Four-year analysis of cataract surgery rates in Shanghai, China: a retrospective cross-sectional study

Author:

Zhu Mingming,Zhu Jianfeng,Lu Lina,He Xiangui,Zhao Rong,Zou Haidong

Abstract

Abstract Background The cataract surgery rate (CSR) is a critical index used to show that cataract blindness is being eliminated. It is considered to be tightly connected to social economic development; however, it is still extremely low in developing countries such as China. Although Shanghai is the most economically developed city in China, its CSR and the obstacles for increasing its CSR have not been previously evaluated. Methods A retrospective cross-sectional study was conducted. By analyzing the data in the “Shanghai Cataract Operations Database” from 2006 to 2009, the CSR in Shanghai was calculated. The numbers of cataract surgeries between urban and suburban districts as well as among various medical institutions were compared. Results The CSR in Shanghai increased from 1741 in 2006 to 2210 in 2009, reflecting a 26.94% improvement. Phacoemulsification was the most frequent surgical choice for cataract removal, accounting for 94.93% of total cataract surgeries by 2009. In addition, by 2009, the CSR in urban districts had reached 5468, but only 532 in the suburbs. During 2009, cataract surgery records in 68 district hospitals, 23 medical centers, and 6 private hospitals comprised 32.05%, 52.33%, and 15.62%, respectively, of the total. There was a nearly 3.3-fold increase in the number of surgeries performed in private hospitals in the past four years. Furthermore, the average number of cataract surgeries per doctor that took place in private hospitals per year reached 207, which exceeded the average of 145 that took place in medical centers. Conclusions Until 2009, the CSR in Shanghai remained below the rates of social development and fell short of targets suggested by the World Health Organization (WHO). Furthermore, increasing the CSR in the suburbs as well as in district hospitals is an important issue that needs to be addressed.

Publisher

Springer Science and Business Media LLC

Subject

Ophthalmology,General Medicine

Reference13 articles.

1. Pascolini D, Mariotti SP: Global estimates of visual impairment: 2010. Br J Ophthalmol. 2012, 96: 614-618. 10.1136/bjophthalmol-2011-300539.

2. World Health Organization (WHO): Global Initiative for the Elimination of Avoidable Blindness: action plan 2006–2011. 2007, Geneva: World Health Organization

3. Gyasi ME, Amoaku WMK, Asamany DK: Barriers to cataract surgical uptake in the upper east region of Ghana. Ghana Med J. 2007, 41: 167-170.

4. The World Bank: Economic Policy & Debt, Purchasing power parity. [http://search.worldbank.org/data?qterm=GDP+indian&language=EN&format=]

5. Zhao J: Prevention of blindness is still the great challenge faced by Chinese ophthalmology. Chin J Ophthalmol. 2009, 45: 769-771.

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