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Trends in Surgical Glaucoma Treatment in Germany Between 2006 and 2018

BACKGROUND/AIMS: Surgical procedures in ophthalmology underlie variations over different time periods and are strongly dependent on the technical process and the invention of innovative surgical techniques. Especially, in glaucoma surgery a lot of surgical devices and techniques have been introduced...

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Autores principales: Luebke, Jan, Boehringer, Daniel, Anton, Alexandra, Daniel, Moritz, Reinhard, Thomas, Lang, Stefan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286102/
https://www.ncbi.nlm.nih.gov/pubmed/34285592
http://dx.doi.org/10.2147/CLEP.S310542
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author Luebke, Jan
Boehringer, Daniel
Anton, Alexandra
Daniel, Moritz
Reinhard, Thomas
Lang, Stefan
author_facet Luebke, Jan
Boehringer, Daniel
Anton, Alexandra
Daniel, Moritz
Reinhard, Thomas
Lang, Stefan
author_sort Luebke, Jan
collection PubMed
description BACKGROUND/AIMS: Surgical procedures in ophthalmology underlie variations over different time periods and are strongly dependent on the technical process and the invention of innovative surgical techniques. Especially, in glaucoma surgery a lot of surgical devices and techniques have been introduced during the last years. Until now, the use of these newer techniques has not been shown on a robust data basis. We herein present the numbers of different types of glaucoma surgeries performed at German hospitals between 2006 and 2018. METHODS AND DESIGN: The quality reports of hospitals in Germany from 2006 to 2018 were analyzed concerning all procedural codes for glaucoma surgery and intervention. Especially, the change in usage of “classical” and “modern” surgical techniques (MIGS: “minimally invasive glaucoma surgery”) or devices was compared. RESULTS: The number of glaucoma procedures performed increased by 75% from 27,811 in 2006 to 48,794 in 2018. Absolute numbers of trabeculectomies, goniotomies, ab externo trabeculotomies and to a certain level cyclodestructive procedures decreased during the examined years while use of MIGS has increased in absolute and relative numbers since 2012. From 2015 a strong increase in the usage of XEN implants could be seen. Drainage implants (such as Baerveldt/Ahmed) showed stable absolute numbers over the time period covered. Absolute numbers of laser trabeculoplasty peaked in 2014 and decreased afterwards. Iridotomies and iridectomies increased by 120%/248% over the whole period. CONCLUSION: Our data show a trend towards the modern surgical options and especially MIGS during the recent years. Classical procedures showed a decrease in total numbers emphasized from 2013. These numbers confirm the assumption that modern glaucoma surgery is becoming more and more popular and established in German hospitals.
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spelling pubmed-82861022021-07-19 Trends in Surgical Glaucoma Treatment in Germany Between 2006 and 2018 Luebke, Jan Boehringer, Daniel Anton, Alexandra Daniel, Moritz Reinhard, Thomas Lang, Stefan Clin Epidemiol Original Research BACKGROUND/AIMS: Surgical procedures in ophthalmology underlie variations over different time periods and are strongly dependent on the technical process and the invention of innovative surgical techniques. Especially, in glaucoma surgery a lot of surgical devices and techniques have been introduced during the last years. Until now, the use of these newer techniques has not been shown on a robust data basis. We herein present the numbers of different types of glaucoma surgeries performed at German hospitals between 2006 and 2018. METHODS AND DESIGN: The quality reports of hospitals in Germany from 2006 to 2018 were analyzed concerning all procedural codes for glaucoma surgery and intervention. Especially, the change in usage of “classical” and “modern” surgical techniques (MIGS: “minimally invasive glaucoma surgery”) or devices was compared. RESULTS: The number of glaucoma procedures performed increased by 75% from 27,811 in 2006 to 48,794 in 2018. Absolute numbers of trabeculectomies, goniotomies, ab externo trabeculotomies and to a certain level cyclodestructive procedures decreased during the examined years while use of MIGS has increased in absolute and relative numbers since 2012. From 2015 a strong increase in the usage of XEN implants could be seen. Drainage implants (such as Baerveldt/Ahmed) showed stable absolute numbers over the time period covered. Absolute numbers of laser trabeculoplasty peaked in 2014 and decreased afterwards. Iridotomies and iridectomies increased by 120%/248% over the whole period. CONCLUSION: Our data show a trend towards the modern surgical options and especially MIGS during the recent years. Classical procedures showed a decrease in total numbers emphasized from 2013. These numbers confirm the assumption that modern glaucoma surgery is becoming more and more popular and established in German hospitals. Dove 2021-07-13 /pmc/articles/PMC8286102/ /pubmed/34285592 http://dx.doi.org/10.2147/CLEP.S310542 Text en © 2021 Luebke et al. https://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/ (https://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
Luebke, Jan
Boehringer, Daniel
Anton, Alexandra
Daniel, Moritz
Reinhard, Thomas
Lang, Stefan
Trends in Surgical Glaucoma Treatment in Germany Between 2006 and 2018
title Trends in Surgical Glaucoma Treatment in Germany Between 2006 and 2018
title_full Trends in Surgical Glaucoma Treatment in Germany Between 2006 and 2018
title_fullStr Trends in Surgical Glaucoma Treatment in Germany Between 2006 and 2018
title_full_unstemmed Trends in Surgical Glaucoma Treatment in Germany Between 2006 and 2018
title_short Trends in Surgical Glaucoma Treatment in Germany Between 2006 and 2018
title_sort trends in surgical glaucoma treatment in germany between 2006 and 2018
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286102/
https://www.ncbi.nlm.nih.gov/pubmed/34285592
http://dx.doi.org/10.2147/CLEP.S310542
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