Forskning
Udskriv Udskriv
Switch language
Rigshospitalet - en del af Københavns Universitetshospital
Udgivet

Defining the surgical footprint in cataract surgery: patient-related outcomes dependent on the experience of the surgeon

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Harvard

APA

CBE

MLA

Vancouver

Author

Bibtex

@article{988687c4bcbf42c694e2e4b76b04269a,
title = "Defining the surgical footprint in cataract surgery: patient-related outcomes dependent on the experience of the surgeon",
abstract = "PURPOSE: To investigate which patient-related outcomes are dependent on the experience of the cataract surgeon.METHODS: The study was designed as a prospective observational study. Novice (<150 surgeries performed) and experienced (>1000 surgeries performed) cataract surgeons from the Department of Ophthalmology, Rigshospitalet - Glostrup and Nordsjaellands Hospital - Hiller{\o}d were included in the study. Patients operated by the included surgeons were examined preoperatively, 1 day, 3 days, and 3 weeks after standard, noncomplicated cataract surgery. Primary outcomes were change in central corneal thickness and endothelial cell loss. Secondary outcomes were best-corrected visual acuity, intraocular pressure, aqueous flare, central macular thickness, and surgical complications.RESULTS: Surgery performed by novice surgeons resulted in significantly lower visual acuity (mean -3.6 letters (Early Treatment Diabetic Retinopathy Study (ETDRS)); 95% CI: -7.3; -0.4, p = 0.03) and greater corneal thickness (mean 26.7 µm; 95% CI: 6.8; 46.6, p = 0.01) on the first day postoperative than surgery performed by experienced surgeons.CONCLUSION: The experience of the cataract surgeon affected visual acuity and central corneal thickness in the immediate postoperative period. In the future, these patient-related outcomes may be used to assess the technical proficiency of surgical trainees and investigate the effect of different training programs.",
keywords = "cataract surgery, phacoemulsification, medical education, assessment, treatment surgery",
author = "Jacobsen, {Mads F} and Holm, {Lars M} and Erichsen, {Jesper H} and Lars Konge and Volkert Siersma and {la Cour}, Morten and Thomsen, {Ann Sofia S}",
note = "{\textcopyright} 2020 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.",
year = "2021",
month = nov,
doi = "10.1111/aos.14733",
language = "English",
volume = "99",
pages = "e999--e1005",
journal = "Acta Ophthalmologica",
issn = "1755-375X",
publisher = "Wiley-Blackwell Munksgaard",
number = "7",

}

RIS

TY - JOUR

T1 - Defining the surgical footprint in cataract surgery

T2 - patient-related outcomes dependent on the experience of the surgeon

AU - Jacobsen, Mads F

AU - Holm, Lars M

AU - Erichsen, Jesper H

AU - Konge, Lars

AU - Siersma, Volkert

AU - la Cour, Morten

AU - Thomsen, Ann Sofia S

N1 - © 2020 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

PY - 2021/11

Y1 - 2021/11

N2 - PURPOSE: To investigate which patient-related outcomes are dependent on the experience of the cataract surgeon.METHODS: The study was designed as a prospective observational study. Novice (<150 surgeries performed) and experienced (>1000 surgeries performed) cataract surgeons from the Department of Ophthalmology, Rigshospitalet - Glostrup and Nordsjaellands Hospital - Hillerød were included in the study. Patients operated by the included surgeons were examined preoperatively, 1 day, 3 days, and 3 weeks after standard, noncomplicated cataract surgery. Primary outcomes were change in central corneal thickness and endothelial cell loss. Secondary outcomes were best-corrected visual acuity, intraocular pressure, aqueous flare, central macular thickness, and surgical complications.RESULTS: Surgery performed by novice surgeons resulted in significantly lower visual acuity (mean -3.6 letters (Early Treatment Diabetic Retinopathy Study (ETDRS)); 95% CI: -7.3; -0.4, p = 0.03) and greater corneal thickness (mean 26.7 µm; 95% CI: 6.8; 46.6, p = 0.01) on the first day postoperative than surgery performed by experienced surgeons.CONCLUSION: The experience of the cataract surgeon affected visual acuity and central corneal thickness in the immediate postoperative period. In the future, these patient-related outcomes may be used to assess the technical proficiency of surgical trainees and investigate the effect of different training programs.

AB - PURPOSE: To investigate which patient-related outcomes are dependent on the experience of the cataract surgeon.METHODS: The study was designed as a prospective observational study. Novice (<150 surgeries performed) and experienced (>1000 surgeries performed) cataract surgeons from the Department of Ophthalmology, Rigshospitalet - Glostrup and Nordsjaellands Hospital - Hillerød were included in the study. Patients operated by the included surgeons were examined preoperatively, 1 day, 3 days, and 3 weeks after standard, noncomplicated cataract surgery. Primary outcomes were change in central corneal thickness and endothelial cell loss. Secondary outcomes were best-corrected visual acuity, intraocular pressure, aqueous flare, central macular thickness, and surgical complications.RESULTS: Surgery performed by novice surgeons resulted in significantly lower visual acuity (mean -3.6 letters (Early Treatment Diabetic Retinopathy Study (ETDRS)); 95% CI: -7.3; -0.4, p = 0.03) and greater corneal thickness (mean 26.7 µm; 95% CI: 6.8; 46.6, p = 0.01) on the first day postoperative than surgery performed by experienced surgeons.CONCLUSION: The experience of the cataract surgeon affected visual acuity and central corneal thickness in the immediate postoperative period. In the future, these patient-related outcomes may be used to assess the technical proficiency of surgical trainees and investigate the effect of different training programs.

KW - cataract surgery

KW - phacoemulsification

KW - medical education

KW - assessment

KW - treatment surgery

U2 - 10.1111/aos.14733

DO - 10.1111/aos.14733

M3 - Journal article

C2 - 33377606

VL - 99

SP - e999-e1005

JO - Acta Ophthalmologica

JF - Acta Ophthalmologica

SN - 1755-375X

IS - 7

ER -

ID: 61659646