当前位置： SCI文献检索 > OPHTHALMOLOGY期刊下所有文献 > Office-Based Cataract Surgery: Population Health Outcomes Study of More than 21 000 Cases in the United States.

Office-Based Cataract Surgery: Population Health Outcomes Study of More than 21 000 Cases in the United States.

Abstract：

PURPOSE:To identify safety and effectiveness outcomes of office-based cataract surgery. Each year, approximately 3.7 million cataract surgeries in the United States are performed in Ambulatory Surgery Center (ASC) and Hospital Outpatient Department (HOPD) locations. Medicare in July 2015 published a solicitation for expert opinion on reimbursing office-based cataract surgery. DESIGN:Large-scale, retrospective, consecutive case series of cataract surgeries performed in Minor Procedure Rooms (MPRs) of a large US integrated healthcare center. PARTICIPANTS:More than 13 500 patients undergoing elective office-based cataract surgery. METHODS:Phacoemulsification cataract surgery performed in MPRs of Kaiser Permanente Colorado from 2011 to 2014. MAIN OUTCOME MEASURES:Postoperative visual acuity and intraoperative and postoperative adverse events (AEs). RESULTS:Office-based cataract surgery was completed in 21 501 eyes (13 507 patients, age 72.6±9.6 years). Phacoemulsification was performed in 99.9% of cases, and manual extracapsular extraction was performed in 0.1% of cases. Systemic comorbidities included hypertension (53.5%), diabetes (22.3%), and chronic obstructive pulmonary disease (9.4%). Postoperative mean best-corrected visual acuity measured 0.14±0.26 logarithm of the minimum angle of resolution units. Intraoperative ocular AEs included 119 (0.55%) cases of capsular tear and 73 (0.34%) cases of vitreous loss. Postoperative AEs included iritis (n = 330, 1.53%), corneal edema (n = 110, 0.53%), and retinal tear or detachment (n = 30, 0.14%). No endophthalmitis was reported. Second surgeries were performed in 0.70% of treated eyes within 6 months. There were no life- or vision-threatening intraoperative or perioperative AEs. CONCLUSIONS:This is the largest US study to investigate the safety and effectiveness of office-based cataract surgery performed in MPRs. Office-based efficacy outcomes were consistently excellent, with a safety profile expected of minimally invasive cataract procedures performed in ASCs and HOPDs.

journal_name

Ophthalmology

journal_title

Ophthalmology

authors

Ianchulev T,Litoff D,Ellinger D,Stiverson K,Packer M

doi

10.1016/j.ophtha.2015.12.020

subject

Has Abstract

pub_date

2016-04-01 00:00:00

pages

723-8

issue

eissn

0161-6420

issn

1549-4713

pii

S0161-6420(15)01489-X

journal_volume

123

pub_type

杂志文章

在线工具

Office-Based Cataract Surgery: Population Health Outcomes Study of More than 21 000 Cases in the United States.