Department of Ophthalmology, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
Department of Ophthalmology, Hawkes Bay District Health Board, Hastings, New Zealand.
Eye (Lond). 2023 Jun;37(8):1583-1589. doi: 10.1038/s41433-022-02181-5. Epub 2022 Jul 29.
Surgical intervention rates (SIR) provide a proxy measure of disease burden, surgical capacity, and the relative risk-benefit ratio of surgery. The current study assessed decade trends in ophthalmic surgery and calculated SIRs for all major classes of commonly performed ophthalmic procedures in New Zealand.
Retrospective population-based analysis of all ophthalmic surgical procedures performed in New Zealand from 2009 to 2018. National and regional datasets from public and private health sectors and industry were analysed. SIRs were calculated for all major ophthalmic procedures, and subgrouped by patient demographics.
There were 410,099 ophthalmic surgical procedures completed with a 25.3% overall increase over 10 years. Procedures were mostly government-funded (51%, n = 210,830) with 71% of patients aged over 64 years. Cataract surgery (78%, n = 318,564) had the highest mean SIR (703/100,000/year) and increased by 25% during the study period, consistent with population growth in the over 64 years old age group. Vitrectomy surgery had the second highest mean SIR (67/100,000/year) and increased by 50%, well above national population growth during the study period. Other SIRs included conjunctival lesion-biopsy (38/100,000/year), glaucoma (33/100,000/year), strabismus (20/100,000/year), dacryocystorhinostomy (10/100,000/year), and keratoplasty surgery (4/100,000/year).
This comprehensive review of New Zealand ophthalmic surgery reports increasing SIRs that cannot be explained by population growth alone. Cataract surgery numbers increased year on year consistent with the increase in the over 64 years old population. Vitrectomy surgery growth exceeded that of the national population, including those over 64 years.
手术干预率（SIR）提供了疾病负担、手术能力以及手术风险-获益比的替代衡量标准。本研究评估了新西兰眼科手术十年来的趋势，并计算了所有常见眼科手术主要类型的 SIR。
对 2009 年至 2018 年期间在新西兰进行的所有眼科手术进行回顾性基于人群的分析。对公共和私人卫生部门以及行业的国家和地区数据集进行了分析。计算了所有主要眼科手术的 SIR，并按患者人口统计学特征进行了分组。
共完成了 410099 例眼科手术，10 年内总体增长了 25.3%。手术大多由政府资助（51%，n=210830），71%的患者年龄在 64 岁以上。白内障手术（78%，n=318564）的平均 SIR 最高（703/100000/年），在研究期间增长了 25%，与 64 岁以上年龄组的人口增长一致。玻璃体切除术的平均 SIR 第二高（67/100000/年），增长了 50%，远高于研究期间的全国人口增长。其他 SIR 包括结膜病变活检（38/100000/年）、青光眼（33/100000/年）、斜视（20/100000/年）、泪囊鼻腔吻合术（10/100000/年）和角膜移植手术（4/100000/年）。
本研究全面回顾了新西兰的眼科手术，报告了 SIR 的增加，这不能仅用人口增长来解释。白内障手术数量逐年增加，与 64 岁以上人口的增加一致。玻璃体切除术的增长超过了全国人口的增长，包括 64 岁以上的人口。
