Description
- Abstract:
- Background: Cataract extraction is among the most frequently performed surgical procedures in the United States (US). Few cataract surgery practice guidelines are backed by high-quality evidence, which may contribute to considerable variation in practice patterns. Cataract surgery is rapidly changing, driven by cost, efficiency, and more patient-centered care. Objective: Investigate current cataract surgery practice patterns in the US Veterans Health Administration (VHA), the largest provider of integrated health care in the US. Methods: Anonymous online 32-question survey created using online survey program. Inclusion criteria: Inclusion criteria: a chief of ophthalmology at a Veterans Affairs (VA) facility where cataract surgery was performed. Initial email with link to survey sent to participants in May 2016. Two reminder emails sent to non-responders; remaining non-responders called twice over a two-week period; survey closed after two months. Data analyzed using descriptive statistics. Results: Complete survey results outlined in Tables 1-4\n-Response rate: 75% (67/89). In 86% of sections, residents were trained in cataract surgery. 74% of section chiefs reported high satisfaction with VA ophthalmology. In 39% and 45% of sections, respectively, surgeons routinely ordered preoperative consultations and preoperative testing. In 33% of sections, surgeons used intracameral antibiotics. In 9% of sections, surgeons performed femtosecond laser-assisted cataract surgery (FLACS). In 92% of sections, surgeons offered toric intraocular lenses (IOLs); in 30%, they offered multifocal IOLs. In 9% of sections, surgeons performed immediate sequential bilateral cataract surgery (ISBCS). Conclusions: In most VHA ophthalmology sections, cataract surgeons train residents, perform clear-cornea cataract surgery with acrylic single piece IOLs and offer toric IOLs. VHA cataract surgeons perform routine preoperative testing in almost 50% of facilities; FLACS and ISBCS have limited roles. These results will help benchmark cataract surgery practice patterns in teaching hospitals and facilitate comparison of cataract surgery practices in non-VHA settings
- Notes:
- Scholarly concentration: Aging
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- This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License
Citation
Havnaer, Annika G., Greenberg, Paul G., Cockerham, Glenn C., et al.,
"Cataract surgery practices in the United States Veterans Health Administration"
(2016).
Warren Alpert Medical School Academic Symposium.
Brown Digital Repository. Brown University Library.
https://repository.library.brown.edu/studio/item/bdr:697378/
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Warren Alpert Medical School Academic Symposium
The Warren Alpert Medical School Academic Symposium is an annual event at Warren Alpert Medical School of Brown University that provides Year II medical students a venue to present their summer research in a poster format. Participation in the Symposium …...