chuli Lai, Zhuobin Chen and 12 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in International ophthalmology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing 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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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

22 authors.

Laiwen Lv *Joint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, North Dongxia Road, Shantou, 515041, Guangdong, China.
Zhenmao Wang *Joint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, North Dongxia Road, Shantou, 515041, Guangdong, China.
Xiu Juan ZhangDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Shenzhen, Hong Kong, China.
Haoyu ChenJoint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, North Dongxia Road, Shantou, 515041, Guangdong, China.
Jie JiNetwork and Information Center, Shantou University, Shantou, Guangdong, China.
Kunliang QiuJoint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, North Dongxia Road, Shantou, 515041, Guangdong, China.
Qing LinJoint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, North Dongxia Road, Shantou, 515041, Guangdong, China.
Xixuan KeJoint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, North Dongxia Road, Shantou, 515041, Guangdong, China.
Chuli LaiLiangying Health Clinic, Shantou, Guangdong, China.
Zhuobin ChenLiangying Health Clinic, Shantou, Guangdong, China.
Zhaoyun ZengLiangying Health Clinic, Shantou, Guangdong, China.
Lishan ZhangSanrao Health Clinic, Chaozhou, Guangdong, China.
Hanzhao HuangSanrao Health Clinic, Chaozhou, Guangdong, China.
Jinzhi WangSanrao Health Clinic, Chaozhou, Guangdong, China.
Tian LinJoint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, North Dongxia Road, Shantou, 515041, Guangdong, China.
Yin HuangJoint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, North Dongxia Road, Shantou, 515041, Guangdong, China.
Ruifeng JiJoint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, North Dongxia Road, Shantou, 515041, Guangdong, China.
Yun ChenJoint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, North Dongxia Road, Shantou, 515041, Guangdong, China.
Xiaolin ChenJoint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, North Dongxia Road, Shantou, 515041, Guangdong, China.
Ming ZhangJoint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, North Dongxia Road, Shantou, 515041, Guangdong, China.
Mingzhi ZhangJoint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, North Dongxia Road, Shantou, 515041, Guangdong, China. zmz@jsiec.org.
Chi Pui PangJoint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, North Dongxia Road, Shantou, 515041, Guangdong, China. cppang@cuhk.edu.hk.

Funding

Big data analysis of "Caring is Hip", Joint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou, Guangdong, China. 20-025Special Fund of Science and Technology, Guangdong, China. 2019ST024
6 · The paper itself

Abstract

backgroundCataract is the leading cause of blindness worldwide and surgery can restore vision in most patients. Some patients have little access to surgical services due to lack of cataract surgeons and the unaffordable costs. In 2005 we built a service model that trained rural non-ophthalmologist physicians to perform cataract surgeries in rural China. This study evaluates the long-term impacts of this model.

methodsWe conducted a retrospective cohort study to analyze patients' hand-written medical records and electronic outpatient record between January 2005 and December 2019 at two rural health clinics in Southern China.

resultsIn total, 34,601 patients (49,942 eyes) underwent cataract surgery by non-ophthalmologist physicians from 2005 to 2019.Visual acuity was clearly documented in 38,251 eyes. Before surgery, the unaided distance visual acuity (UDVA) of 60.7% (23,205/38,251) eyes was less than 0.05 decimal. On the first day after surgery, the percentage of UDVA  < 0.05 eyes was reduced to 6.0%, and 96.7% (36,980/38,251) of the eyes achieved a better UDVA compared to pre-operation. Surgical-related complications occurred in 218 eyes. The most common complication was posterior capsule rupture (114, 0.23%). 44.3% (15,341/34,601) of the patients chose to have a second eye cataract surgery (SECS) in the same clinic. At one of the outpatient clinics, 21,595 patients received basic eye care apart from cataract surgery between 2018 and 2020.

conclusionsNon-ophthalmologist physicians trained for cataract surgeries in rural clinics can improve cataract related visual acuity and basic eye care to the local population.

Indexed as

CataractCataract ExtractionVisual AcuityAdultAgedAged, 80 and overChinaFemaleHumansMaleMiddle AgedOphthalmologistsRetrospective StudiesRural Health ServicesRural PopulationCataract surgeryCataract surgery rateManual Sutureless Medium-incision Cataract SurgeryNon-ophthalmologist physicians

Identifiers

PMID38980416

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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.