Evidence map›Paper›PMID 41168667›Full record

ArticleJournal of cataract and refractive surgery2026

Rates and associated risk factors for cataract surgery complications in academic medical centers.

Gabriella S Danziger, Dustin D French, Yang Li, Chris A Andrews, Shikha Marwah, Adovich S Rivera, Xueqing Zhou, Azraa S Chaudhury, Alaa Mohamedali, Anushree Aneja and 8 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of cataract and refractive surgery, 2026. 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

18 authors.

Gabriella S DanzigerFrom the Department of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, Illinois (Danziger, Zhou, Chaudhury, Mohamedali, Aneja, Kanwar, Shah, Ahuja); Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois (Rivera); VA Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr. VA Hospital, Hines, Illinois (Evans); Department of Ophthalmology and Visual Sciences, University of Michigan Kellogg Eye Center, Ann Arbor, Michigan (Li, Andrews, Marwah, Stein); Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois (Evans, Kho).
Yang Li
Chris A Andrews
Shikha Marwah
Adovich S Rivera
Xueqing Zhou
Azraa S Chaudhury
Alaa Mohamedali
Anushree Aneja
Kunal Kanwar
Richa Shah
Arun Ahuja
Charlesnika T Evans
Abel N Kho
Paul J Bryar
Joshua D Stein
Sight Outcomes Research Collaborative (SOURCE) Consortium

Funding

Enhanced Identification of Ocular Phenotypes and Outcomes in Electronic Health Record DataR01EY032475 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI STEIN, JOSHUA D · 2022 to 2025
$2.7M
NEI NIH HHS R01 EY032475
6 · The paper itself

Abstract

purposeTo evaluate sociodemographic and clinical factors with postoperative complications after cataract surgery at academic medical centers in the United States.

setting16 U.S. academic medical centers contributing to the Sight Outcomes Research Collaborative (SOURCE) big data repository.

designRetrospective, multicenter cohort study.

methodsAdults undergoing cataract surgery between 2010 and 2023 were identified from the SOURCE database. Sociodemographic and clinical predictors including race, ethnicity, primary language, and prior intraocular surgery were assessed. Postoperative complications within 6 months were identified using Current Procedural Terminology/International Classification of Diseases codes. Multivariate cox regression estimated hazard ratios with 95% confidence intervals.

results78 565 eyes were analyzed (mean age 70.8 ± 8.9 years, 59% female, 12.6% Black). At 6 months, 1.49% of eyes developed a complication and 0.10 developed a severe adverse complication. Independent predictors of any complication included male sex (hazard ratio [HR] 1.14; P < .01), Black race (HR 1.66; P < .01), complex surgery (HR 1.23; P < .01), combined intraocular procedures (HR 1.33; P < .01), prior intraocular surgery (HR 1.18; P < .01), and poorer preoperative vision (HR 1.10; P < .01). Severe adverse complications were more likely among men (HR 1.54; P = .02) and those with poorer vision (HR 1.62; P < .01), but less likely with increasing age (HR 0.95; P < .01), urban residence (HR 0.33; P < .01), and having 1 or more children in the household (HR 0.32; P = .03).

conclusionsSociodemographic and clinical factors that increased risk of postoperative outcomes after cataract surgery included Black race, male sex, and poor preoperative vision. Older age, urban residence, and children in the household were protective. Incorporating social determinants of health into perioperative risk stratification may improve surgical equity and outcomes.

Indexed as

Academic Medical CentersCataract ExtractionPostoperative ComplicationsAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsUnited StatesVisual Acuity

Identifiers

PMID41168667
PMCPMC12928775

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Registered trials

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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.