- Title Information
- Title
- Cataract surgery practices in the United States Veterans Health Administration
- Name:
Personal
- Name Part
- Havnaer, Annika G.
- Role
- Role Term:
Text
- creator
- affiliation
- Brown University. Alpert Medical School
- Name:
Personal
- Name Part
- Greenberg, Paul G.
- Role
- Role Term:
Text
- creator
- affiliation
- Brown University. Alpert Medical School
- Name:
Personal
- Name Part
- Cockerham, Glenn C.
- Role
- Role Term:
Text
- creator
- affiliation
- Veterans Administration Hospital (Palo Alto, Calif.)
- Name:
Personal
- Name Part
- Chomsky, Amy
- Role
- Role Term:
Text
- creator
- affiliation
- Tennessee Valley Healthcare System (U.S.)
- Type of Resource
- text
- Genre (aat)
- posters
- Origin Information
- Date Created
(keyDate="yes", encoding="w3cdtf")
- 2016
- Language
- Language Term:
Code (ISO639-2B)
- eng
- Note
(displayLabel="Scholarly concentration")
- Aging
- 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
- Subject (LCSH)
- Topic
- Cataracts
- Topic
- Surgery
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