Evidence map›Paper›PMID 40038538›Full record

ArticleCommunications medicine2025

Nationwide analysis of sex differences in waiting times for cataract surgery in Sweden between 2010 and 2022.

Philip Jute, Gustav Stålhammar

Abstract read
In one paragraph

Article in Communications medicine, 2025. 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
–field-weighted citation impact
1 · What the graph read from it

What it found

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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.

  1. Article
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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

2 authors.

Philip JuteSt. Erik Eye Hospital, Stockholm, Sweden.
Gustav StålhammarSt. Erik Eye Hospital, Stockholm, Sweden. gustav.stalhammar@ki.se.ORCID http://orcid.org/0000-0001-9401-8911

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSex-based disparities in healthcare access remain a global challenge. We aimed to investigate differences in waiting times for cataract surgery between males and females in Sweden, hypothesizing that such disparities might persist even within a universal healthcare system.

methodsWe performed a nationwide retrospective cohort study using data from the Swedish National Cataract Register, which includes over 93% of all cataract surgeries. A total of 1,413,652 patients over 40 years of age who underwent cataract surgery between 2010 and 2022 were included. Exclusions were applied to those with waiting times exceeding 24 months and those residing outside Sweden. The primary outcome was waiting time between preoperative assessment and surgery, stratified by visual acuity, region, and demographic and clinical factors.

resultsHere we show a mean waiting time of 64 days (standard deviation 126) for females and 60 days (standard deviation 102) for males (P < 0.001). This difference persists across all visual acuity strata and regions. A linear mixed-effects model with region as a random intercept indicates that males have a 3.3-day shorter waiting time compared to females (P < 0.001). Multivariate hazards regression identifies female sex, older age, specific comorbidities, and region of residence as significant predictors of longer waiting times. Although overall waiting times decrease over the study period, the sex-based gap remains consistent.

conclusionsWe observe a persistent, albeit small, difference in waiting times favoring males. These findings highlight a systemic disparity that warrants further investigation and targeted interventions to ensure equitable access to cataract care.

Identifiers

PMID40038538
PMCPMC11880556

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