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Epidemiology of primary ophthalmic procedures performed in the United States

      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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