Retrospective analysis of cataract surgery outcomes in China from 2009 to 2018: from a national registry system data
Wei Li,
Catherine Jan,
Li Yao,
Mingguang He,
Xiao Xu,
Lei An,
Wei Shi,
Xiaoxia Peng,
Jingjing Feng,
Yaguang Peng,
Leilei Zhan,
Wenhan Shang
Affiliations
Wei Li
School of Nursing, Liaoning University of Traditional Chinese Medicine, Shenyang, China
Catherine Jan
The University of Melbourne Faculty of Medicine, Dentistry and Health Sciences, Carlton, Victoria, Australia
Li Yao
The First Affiliated Hospital of Xi`an Jiaotong University, Xi`an, Shaanxi, China
Mingguang He
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, Guangdong, China
Xiao Xu
Department of Healthcare Service and Safety Research, National Institute of Hospital Administration, Beijing, China
Lei An
Department of Nursing Administration and Rehabilitation Research, National Institute of Hospital Administration, Beijing, China
Wei Shi
Department of Ophthalmology, Beijing Children’s Hospital, Capital Medical University, Beijing, China
Xiaoxia Peng
Center for Clinical Epidemiology and Evidence-based Medicine, Beijing Children`s Hospital, Capital Medical University, National Center for Children Health, Beijing, China
Jingjing Feng
Department of Nursing Administration and Rehabilitation Research, National Institute of Hospital Administration, Beijing, China
Yaguang Peng
Center for Clinical Epidemiology and Evidence-based Medicine, Beijing Children’s Hospital, Beijing, China
Leilei Zhan
Department of Nursing Administration and Rehabilitation Research, National Institute of Hospital Administration, Beijing, China
Wenhan Shang
Department of Nursing Administration and Rehabilitation Research, National Institute of Hospital Administration, Beijing, China
Objective To evaluate patients’ benefits after cataract surgery and to form recommendations for Chinese national health policy decision makers and administration departments based on the quality of cataract treatments.Method An observational study based on real-world data source from the National Cataract Recovery Surgery Information Registration and Reporting System.Results A total of 14 157 463 original records were reported from 1 July 2009 to 31 December 2018. The factors that influenced the 3-day postsurgical best-corrected visual acuity (BCVA), the primary outcome, were analysed by logistic regression analysis. We found that a history of hypertension (OR=0.916) or diabetes (OR=0.912), presurgical pupil abnormality (OR=0.571) and high intraocular pressure (OR=0.578) were harmful to the postsurgical BCVA improvement (BCVA ≥6/20), while male sex (OR=1.113), better presurgical BCVA level (OR=5.996 for ≥6/12–<6/7.5 and OR=2.610 for >6/60–<6/12 taken ≤6/60 as reference), age-related cataract (OR=1.825) and intraocular lens implantation (OR=1.886) were statistically beneficial to the postsurgical BCVA improvement. Compared with extracapsular cataract extraction (ECCE) with large incision, the ECCE with small incision (OR value=1.810) and the phacoemulsification (OR=1.420) significantly improved the benefit probability.Conclusion ECCE with small incision has comparable effects on postsurgical BCVA improvement of phacoemulsification. Therefore, ECCE could be an alternative cataract surgical treatment in economically underdeveloped areas in China, provided the surgeons are adequately trained.
