白内障手术时间表和眼内透镜选择中的种族差异:一项回顾性研究
Seth E Buscho1, Ardalan Sharifi2, Samir Cayenne1
1John Sealy School of Medicine, University of Texas Medical Branch, Galveston, Texas, USA.
Translational vision science & technology
|November 17, 2023
概括
黑人患者面临更长的白内障手术等待时间,并且不太可能获得高级眼内透镜 (IOL). 然而,与白人患者相比,他们更好地遵守术后随访预约.
科学领域:
- 眼科医生 眼科 眼科
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 在白内障手术利用率和并发症方面的种族差异已被记录.
- 有限的研究存在于白内障手术时间和眼内镜片 (IOL) 选择的种族差异.
研究的目的:
- 调查白内障手术术术前和术后时间表中的种族差异.
- 为了检查白内障手术中黑人和白人患者之间IOL选择的差异.
主要方法:
- 对10235名接受白内障手术的患者 (2015-2022) 的回顾性分析.
- 数据包括最佳校正的视力敏度 (BCVA),裂纹灯发现,手术时间表和IOL类型 (标准与高级).
主要成果:
- 黑人患者的手术前BCVA较差,并且在转诊120天内接受手术的可能性较低 (RR 0.71,P < 0.0001).
- 白人患者在1,7和30天 (P < 0.0001) 的术后随访预约的可能性明显较低.
- 与黑人患者相比,白人患者接受高级IOL的可能性是黑人患者的6倍以上 (P < 0.0001).
结论:
- 黑人患者在白内障手术中经历了延迟,但对术后护理的坚持更高.
- 在优质IOL选择中存在显著的种族差异,有利于白人患者.
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