Evidence map›Paper›PMID 42851341›Full record

ArticleFrontiers in ophthalmology2026

Comparative analysis of cataract surgery outcomes in elderly Jewish and Arab patients from Northern Israel, a retrospective cohort study.

Shadi Boqaaiya, Diana Nujedat, Yuval Cohen, Srour Ward, Emad Ghnem, Adi Sharabi Nov, Karine Beiruti Wiegler, Otzem Chassid

Abstract read
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Article in Frontiers in ophthalmology, 2026. 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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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Shadi BoqaaiyaDepartment of Ophthalmology, Ziv Medical Center, Safed, Israel.
Diana NujedatDepartment of Ophthalmology, Ziv Medical Center, Safed, Israel.
Yuval CohenDepartment of Ophthalmology, Ziv Medical Center, Safed, Israel.
Srour WardDepartment of Ophthalmology, Ziv Medical Center, Safed, Israel.
Emad GhnemAzrieli Faculty of Medicine, Bar Ilan University, Safed, Israel.
Adi Sharabi NovResearch Wing, Ziv Medical Center, Safed, Israel.
Karine Beiruti Wiegler *Research Wing, Ziv Medical Center, Safed, Israel.
Otzem Chassid *Department of Ophthalmology, Ziv Medical Center, Safed, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To compare postoperative visual recovery and complications after cataract surgery between Jewish and Arab elderly patients in Northern Israel within a shared healthcare system. Methods: A retrospective study was conducted at Ziv Medical Center, Safed, Israel, involving 251 patients aged 60 years or older who underwent cataract surgery in 2023. All surgeries were performed under standardized departmental protocols, carried out by senior attending surgeons or supervised senior residents. Demographic characteristics, comorbidities, cataract type, postoperative complications and best-corrected visual acuity (BCVA) were extracted from electronic medical records. Visual outcomes were compared at baseline, day 1, and day 30 postoperatively. All statistical analyses were performed using IBM SPSS Statistics version 31, with continuous variables compared via Mann-Whitney U test and categorical variables via chi-square or Fisher's exact test, as appropriate. Results: Baseline age, sex, and preoperative visual acuity were similar between Jewish (n=153) and Arab (n=98) patients. Of the 153 Jewish patients, 77 (50.3%) were male and 76 (49.7%) were female. Of the 98 Arab patients, 49 (50.0%) were male and 49 (50.0%) were female (p = 0.960). Arab patients had higher rates of diabetes (54.1% vs. 35.9%, p=0.005) and hypertension (70.4% vs. 58.2%, p=0.050). Jewish patients demonstrated significantly better postoperative BCVA at 30 days (median LogMAR 0.5 vs. 0.7, p=0.0032). Complications were more common in the Arab cohort, particularly corneal edema (43.9% vs. 15.7%, p<0.001) and posterior capsule rupture (11.2% vs. 3.3%, p=0.012). Conclusion: Ethnic disparities were observed in short-term outcomes despite a uniform surgical environment within the same tertiary facility. These differences are more plausibly explained by structural, socioeconomic, and comorbidity-related determinants than by any biological difference associated with ethnicity per se. Further multicenter, prospective studies with longer follow-up are required to clarify the multifactorial causes of outcome variation and guide interventions to promote equity in cataract care.

Indexed as

cataract surgeryelderly patientsethnic disparitieshealth equityvisual outcomes

Identifiers

PMID42851341
PMCPMC13645526

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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.