Eye and Vision Epidemiology Research Group, Centre for Health Services Research, School of Population Health, The University of Western Australia, Perth, WA, AustraliaEyeNet Sweden, Blekinge Hospital, Karlskrona, SwedenDepartment of Clinical Sciences and Ophthalmology, Faculty of Medicine, Lund University, Lund, Sweden.
Acta Ophthalmol. 2014 Jun;92(4):378-81. doi: 10.1111/aos.12164. Epub 2013 Jun 13.
To evaluate waiting times for first-eye cataract surgery in Sweden following widespread adoption of the Nationell Indikationsmodell for Kataraktextraktion (NIKE) tool for prioritizing patients for cataract surgery.
Waiting times for all first-eye cataract surgeries in Sweden in 2009-2011 were identified from the Swedish National Cataract Register. Waiting times were compared according to demographic, clinical and NIKE indication group for surgery. Multivariate logistic regression modelling was used to determine factors associated with waiting times less than the 3-month Government guarantee period.
There were 141,070 first-eye cataract surgeries in 2009 to 2011; an annual increase of around 6%. Over the study period, mean waiting times decreased across all NIKE groups. The proportion waiting <3 months for surgery also increased across all NIKE groups. Surgery within 3 months of waitlisting was more likely for patients with a NIKE 1 indication classification (most need for surgery), in later years, male patients, younger patients and patients with a preoperative visual acuity in the better eye worse than 6/24.
Prioritizing patients for cataract surgery using NIKE reduces waiting times for those with the greatest need.
评估在全国白内障手术优先排序模型（NIKE）工具广泛应用后，瑞典第一只眼白内障手术的等候时间。
从瑞典国家白内障登记处确定了 2009-2011 年所有在瑞典进行的第一只眼白内障手术的等候时间。根据人口统计学、临床和手术 NIKE 指征组比较等候时间。采用多变量逻辑回归模型确定与等候时间少于 3 个月政府保障期相关的因素。
2009 年至 2011 年进行了 141070 例第一只眼白内障手术；每年增加约 6%。在研究期间，所有 NIKE 组的平均等候时间都有所下降。所有 NIKE 组中，等候 <3 个月手术的比例也有所增加。在等候名单上等待 3 个月内进行手术的可能性更大的患者是那些有 NIKE 1 指征分类（最需要手术）的患者，在较晚的年份，男性患者、年轻患者和术前较好眼视力差于 6/24 的患者。
使用 NIKE 优先安排白内障手术患者可减少那些最需要手术的患者的等候时间。
