白内障手术在减少机动车碰撞事故方面的有效性：一项使用关联数据的全人群研究。
The effectiveness of cataract surgery in reducing motor vehicle crashes: a whole population study using linked data.
作者信息
Meuleners Lynn B, Hendrie Delia, Lee Andy H, Ng Jonathon Q, Morlet Nigel
机构信息
Curtin-Monash Accident Research Centre (C-MARC), Curtin University, Perth, Western Australia.
出版信息
Ophthalmic Epidemiol. 2012 Feb;19(1):23-8. doi: 10.3109/09286586.2011.628776.
PURPOSE
To evaluate the effectiveness of first eye cataract surgery on drivers aged 60 years and over at a population level.
METHODS
A retrospective before and after comparison of all police reported crashes for patients who had undergone first eye cataract surgery using linked Western Australia data for the period 1997-2006. An economic analysis by the type of crash was performed on the cost savings from cataract surgery for this cohort.
RESULTS
Of the 27,827 patients who underwent cataract surgery in one eye only, 1715 patients were involved in 1762 police reported crash events, either 1 year before (n = 941 crashes) or 1 year after (n = 821 crashes) cataract surgery. Results from Poisson generalized estimating equations showed a significant reduction of 12.7% (P = 0.034) in all police reported crashes 1 year after cataract surgery. The corresponding cost savings amounted to $4.3 million.
CONCLUSION
The findings are important for policy development to further improve driving outcomes among older drivers.
目的
在人群层面评估首次单眼白内障手术对60岁及以上驾驶员的有效性。
方法
利用西澳大利亚1997 - 2006年期间的关联数据，对接受首次单眼白内障手术患者的所有警方报告车祸进行回顾性前后对比。针对该队列白内障手术节省的费用，按车祸类型进行了经济分析。
结果
在仅接受单眼白内障手术的27827名患者中，1715名患者在白内障手术前1年（n = 941起车祸）或术后1年（n = 821起车祸）涉及1762起警方报告的车祸事件。泊松广义估计方程的结果显示，白内障手术后1年，警方报告的所有车祸显著减少了12.7%（P = 0.034）。相应的成本节省达430万美元。
结论
这些发现对于制定政策以进一步改善老年驾驶员的驾驶结果具有重要意义。
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