<mods:mods xmlns:mods="http://www.loc.gov/mods/v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" ID="bdr697378" xsi:schemaLocation="http://www.loc.gov/mods/v3 http://www.loc.gov/mods/v3/mods-3-6.xsd">
   <mods:titleInfo>
      <mods:title>Cataract surgery practices in the United States Veterans Health Administration</mods:title>
   </mods:titleInfo>
   <mods:name type="personal">
      <mods:namePart>Havnaer, Annika G.</mods:namePart>
      <mods:role>
         <mods:roleTerm type="text">creator</mods:roleTerm>
      </mods:role>
      <mods:affiliation>Brown University. Alpert Medical School</mods:affiliation>
   </mods:name>
   <mods:name type="personal">
      <mods:namePart>Greenberg, Paul G.</mods:namePart>
      <mods:role>
         <mods:roleTerm type="text">creator</mods:roleTerm>
      </mods:role>
      <mods:affiliation>Brown University. Alpert Medical School</mods:affiliation>
   </mods:name>
   <mods:name type="personal">
      <mods:namePart>Cockerham, Glenn C.</mods:namePart>
      <mods:role>
         <mods:roleTerm type="text">creator</mods:roleTerm>
      </mods:role>
      <mods:affiliation>Veterans Administration Hospital (Palo Alto, Calif.)</mods:affiliation>
   </mods:name>
   <mods:name type="personal">
      <mods:namePart>Chomsky, Amy</mods:namePart>
      <mods:role>
         <mods:roleTerm type="text">creator</mods:roleTerm>
      </mods:role>
      <mods:affiliation>Tennessee Valley Healthcare System (U.S.)</mods:affiliation>
   </mods:name>

   <mods:typeOfResource>text</mods:typeOfResource>
   <mods:genre authority="aat">posters</mods:genre>
   <mods:originInfo>
      <mods:dateCreated keyDate="yes" encoding="w3cdtf">2016</mods:dateCreated>
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   <mods:language>
      <mods:languageTerm type="code" authority="iso639-2b">eng</mods:languageTerm>
   </mods:language>
   <mods:note displayLabel="Scholarly concentration">Aging</mods:note>
   <mods: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</mods:abstract>
   <mods:subject authority="lcsh">
      <mods:topic>Cataracts</mods:topic>
      <mods:topic>Surgery</mods:topic>
   </mods:subject>

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      Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
      License</mods:accessCondition>
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