Is the likelihood of receiving cataract surgery determined by place of residence? A systematic review and meta-analysis

Abstract

Objectives: This study aims to systematically review the literature and identify the association between place of residence and cataract surgery utilisation. Materials and Methods: We conducted a systematic review and meta-analysis according to preferred reporting items for systematic review and meta-analysis guidelines. A literature search was performed on PubMed and ProQuest databases, screening all related articles in the past 10 years (2012–2022). Data were analysed using RevMan 5.3 software, with pooled effect estimates reported as an odds ratio (OR) with a 95% confidence interval (CI). Results: A total of 10 studies from eight articles were identified and included in the meta-analysis. The pooling results of these studies suggest that there is a statistically significant association between residence and cataract surgery utilisation. Those who live in rural areas (OR: 0.70, 95% CI: 0.52–0.95, P = 0.02) are 0.7 times less likely to use cataract surgical services compared to urban areas. The heterogeneity was significant (P < 0.0001 and I2 = 76%) and a random effect model was adopted. Conclusion: Our findings indicate that there is an association between place of residence and cataract surgery utilisation, with individuals residing in rural areas being less likely to use such treatment. These findings can inform targeted interventions aimed at improving cataract surgical coverage among rural populations.