Evidence map›Paper›PMID 39904547›Full record

ArticleBMJ open ophthalmology2025

Outcomes of cataract surgery training among ophthalmology trainees in the independent sector and within the NHS.

Yunzi Chen, Oonagh Crothers, Darren Shu Jeng Ting, Philip Severn, Qasim Mansoor

Abstract read
In one paragraph

Article in BMJ open ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Yunzi ChenOphthalmology, James Cook University Hospital, Middlesbrough, UK.ORCID 0000-0002-0834-4524
Oonagh CrothersOphthalmology, James Cook University Hospital, Middlesbrough, UK.
Darren Shu Jeng TingDepartment of Inflammation and Ageing, College of Medicine and Health, University of Birmingham, Birmingham, UK.ORCID 0000-0003-1081-1141
Philip SevernOphthalmology, James Cook University Hospital, Middlesbrough, UK.
Qasim MansoorOphthalmology, James Cook University Hospital, Middlesbrough, UK Qasim.Mansoor@nhs.net.ORCID 0000-0002-0442-7015

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe surge in National Health Service (NHS) cataract procedures in the independent sector (IS) has reduced opportunities for cataract surgical training among ophthalmology trainees. This study aims to analyse IS cataract surgery training outcomes and explore its potential as a supplement to NHS-based training by comparing IS outcomes with NHS and National Ophthalmology Database (NOD) standards. METHODS AND ANALYSIS: Two trainees (ST5 and ST3) trained in IS high volume and standard NHS lists. A comprehensive IS training programme included modular cataract training, structured feedback framework and non-technical skills development. Prospective data concerning case numbers, complexity, take-over, outcomes and complication rates were collected and compared.

resultsIn total, 161 IS and 62 NHS cases were analysed. On average, trainees did 6 cases/12 patient lists in IS versus 3 cases/6 patient lists in NHS. IS cases had similar complexity to NHS cases (43% IS vs 35% in NHS, p=0.32, adjusted p=1). Intraoperative complications (3% IS vs 5% NHS, p=0.53, adjusted p=1) and posterior capsule ruptures (1% IS vs 0% NHS, p=0.38, adjusted p=1) were similar, aligning with NOD standards. Based on cases without any ocular comorbidity, the proportion of eyes achieving a good visual outcome (≥6/12 Snellen vision) was similar between IS (100%) and NHS (96%) (p=0.12, adjusted p=1). Surgical efficiency was maintained with all lists completed within 4 hours.

conclusionA structured training programme on high-volume lists within IS setting provided two trainees with valuable exposure to diverse cataract cases while ensuring safety and efficiency, producing training outcomes comparable to the NHS and NOD standards. This is a pilot study, and a much larger multicentre study will be required before the widespread introduction of training in cataract surgery in the IS can be recommended.

Indexed as

Cataract ExtractionClinical CompetenceEducation, Medical, GraduateInternship and ResidencyOphthalmologyState MedicineFemaleHumansMaleNational Health ProgramsProspective StudiesUnited KingdomCataractMedical EducationTreatment Surgery

Identifiers

PMID39904547
PMCPMC11795364

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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.