Strategic Solutions, Inc., 1143 Salsbury Ave, Cody, WY 82414, USA.
Clin Exp Ophthalmol. 2012 Jul;40(5):458-66. doi: 10.1111/j.1442-9071.2011.02722.x. Epub 2011 Dec 6.
To determine if gender inequities exist in Latin America in regard to cataract surgery.
Meta-analysis.
Total of 38,992 subjects participating in epidemiological surveys; summary measures were used (not patient-level data).
A literature search and knowledge of rapid assessment of cataract surgical services/rapid assessment of avoidable blindness studies carried out in Latin America found 11 studies with complete cataract surgical coverage (CSC) data. Using summary original study data, a meta-analysis (random effects model) was conducted to analyse the differences in CSC between males and females. Results were adjusted for design effect.
Odds ratio (OR) of receiving cataract surgery comparing women with men.
CSC with a visual acuity (VA) <3/60 on an eye basis showed a non-statistically significant OR of 1.01 (95% confidence intervals [CI]: 0.86-1.18) for women receiving cataract surgery in comparison with men. For VA < 6/18, a non-statistically significant OR of 0.94 (95% CI: 0.83-1.07) was obtained for women receiving cataract surgery. On a person basis at a VA of <3/60 and <6/18, non-statistically significant ORs of 1.12 (95% CI: 0.78-1.63) and 0.94 (95% CI: 0.77-1.15) were obtained for women receiving cataract surgery, respectively. Statistical heterogeneity was 0% (I(2) statistic), except for results at a VA of <3/60 on a person basis (I(2) = 30%).
In the Latin American countries in which CSC was assessed, gender does not appear to be a significant factor in receiving cataract surgery. However, more data are required to confirm these results.
确定拉丁美洲在白内障手术方面是否存在性别不平等。
荟萃分析。
共有 38992 名参与流行病学调查的受试者；使用了汇总措施（不是患者水平数据）。
通过文献检索和对拉丁美洲快速评估白内障手术服务/快速评估可避免盲研究的了解，发现了 11 项具有完整白内障手术覆盖率（CSC）数据的研究。使用汇总原始研究数据，进行荟萃分析（随机效应模型），分析男性和女性之间 CSC 的差异。结果针对设计效果进行了调整。
比较女性和男性接受白内障手术的可能性的比值比（OR）。
基于眼部视力（VA）<3/60 的 CSC 显示，女性接受白内障手术的 OR 为 1.01（95%置信区间[CI]：0.86-1.18），与男性相比无统计学意义。对于 VA<6/18，女性接受白内障手术的 OR 为 0.94（95%CI：0.83-1.07），无统计学意义。在 VA<3/60 和<6/18 的个人基础上，女性接受白内障手术的非统计学显著 OR 分别为 1.12（95%CI：0.78-1.63）和 0.94（95%CI：0.77-1.15）。除了基于个人的 VA<3/60 的结果（I(2)统计量=30%），统计异质性为 0%（I(2)统计量）。
在评估 CSC 的拉丁美洲国家，性别似乎不是接受白内障手术的重要因素。然而，需要更多的数据来证实这些结果。
