ArticleBMJ open2025
Knowledge, attitude and practice of primary care ophthalmologists towards fundus examination during the perioperative period of cataract surgery in patients with diabetes mellitus: a mediation analysis.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study aimed to investigate the knowledge, attitude and practice (KAP) of primary care ophthalmologists regarding fundus examination during the perioperative period of cataract surgery in patients with diabetes mellitus.
designA cross-sectional study was conducted.
settingThe study took place in hospitals in Shandong Province capable of performing cataract surgeries between June 2023 and January 2024.
participantsA total of 245 primary care ophthalmologists participated, with 121 (49.39%) under 44 years old and 114 (46.53%) men.
interventionsKAP scores and demographic characteristics were collected using a self-designed questionnaire. Mediation analysis was employed to explore relationships within KAP, including the potential impact of physician burnout on knowledge and practice. PRIMARY AND SECONDARY OUTCOME MEASURES: The average scores for KAP were 12.08±2.02 (possible range: 0-15), 47.77±3.41 (possible range: 11-55) and 28.34±2.35 (possible range: 6-30), respectively. Pearson correlation analysis assessed relationships between variables, revealing positive correlations between knowledge and practice (r=0.368, p<0.001) and attitude and practice (r=0.476, p<0.001).
resultsNegative correlations were noted between burnout and both knowledge (r=-0.275, p<0.001) and practice (r=-0.183, p=0.004). Mediation analysis showed that knowledge had a significant direct effect on practice (β=0.318, p=0.009), while its indirect effect through attitude was not statistically significant (β=0.058, p=0.224). Attitude had a significant direct effect on practice (β=0.440, p=0.010). Additionally, the number of cataract surgeries was positively associated with both knowledge (β=0.234, p=0.012) and practice (β=0.088, p=0.007), while age was negatively associated with attitude (β=-0.163, p=0.016) and practice (β=-0.072, p=0.007).
conclusionsPrimary care ophthalmologists showed satisfactory KAP towards fundus examination in diabetic cataract surgery. Further dissemination of guidelines, provision of adequate resources for postoperative follow-up and support for reducing physician burnout are essential. A comprehensive approach to education and system-level support is recommended to optimise patient care.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.