Abstract
Objective
To determine and compare epidemiology, patient demographics, and socioeconomic factors
of ophthalmic procedures in the United States.
Participants
All ophthalmic ambulatory procedures performed from 2012 to 2014.
Methods
The State Ambulatory Surgery Databases (SASD), a collection of data from 29 participating
states that represent two-thirds of the U.S. population, were used for analysis. All
ophthalmic procedures performed in ambulatory settings from 2012 to 2014 were included.
Incidence and demographics for each procedure were assessed, with descriptive statistics
determined to highlight key differences in epidemiology and patient characteristics
for each procedure. Population-based rates of procedures for each racial group were
calculated using national census data.
Results
Over a period of 3 years, 3 934 004 ophthalmic procedures were performed, with majority
being ambulatory (98.5%). Most common procedures were lens and cataract removal (66.5%),
followed by intraocular procedures (11.4%) and procedures involving eyelids, cornea,
and conjunctiva (8.2%). All ambulatory procedures had a higher number of female patients
except retinal tear and detachment repairs (male patients, 59.4%). Most procedures
had a higher rate in blacks compared with whites and other races, and Medicare was
the most common mode of payment.
Conclusions
Approximately 1.3 million ambulatory ophthalmic procedures were performed every year
between 2012 and 2014 in the 29 reporting states of the United States. Low-income
groups and certain minorities, apart from blacks, having a lower rate of procedure
suggest that disparities exist in provision of eye care. The factors leading to these
differences need to be further studied in order to devise strategies to provide equitable
care.
Résumé
Objectif
Déterminer et comparer les facteurs épidémiologiques, démographiques et socioéconomiques
en lien avec les interventions ophtalmologiques aux États-Unis.
Participants
Toutes les interventions ophtalmologiques réalisées en ambulatoire entre 2012 et 2014.
Méthodes
Aux fins de la présente analyse, on a eu recours à la SASD (State Ambulatory Surgery Databases), base de données sur les interventions ambulatoires dans 29 états, soit les deux
tiers de la population américaine. Ont ainsi été incluses toutes les interventions
ophtalmologiques réalisées en ambulatoire entre 2012 et 2014. L'incidence et les données
démographiques liées à chaque intervention ont été évaluées dans l'optique d'extraire
des statistiques descriptives de façon à faire ressortir les différences clés quant
aux données épidémiologiques et aux caractéristiques des patients pour chacune des
interventions. Les taux d'interventions représentatifs de la population pour chacun
des groupes raciaux ont été calculés d'après les données de recensement à l’échelle
nationale.
Résultats
Au cours des 3 années de l’étude, 3 934 004 interventions ophtalmologiques ont été
réalisées, la majorité d'entre elles en mode ambulatoire (98,5 %). Les interventions
les plus fréquentes portaient sur l'extraction du cristallin et des cataractes (66,5 %),
suivies des interventions intraoculaires (11,4 %) et des interventions touchant les
paupières, la cornée et la conjonctive (8,2 %). Le nombre de patients de sexe féminin
était plus élevé pour toutes les interventions ambulatoires, à l'exception du traitement
des déchirures et décollements de la rétine (patients de sexe masculin : 59,4 %).
Le taux de la plupart des interventions était plus élevé chez les sujets noirs comparativement
aux sujets caucasiens ou autres, et Medicare était la forme de paiement le plus souvent
utilisée.
Conclusions
Quelque 1,3 million d'interventions ophtalmologiques ambulatoires ont été réalisées
chaque année entre 2012 et 2014 dans les 29 états de la base de données SASD aux États-Unis.
On a noté que les sujets à faible revenu et certains groupes minoritaires, outre les
noirs, ont eu un taux d'intervention plus faible, ce qui dénote des disparités au
chapitre des soins oculaires. Il est important d’étudier les facteurs à l'origine
de ces différences si l'on souhaite trouver des stratégies pour offrir des soins équitables.
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Article info
Publication history
Published online: May 07, 2019
Accepted:
March 17,
2019
Received in revised form:
December 21,
2018
Received:
September 28,
2018
Identification
Copyright
© 2019 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.
