50岁及以上印度人口中白内障手术覆盖率
Praveen Vashist1, S Sarath1, Vivek Gupta1
1Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
Indian journal of ophthalmology
|December 27, 2024
概括
印度的白内障手术覆盖率 (CSC) 改善了更好的视力值,但对于6/18最佳校正视力敏度 (BCVA) 切线仍然很低. 在CSC显著的地区和性别差异凸显了有针对性的卫生系统干预措施的需要.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 白内障仍然是全球视力障碍的主要原因,特别是在印度.
- 白内障手术覆盖 (CSC) 是眼睛护理服务有效性的关键指标.
- 了解CSC的变化对于解决眼睛健康方面的不平等至关重要.
研究的目的:
- 估计目前的白内障手术覆盖范围 (CSC) 跨越不同的视力敏度值.
- 分析印度50岁及以上个体中CSC的基于性别的变化.
- 在多样化的印度人群中识别区级的CSC差异.
主要方法:
- 来自印度31个地区 (2015-2019) 进行的国家失明调查数据的分析.
- 在最佳校正视力敏度 (BCVA) 值<3/60,<6/60和<6/18.8时估计的CSC.
- 在不同地区对50岁以上人口的CSC性别差异的评估.
主要成果:
- 在BCVA<3/60的总体CSC为93.3%,<6/60为88.9%,<6/18为72.6%.
- 观察到显著的区域差异,CSC在北部最高,在东北部最低.
- 男人表现出高于女性的CSC,有明显的基于性别的不平等,特别是在较低的视力敏度值.
结论:
- 虽然CSC已经改善了更好的视力结果 (<3/60和<6/60),但它仍然不足于印度<6/18BCVA切线的最佳水平.
- 在CSC的特定地区和基于性别的不平等需要量身定制的卫生系统干预措施.
- 解决这些差异对于实现公平获得白内障手术和改善印度整体眼睛健康至关重要.
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