Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, 54 Shogoin, Kawahara, Sakyo, Kyoto, 606-8507, Japan.
Kyoto Okamoto Memorial Hospital, Kyoto, Japan.
Sci Rep. 2023 Dec 18;13(1):22884. doi: 10.1038/s41598-023-49705-x.
This study aimed to analyze the trends and factors influencing the number of ophthalmic surgeries in Japan using the open data from the National Database of Health Insurance Claims and Specific Health Checkups of Japan published by the Ministry of Health, Labour and Welfare. We calculated the number of cataract, glaucoma, and vitreoretinal surgeries, categorized by sex, age, and surgical type, for the fiscal years (FY) 2014 to 2020. The number of cataract surgeries remained stable at approximately 1.45 million cases from FY 2014 to 2018, increased to nearly 1.6 million cases in FY 2019, and decreased to 1.45 million cases in FY 2020. Among glaucoma surgeries, surgical treatments were increased 1.8 times over 7 years, from 33,000 to 60,000 cases. Laser treatment remained steady at around 55,000 cases from FY 2014 to 2017 and then increased to approximately 60,000 cases. The number of vitreoretinal surgeries was increased 1.2 times from FY 2014 to 2019, from 120,000 to 140,000, and decreased to 130,000 by FY 2020. Trends in ophthalmic surgeries over the past 7 years may be influenced by population aging, minimally invasive surgery, and the coronavirus disease pandemic. These findings have implications on surgical decision-making and resource allocation.
本研究旨在利用厚生劳动省公布的国民健康保险索赔和特定健康检查的公开数据，分析日本眼科手术数量的趋势和影响因素。我们计算了 2014 财年至 2020 财年按性别、年龄和手术类型分类的白内障、青光眼和玻璃体视网膜手术数量。白内障手术数量从 2014 财年到 2018 财年保持在约 145 万例的稳定水平，2019 财年增加到近 160 万例，2020 财年减少到 145 万例。在青光眼手术中，手术治疗在 7 年内增加了 1.8 倍，从 3.3 万例增加到 6 万例。激光治疗从 2014 财年到 2017 财年保持在约 5.5 万例的稳定水平，然后增加到约 6 万例。玻璃体视网膜手术数量从 2014 财年到 2019 财年增加了 1.2 倍，从 12 万例增加到 14 万例，到 2020 财年减少到 13 万例。过去 7 年眼科手术的趋势可能受到人口老龄化、微创手术和冠状病毒病大流行的影响。这些发现对手术决策和资源分配具有重要意义。
