Changing patterns of access to cataract surgery

Minnen, Kylie Van; Spilsbury, Katrina; Ng, Jonathon Q; Morlet, Nigel; Xia, Jianhong; Semmens, James B.

doi:10.1016/j.healthplace.2008.03.011

Cited by 8 publications

(3 citation statements)

References 20 publications

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“…The price of obtaining surgery (including surgical fees, lost income and travel expense) is a good example. Financial and other logistical problems appear to play little role in the uptake of surgical services in Sri Lanka, parts of India 13 and Australia, 14 whereas Myanmar, 15 other parts of India, 16,17 China, 18,19 Bangladesh, 20 Pakistan, 5 Brazil, 21 Nepal, 22,23 The Gambier 24 and Africa 25,26 all note the cost of surgery or travel are significant barriers to cataract surgery.…”

Section: Discussionmentioning

confidence: 99%

Cataract in central Sri Lanka: cataract surgical coverage and self‐reported barriers to cataract surgery

Athanasiov

Edussuriya

Senaratne

et al. 2009

Clinical Exper Ophthalmology

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Section: Discussionmentioning

confidence: 99%

Cataract in central Sri Lanka: cataract surgical coverage and self‐reported barriers to cataract surgery

Athanasiov

Edussuriya

Senaratne

et al. 2009

Clinical Exper Ophthalmology

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“…Inequity in access to ophthalmic services has been shown to affect populations disadvantaged by social class, age, geographic location and ethnic minority communities [5-7], and the link between eye disorders and social and economic disadvantage has also been strongly demonstrated in high- and low-income countries [6-9]. Within Australia, it has been demonstrated that rates of cataract surgery vary considerably, and that these variations were not necessarily consistent with differences in cataract prevalence [10-12]. In Indigenous adults, only 65% of those who experienced vision loss from cataract received surgery [1].…”

Section: Introductionmentioning

confidence: 99%

Access to eye health services among indigenous Australians: an area level analysis

2012

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BackgroundThis project is a community-level study of equity of access to eye health services for Indigenous Australians.MethodsThe project used data on eye health services from multiple sources including Medicare Australia, inpatient and outpatient data and the National Indigenous Eye Health Survey.The analysis focused on the extent to which access to eye health services varied at an area level according to the proportion of the population that was Indigenous (very low = 0-1.0%, low = 1.1-3.0%, low medium = 3.1-6.0%, high medium = 6.1-10.0%, high = 10.1-20.0%, very high = 20 + %). The analysis of health service utilisation also took into account age, remoteness and the Socioeconomic Indices for Areas (SEIFA).ResultsThe rate of eye exams provided in areas with very high Indigenous populations was two-thirds of the rate of eye exams for areas with very low indigenous populations. The cataract surgery rates in areas with high medium to very high Indigenous populations were less than half that reference areas. In over a third of communities with very high Indigenous populations the cataract surgery rate fell below the World Health Organization (WHO) guidelines compared to a cataract surgery rate of 3% in areas with very low Indigenous populations.ConclusionsThere remain serious disparities in access to eye health service in areas with high Indigenous populations. Addressing disparities requires a co-ordinated approach to improving Indigenous people’s access to eye health services. More extensive take-up of existing Medicare provisions is an important step in this process. Along with improving access to health services, community education concerning the importance of eye health and the effectiveness of treatment might reduce reluctance to seek help.

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“…The rate of cataract surgery has increased (Van Minnen et al. ). Cataract surgery is one of the most commonly performed operations in Australia with more than 200 000 procedures performed annually (Australian Institute of Health and Welfare (AIHW)).…”

Section: Introductionmentioning

confidence: 99%

Risk of falls and injuries requiring hospitalisation after first‐eye cataract surgery in elderly Australians

Gadzhanova

Gillam

Roughead

2019

Acta Ophthalmologica

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Purpose: To investigate the impact of the type of the intraocular lenses (IOLs) in first-eye cataract surgery in elderly people on the risk of hospitalisation due to falls and injuries. Methods: A retrospective cohort study was conducted using the Australian Government Department Veterans' Affairs claims data. All people aged 65 years and above who had first cataract surgery between January 2007 and July 2017 were identified. Two cohorts were established depending on the type of IOLmonofocal and multifocal. The risk of injuries and falls requiring hospitalisation in the first 3 months post the surgery was assessed using Cox proportional hazard models with age at entry as primary time scale and adjusting for gender, comorbidities and prior history of falls. Results: There were 45 728 people across the two cohorts with the majority receiving monofocal lenses (97%), followed by multifocal lenses (3%) at the time of first cataract surgery. The risk of injury and falls was lower (but not significant) in the multifocal cohort compared to monofocal cohort (adjusted hazard ratio (aHR) 0.56, 95% CI 0.26-1.17). The risk was also lower (but not significant) when stratifying by age group at the time of the surgery. Conclusions: Regardless of age, multifocal lenses did not appear to be associated with the higher risk of serious injuries and falls after first-eye cataract surgery compared to monofocal lenses.

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Changing patterns of access to cataract surgery

Cited by 8 publications

References 20 publications

Cataract in central Sri Lanka: cataract surgical coverage and self‐reported barriers to cataract surgery

Cataract in central Sri Lanka: cataract surgical coverage and self‐reported barriers to cataract surgery

Access to eye health services among indigenous Australians: an area level analysis

Risk of falls and injuries requiring hospitalisation after first‐eye cataract surgery in elderly Australians

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