艾伯塔省视网膜脱离修复的成功率：一项医师学习计划倡议

Success Rates for Retinal Detachment Repair in Alberta: A Physician Learning Program Initiative.

作者信息

Dotan Assaf, Johnson Dianne, Kherani Amin, Jahangir Kahrram, Tennant Matthew T S

机构信息

Department of Ophthalmology, Royal Alexandra Hospital, University of Alberta, Edmonton, Alberta, Canada,

Department of Ophthalmology, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel,

出版信息

Ophthalmologica. 2019;241(3):170-172. doi: 10.1159/000492538. Epub 2018 Oct 5.

DOI:10.1159/000492538

PMID:30293073

Abstract

OBJECTIVE

To identify primary surgical success rates for retinal detachment repair in Alberta and compare functional outcomes of methods of repair.

METHODS

Data was retrospectively extracted from the Alberta Health Services Discharge Abstract Database and the National Ambulatory Care Reporting System for all patients diagnosed with retinal detachment and vitreoretinal procedures during the 2008/09 to 2012/13 fiscal years.

RESULTS

Of the 5,433 surgeries for retinal detachment identified, 279 were excluded due to invalid provincial health numbers, unidentified procedure location, and/or treating physician other than an Alberta retina surgeon. The final analysis included 4,336 detachments in 4,020 patients. The average primary retinal detachment success rate was 84.9% (3,680/4,336). Primary success rates varied between vitrectomy only (84.9%, 2,149/2,532), vitrectomy and scleral buckle (85.5%, 818/957), and scleral buckle (84.4%, 702/832).

CONCLUSIONS

Alberta retina surgeons have an average primary success rate of 84.9% (3,680/4,336) for repair of retinal detachments. This result is in keeping with other published retinal detachment success rate studies.

摘要

目的

确定艾伯塔省视网膜脱离修复手术的初次手术成功率，并比较不同修复方法的功能结局。

方法

回顾性提取艾伯塔省医疗服务出院摘要数据库和国家门诊护理报告系统中2008/09至2012/13财政年度所有诊断为视网膜脱离并接受玻璃体视网膜手术的患者的数据。

结果

在确定的5433例视网膜脱离手术中，279例因省级健康编号无效、手术地点不明和/或治疗医生不是艾伯塔省视网膜外科医生而被排除。最终分析纳入了4020例患者的4336例视网膜脱离。初次视网膜脱离成功率平均为84.9%（3680/4336）。单纯玻璃体切除术的初次成功率为84.9%（2149/2532），玻璃体切除术联合巩膜扣带术为85.5%（818/957），巩膜扣带术为84.4%（702/832）。