Rossi Tommaso, Romano Mario R, Iannetta Danilo, Romano Vito, Gualdi Luca, D'Agostino Isabella, Ripandelli Guido
Ophthalmology, Ospedale Policlinico San Martino Istituto di Ricovero e Cura a Carattere Scientifico per l'Oncologia, Genova, Italy.
Department of Health Sciences, Humanitas University, Milan, Italy.
BMJ Open Ophthalmol. 2021 Jan 13;6(1):e000464. doi: 10.1136/bmjophth-2020-000464. eCollection 2021.
To report the results of a global survey on cataract practice patterns related to preoperative, intraoperative and postoperative care, surgical setting and personnel allocation.
An online 28 questions survey was sent to 240 ophthalmologists asking to describe prevailing trends in their institutions across 38 countries and 5 continents. Questions inquired country, institution, surgical volume and setting, anaesthesia, preoperative and intraoperative examination and postsurgical care. Statistical analysis used crosstabs lambda statistics for non-parametric nominal variables. P value less than 0.05 was considered statistically significant.
209/240 (87%) ophthalmologists responded: 38% representing public hospitals, 36% private practices and 26% academic sites; overall surgical volume was between 241 700 and 410 500 cataracts per year. There was a significant correlation between type of institution and surgical volume. Complete results available in online (https://freeonlinesurveys.com/r/W6BcLLxy).
Cataract surgery related patterns of perioperative care showed significant difference among respondents, regardless to type of institution, surgical volume and country. Many evidence-based procedures are unevenly practiced around the world and some widespread and expensive habits lack solid scientific evidence while consuming enormous amount of resources both monetary and human. There is a need to reach consensus and share evidence-based practice patterns.
报告一项关于白内障手术模式的全球调查结果，该调查涉及术前、术中和术后护理、手术环境及人员配置。
向240名眼科医生发送了一份包含28个问题的在线调查问卷，要求他们描述其所在机构在五大洲38个国家的普遍趋势。问题涉及国家、机构、手术量及环境、麻醉、术前和术中检查以及术后护理。统计分析对非参数名义变量使用列联表拉姆达统计量。P值小于0.05被认为具有统计学意义。
209/240（87%）名眼科医生做出回应：38%来自公立医院，36%来自私人诊所，26%来自学术机构；每年的总体手术量在241700至410500例白内障之间。机构类型与手术量之间存在显著相关性。完整结果可在网上获取（https://freeonlinesurveys.com/r/W6BcLLxy）。
无论机构类型、手术量和国家如何，受访者之间白内障手术围手术期护理模式存在显著差异。许多循证程序在世界各地的实施情况不均衡，一些广泛存在且昂贵的做法缺乏确凿的科学证据，却消耗了大量的金钱和人力等资源。有必要达成共识并分享循证实践模式。
