Hamilton Glaucoma Center and the Shiley Eye Center, Department of Ophthalmology, University of California, San Diego, La Jolla, USA,
Graefes Arch Clin Exp Ophthalmol. 2013 Nov;251(11):2609-15. doi: 10.1007/s00417-013-2464-7. Epub 2013 Sep 26.
To estimate global rates of glaucoma surgery.
National glaucoma and national ophthalmology societies were contacted to obtain rates of glaucoma surgery for the preceding 5 years. In countries without a professional society, leading ophthalmologists or non-governmental organizations (NGO) were approached. When available, published literature was used for the estimates. Three levels of evidence were assigned: published data from central government or insurance registries (level I), estimates provided by a national professional society based on survey of members (level II), and estimates based on data from individual glaucoma surgeons (level III). Glaucoma surgical rate (GSR) was defined as the annual number of total glaucoma surgeries performed per million population. Linear regression analysis was performed between GSR and the following parameters: population per ophthalmologist, per capita gross domestic product (GDP), and per capita health expenditures.
Seventy-three glaucoma societies, 35 ophthalmology societies, as well as six NGOs and 37 leading ophthalmologists (11 other countries) were contacted. Data were obtained from 38 countries (10 level I, 23 level II, and 5 lev el III) with a total population of 1.723 billion. The average GSR was 139.2 ± 113.1 (range, 2.9-500.0). There was a positive correlation between GSR and GDP (r(2) = 0.309, P = 0.0004) and GSR and the number of ophthalmologists (r(2) = 0.476, P < 0.0001).
There is a paucity of data on rates of glaucoma surgery, particularly from developing countries. The new metric GSR may be useful for the allocation of healthcare resources, as well as for planning and monitoring public health interventions in glaucoma.
估计全球青光眼手术率。
联系全国青光眼协会和全国眼科协会，以获取过去 5 年的青光眼手术率。在没有专业协会的国家，联系主要眼科医生或非政府组织（NGO）。在有可用数据的情况下，使用已发表的文献进行估计。分配了三个证据级别：中央政府或保险登记处的已发表数据（一级）、基于对成员调查的全国专业协会提供的估计（二级），以及基于个别青光眼外科医生数据的估计（三级）。青光眼手术率（GSR）定义为每百万人口每年进行的总青光眼手术数量。对 GSR 与以下参数之间进行线性回归分析：每万名眼科医生的人口、人均国内生产总值（GDP）和人均卫生支出。
联系了 73 个青光眼协会、35 个眼科协会，以及 6 个非政府组织和 37 位主要眼科医生（来自 11 个其他国家）。从 38 个国家（10 个一级、23 个二级和 5 个三级）获得了数据，这些国家的总人口为 17.23 亿。平均 GSR 为 139.2±113.1（范围，2.9-500.0）。GSR 与 GDP 之间存在正相关（r²=0.309，P=0.0004），与眼科医生人数之间也存在正相关（r²=0.476，P<0.0001）。
关于青光眼手术率的数据很少，特别是来自发展中国家的数据。新的度量标准 GSR 可能有助于医疗资源的分配，以及青光眼公共卫生干预措施的规划和监测。
