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Follow-Up After Cataract Surgery – Comparison of the Practice in Two Institutions with the Aim of Optimize the Routine
PURPOSE: To evaluate the number of postoperative visits after cataract surgery in two institutions with different routines. PATIENTS AND METHODS: A population-based prospective, observational, cohort study was conducted at two institutions in northern Sweden. All cataract surgery cases during a 1-ye...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7335894/ https://www.ncbi.nlm.nih.gov/pubmed/32669831 http://dx.doi.org/10.2147/OPTH.S246195 |
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author | Westborg, Inger Mönestam, Eva |
author_facet | Westborg, Inger Mönestam, Eva |
author_sort | Westborg, Inger |
collection | PubMed |
description | PURPOSE: To evaluate the number of postoperative visits after cataract surgery in two institutions with different routines. PATIENTS AND METHODS: A population-based prospective, observational, cohort study was conducted at two institutions in northern Sweden. All cataract surgery cases during a 1-year period were included. The study group was 1249 cases, who followed the standard routine at the Sunderby clinic, ie, no planned postoperative visit for patients without comorbidity who had uncomplicated surgery. All cases (n=1162) having surgery during the same 1-year period at the Umeå clinic were selected as the control group. The routine in Umeå was a planned postoperative visit for all patients after first eye surgery, and on second eye surgery patients with other ocular comorbidity. RESULTS: A postoperative visit was planned in 44% (555/1249) of the study group and in 83% of all control group cases (966/1162). Significantly less patients in the study group (9% vs 16%; p=0.000036) initiated an unplanned contact. Patients with a distance to the hospital of 70 km or longer were less inclined to seek unplanned care (p=0.016). There was no difference in postoperative outcomes between the patients who initiated contact and those who did not in the study and control hospitals. CONCLUSION: Without compromising patient safety, it is possible to reduce the burden of postoperative visits in cases with uncomplicated cataract surgery. A reduction in the number of visits is obtained only if the standard routine is no planned postoperative visits in uncomplicated cases without ocular comorbidity for both first and second eye surgery. |
format | Online Article Text |
id | pubmed-7335894 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-73358942020-07-14 Follow-Up After Cataract Surgery – Comparison of the Practice in Two Institutions with the Aim of Optimize the Routine Westborg, Inger Mönestam, Eva Clin Ophthalmol Original Research PURPOSE: To evaluate the number of postoperative visits after cataract surgery in two institutions with different routines. PATIENTS AND METHODS: A population-based prospective, observational, cohort study was conducted at two institutions in northern Sweden. All cataract surgery cases during a 1-year period were included. The study group was 1249 cases, who followed the standard routine at the Sunderby clinic, ie, no planned postoperative visit for patients without comorbidity who had uncomplicated surgery. All cases (n=1162) having surgery during the same 1-year period at the Umeå clinic were selected as the control group. The routine in Umeå was a planned postoperative visit for all patients after first eye surgery, and on second eye surgery patients with other ocular comorbidity. RESULTS: A postoperative visit was planned in 44% (555/1249) of the study group and in 83% of all control group cases (966/1162). Significantly less patients in the study group (9% vs 16%; p=0.000036) initiated an unplanned contact. Patients with a distance to the hospital of 70 km or longer were less inclined to seek unplanned care (p=0.016). There was no difference in postoperative outcomes between the patients who initiated contact and those who did not in the study and control hospitals. CONCLUSION: Without compromising patient safety, it is possible to reduce the burden of postoperative visits in cases with uncomplicated cataract surgery. A reduction in the number of visits is obtained only if the standard routine is no planned postoperative visits in uncomplicated cases without ocular comorbidity for both first and second eye surgery. Dove 2020-07-01 /pmc/articles/PMC7335894/ /pubmed/32669831 http://dx.doi.org/10.2147/OPTH.S246195 Text en © 2020 Westborg and Mönestam. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Westborg, Inger Mönestam, Eva Follow-Up After Cataract Surgery – Comparison of the Practice in Two Institutions with the Aim of Optimize the Routine |
title | Follow-Up After Cataract Surgery – Comparison of the Practice in Two Institutions with the Aim of Optimize the Routine |
title_full | Follow-Up After Cataract Surgery – Comparison of the Practice in Two Institutions with the Aim of Optimize the Routine |
title_fullStr | Follow-Up After Cataract Surgery – Comparison of the Practice in Two Institutions with the Aim of Optimize the Routine |
title_full_unstemmed | Follow-Up After Cataract Surgery – Comparison of the Practice in Two Institutions with the Aim of Optimize the Routine |
title_short | Follow-Up After Cataract Surgery – Comparison of the Practice in Two Institutions with the Aim of Optimize the Routine |
title_sort | follow-up after cataract surgery – comparison of the practice in two institutions with the aim of optimize the routine |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7335894/ https://www.ncbi.nlm.nih.gov/pubmed/32669831 http://dx.doi.org/10.2147/OPTH.S246195 |
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