Defining the surgical footprint in cataract surgery: patient-related outcomes dependent on the experience of the surgeon
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Defining the surgical footprint in cataract surgery : patient-related outcomes dependent on the experience of the surgeon. / Jacobsen, Mads F.; Holm, Lars M.; Erichsen, Jesper H.; Konge, Lars; Siersma, Volkert; la Cour, Morten; Thomsen, Ann Sofia S.
I: Acta Ophthalmologica, Bind 99, Nr. 7, 2021, s. e999-e1005.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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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.
PY - 2021
Y1 - 2021
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 Nordsjællands 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 Nordsjællands 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 - assessment
KW - cataract surgery
KW - medical education
KW - phacoemulsification
KW - treatment surgery
U2 - 10.1111/aos.14733
DO - 10.1111/aos.14733
M3 - Journal article
C2 - 33377606
AN - SCOPUS:85098242072
VL - 99
SP - e999-e1005
JO - Acta Ophthalmologica
JF - Acta Ophthalmologica
SN - 1755-375X
IS - 7
ER -
ID: 255098825