From the Departments of Ophthalmology (Mahr, Erie) and Health Science Research (Hodge), Mayo Clinic, Rochester, Minnesota, USA.
From the Departments of Ophthalmology (Mahr, Erie) and Health Science Research (Hodge), Mayo Clinic, Rochester, Minnesota, USA.
J Cataract Refract Surg. 2018 Feb;44(2):140-143. doi: 10.1016/j.jcrs.2017.10.049. Epub 2018 Mar 7.
To determine racial/ethnic differences in rates of complex cataract surgery among United States Medicare beneficiaries.
Departments of Ophthalmology and Health Science Research, Mayo Clinic, Rochester, Minnesota, USA.
Retrospective case series.
The U.S. Medicare 5% Limited Data Set, representing a 5% sample of over 28 million fee-for-service Medicare beneficiaries predominantly aged 65 years and older, were analyzed for rates of complex cataract surgery (Current Procedural Terminology [CPT] code 66982) among all beneficiaries who had cataract surgery (CPT codes 66982, 66984), stratified by race/ethnicity between January 1, 2014, and December 31, 2014. Associations were tested by using multivariate regression analysis.
Data from approximately 1 087 680 Medicare beneficiaries were analyzed. After adjustment for age and sex, the likelihood of complex cataract surgery was significantly higher in African Americans (odds ratio [OR], 1.90; 95% confidence interval [CI], 1.75-2.08), Asians (OR, 1.57; 95% CI, 1.34-1.85), and Hispanics (OR, 1.42; 95% CI, 1.18-1.71) than in whites among fee-for-service Medicare beneficiaries. Complex cataract surgery was more likely in men (OR, 1.83; 95% CI, 1.73-1.92) than in women, and the likelihood of complex cataract surgery increased in the elderly, with beneficiaries older than 84 years more likely to have complex surgery (OR, 2.68, 95% CI, 2.45-2.93) than beneficiaries aged 65 to 69 years.
There were racial/ethnic differences in the likelihood of complex cataract surgery among fee-for-service Medicare beneficiaries; racial/ethnic minorities (Hispanics, Asians, and African Americans) were 42% to 90% more likely to have complex cataract surgery than whites.
确定美国医疗保险受益人群中复杂白内障手术的种族/民族差异。
美国明尼苏达州罗切斯特市梅奥诊所眼科和健康科学研究系。
回顾性病例系列。
利用美国医疗保险 5%限定数据集（代表 2800 多万名接受按服务收费制医疗保险、年龄主要在 65 岁及以上的受益人的 5%抽样），分析了 2014 年 1 月 1 日至 12 月 31 日期间所有接受白内障手术（手术编码 66982、66984）的受益人的复杂白内障手术（当前操作术语 [CPT] 编码 66982）率，按种族/民族分层。采用多变量回归分析检测关联。
对约 108.768 万名医疗保险受益人的数据进行了分析。调整年龄和性别后，非裔美国人（优势比 [OR]，1.90；95%置信区间 [CI]，1.75-2.08）、亚洲人（OR，1.57；95%CI，1.34-1.85）和西班牙裔（OR，1.42；95%CI，1.18-1.71）接受复杂白内障手术的可能性显著高于白人。与女性相比，男性接受复杂白内障手术的可能性更高（OR，1.83；95%CI，1.73-1.92），随着年龄的增长，接受复杂白内障手术的可能性也会增加，84 岁以上的受益人与 65 至 69 岁的受益相比，接受复杂手术的可能性更高（OR，2.68，95%CI，2.45-2.93）。
在接受按服务收费制医疗保险的受益人群中，复杂白内障手术的可能性存在种族/民族差异；少数民族（西班牙裔、亚洲人和非裔美国人）接受复杂白内障手术的可能性比白人高 42%至 90%。
