Preliminary clinical outcomes from the Peruvian National Cataract Elimination Plan Resultados clínicos preliminares del Plan Nacional de Lucha contra la Ceguera por Catarata del Perú
OBJECTIVE: To evaluate the clinical outcomes of a publicly funded cataract elimination program. METHODS: Outcomes of all patients (186) who received extracapsular cataract extraction (ECCE) surgery free of charge at the Instituto Regional de Oftalmología in northern Peru in the first year (August 20...
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Pan American Health Organization
2010
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ftdoajarticles:oai:doaj.org/article:62ed149a4f274e75be81aa182642b4d8 2023-05-15T15:17:43+02:00 Preliminary clinical outcomes from the Peruvian National Cataract Elimination Plan Resultados clínicos preliminares del Plan Nacional de Lucha contra la Ceguera por Catarata del Perú Tomasz P. Stryjewski Daniel Bitrán Benadretti Sihai Dave Zhao Susannah Rowe Carole D. Mitnick 2010-10-01T00:00:00Z https://doaj.org/article/62ed149a4f274e75be81aa182642b4d8 EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892010001000007 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/62ed149a4f274e75be81aa182642b4d8 Revista Panamericana de Salud Pública, Vol 28, Iss 4, Pp 282-288 (2010) Extracción de catarata ceguera servicios de salud ocular catarata agudeza visual Perú Cataract extraction blindness eye health services cataract visual acuity Peru Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2010 ftdoajarticles 2022-12-31T05:16:16Z OBJECTIVE: To evaluate the clinical outcomes of a publicly funded cataract elimination program. METHODS: Outcomes of all patients (186) who received extracapsular cataract extraction (ECCE) surgery free of charge at the Instituto Regional de Oftalmología in northern Peru in the first year (August 2008 to July 2009) of the Peruvian National Cataract Elimination Plan were compared retrospectively with the outcomes of all patients (68) who paid in the highest charge tier for ECCE surgery during the same period. Preoperatively, the median uncorrected visual acuity (UCVA) of National Plan patients was Hand Motion; the UCVA of paying patients was Counting Fingers (P = 0.09). Complication frequency and visual acuity (uncorrected visual acuity, pinhole visual acuity, and best correct visual acuity) were the primary outcome measures. The World Health Organization (WHO) Vision 2020 goal is for 85% of operated eyes to achieve 20/60 vision; the Ministerio de Salud del Perú goal is for 75% of eyes to achieve 20/50. RESULTS: One month postoperatively, only 24% of National Plan patients achieved a UCVA of 20/60. The median UCVA for both groups was 20/100 (P = 0.23). Intraoperative complications occurred in 27% of all patients; postoperative complications occurred in 39%. Patients more likely to have a poor outcome (UCVA < 20/200) were those who experienced a postoperative complication (odds ratio [OR] 3.3, P = 0.002), who experienced an intraoperative complication (OR 2.5, P = 0.01), and who were 75 years or older (OR 2.7, P = 0.008). National Plan patients were more likely to have an OCTET Grade II intraoperative complication (OR 4.2, P = 0.03) and were less likely to receive refractive services (OR 1.5, P = 0.002). CONCLUSIONS: Neither WHO nor Peruvian benchmarks for surgical outcome were achieved in the first year of the Peruvian National Cataract Elimination Plan. Providing more comprehensive services to patients and addressing variables correlated with poor outcomes may improve interventions and help achieve Vision ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
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English Spanish Portuguese |
topic |
Extracción de catarata ceguera servicios de salud ocular catarata agudeza visual Perú Cataract extraction blindness eye health services cataract visual acuity Peru Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Extracción de catarata ceguera servicios de salud ocular catarata agudeza visual Perú Cataract extraction blindness eye health services cataract visual acuity Peru Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Tomasz P. Stryjewski Daniel Bitrán Benadretti Sihai Dave Zhao Susannah Rowe Carole D. Mitnick Preliminary clinical outcomes from the Peruvian National Cataract Elimination Plan Resultados clínicos preliminares del Plan Nacional de Lucha contra la Ceguera por Catarata del Perú |
