Use of Cataract Surgery in Urban Beijing: a Post Screening Follow-up of the Elderly with Visual Impairment due to Age-related Cataract

Ren Xue-tao; Snellingen Torkel; Gu Hong; Assanangkornchai Sawitri; Zou Yan-hong; Chongsuvivatwong Virasakdi; Lim Apiradee; Jia Wei; Liu Xi-pu; Liu Ning-pu

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Use of Cataract Surgery in Urban Beijing: a Post Screening Follow-up of the Elderly with Visual Impairment due to Age-related Cataract

Chinese Medical Sciences Journal Vol. 30, Issue 1, Pages: 1-6(2015)

Orginal Article | Updated：2024-04-10

- Use of Cataract Surgery in Urban Beijing: a Post Screening Follow-up of the Elderly with Visual Impairment due to Age-related Cataract
- Affiliations：
  
  1. 1Sekwa Eye Hospital, Beijing 100088, China
  2. 25Epidemiology Unit, 5Department of Mathematics and Computer Science, Faculty of Science and Technology, Prince of Songkla University, Songkhla 90110, Thailand
  3. 3Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Key Laboratory of Beijing Ophthalmology and Visual Sciences, Beijing 100730, China
  4. 4Department of Ophthalmology, First Hospital of Tsinghua University, Beijing 100016, China
- Author bio：
  
  *Corresponding author Tel: 86-10-58269821, Fax: 86-10-62033293, E-mail: nliu001@gmail.com
- Funds：
- DOI：
  CLC：
- Received：19 June 2014，
  
  Published Online：20 February 2015，
  
  Published：2015-02
- Accepted：
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Ren Xue-tao, Snellingen Torkel, Gu Hong, et al. Use of Cataract Surgery in Urban Beijing: a Post Screening Follow-up of the Elderly with Visual Impairment due to Age-related Cataract[J]. Chinese medical sciences journal, 2015, 30(1): 1-6.
DOI：

Ren Xue-tao, Snellingen Torkel, Gu Hong, et al. Use of Cataract Surgery in Urban Beijing: a Post Screening Follow-up of the Elderly with Visual Impairment due to Age-related Cataract[J]. Chinese medical sciences journal, 2015, 30(1): 1-6. DOI：

摘要

Abstract

Objective

To understand the perception for the use of cataract surgical services in a population of acceptors and non-acceptors of cataract surgery in urban Beijing.

Methods

From a community-based screening program a total of 158 patients with presenting visual acuity of less than 6/18 on either eye due to age-related cataract were informed about the possibility of surgical treatment. These patients were interviewed and re-examined 36 to 46 months after initial screening. The main reasons for not accepting surgery were obtained using a questionnaire. Vision function and vision-related quality of life scores were assessed in those who received and did not receive surgery.

Results

At the follow-up examination 116 of the 158 patients were available and 36 (31.0%) had undergone cataract surgery. Cases who chose surgery had higher education level than those who did not seek surgery (

=2.64

95%

: 1.08-6.63

=0.02). There were no significant differences in vision function (

=0.11) or quality of life scores (

=0.16) between the surgery group and the non-surgery group. Main reasons for not having surgery included no perceived need (50.0%)

feeling of being “too old” (19.2%)

and worry about the quality of surgery (9.6%). Cost was cited by 1 (1.9%) subject as the main reason for not seeking surgery.

Conclusions

The data suggest that in China’s capital urban center for patients with moderate visual impairment there is a relative low acceptance rate of cataract surgery

mainly due to people’s perception of marginal benefits of surgery. Cost is not a determining factor as barrier to undergo surgery and patients with poorer education are less likely to undertake surgery.

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Keywords

references

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