topic_facet |
Extracción de catarata ceguera servicios de salud ocular catarata agudeza visual Perú Cataract extraction blindness eye health services cataract visual acuity Peru Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
OBJECTIVE: To evaluate the clinical outcomes of a publicly funded cataract elimination program. METHODS: Outcomes of all patients (186) who received extracapsular cataract extraction (ECCE) surgery free of charge at the Instituto Regional de Oftalmología in northern Peru in the first year (August 2008 to July 2009) of the Peruvian National Cataract Elimination Plan were compared retrospectively with the outcomes of all patients (68) who paid in the highest charge tier for ECCE surgery during the same period. Preoperatively, the median uncorrected visual acuity (UCVA) of National Plan patients was Hand Motion; the UCVA of paying patients was Counting Fingers (P = 0.09). Complication frequency and visual acuity (uncorrected visual acuity, pinhole visual acuity, and best correct visual acuity) were the primary outcome measures. The World Health Organization (WHO) Vision 2020 goal is for 85% of operated eyes to achieve 20/60 vision; the Ministerio de Salud del Perú goal is for 75% of eyes to achieve 20/50. RESULTS: One month postoperatively, only 24% of National Plan patients achieved a UCVA of 20/60. The median UCVA for both groups was 20/100 (P = 0.23). Intraoperative complications occurred in 27% of all patients; postoperative complications occurred in 39%. Patients more likely to have a poor outcome (UCVA < 20/200) were those who experienced a postoperative complication (odds ratio [OR] 3.3, P = 0.002), who experienced an intraoperative complication (OR 2.5, P = 0.01), and who were 75 years or older (OR 2.7, P = 0.008). National Plan patients were more likely to have an OCTET Grade II intraoperative complication (OR 4.2, P = 0.03) and were less likely to receive refractive services (OR 1.5, P = 0.002). CONCLUSIONS: Neither WHO nor Peruvian benchmarks for surgical outcome were achieved in the first year of the Peruvian National Cataract Elimination Plan. Providing more comprehensive services to patients and addressing variables correlated with poor outcomes may improve interventions and help achieve Vision ... |
format |
Article in Journal/Newspaper |
author |
Tomasz P. Stryjewski Daniel Bitrán Benadretti Sihai Dave Zhao Susannah Rowe Carole D. Mitnick |
author_facet |
Tomasz P. Stryjewski Daniel Bitrán Benadretti Sihai Dave Zhao Susannah Rowe Carole D. Mitnick |
author_sort |
Tomasz P. Stryjewski |
title |
Preliminary clinical outcomes from the Peruvian National Cataract Elimination Plan Resultados clínicos preliminares del Plan Nacional de Lucha contra la Ceguera por Catarata del Perú |
title_short |
Preliminary clinical outcomes from the Peruvian National Cataract Elimination Plan Resultados clínicos preliminares del Plan Nacional de Lucha contra la Ceguera por Catarata del Perú |
title_full |
Preliminary clinical outcomes from the Peruvian National Cataract Elimination Plan Resultados clínicos preliminares del Plan Nacional de Lucha contra la Ceguera por Catarata del Perú |
title_fullStr |
Preliminary clinical outcomes from the Peruvian National Cataract Elimination Plan Resultados clínicos preliminares del Plan Nacional de Lucha contra la Ceguera por Catarata del Perú |
title_full_unstemmed |
Preliminary clinical outcomes from the Peruvian National Cataract Elimination Plan Resultados clínicos preliminares del Plan Nacional de Lucha contra la Ceguera por Catarata del Perú |
title_sort |
preliminary clinical outcomes from the peruvian national cataract elimination plan resultados clínicos preliminares del plan nacional de lucha contra la ceguera por catarata del perú |
publisher |
Pan American Health Organization |
publishDate |
2010 |
url |
https://doaj.org/article/62ed149a4f274e75be81aa182642b4d8 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 28, Iss 4, Pp 282-288 (2010) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892010001000007 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/62ed149a4f274e75be81aa182642b4d8 |
_version_ |
1766347952052240384 |