Document Detail


A Cochrane Systematic Review finds no significant difference in outcome or risk of postoperative complications between day care and in-patient cataract surgery.
MedLine Citation:
PMID:  16951761     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This review was conducted to determine reliable evidence regarding the safety, feasibility, effectiveness, and cost-effectiveness of cataract extraction performed as a day care versus in-patient procedure. The search to identify randomized controlled trials comparing day care and in-patient surgery for age-related cataract included the Cochrane Eyes and Vision Group Trials Register, the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE and LILACS Latin American and Caribbean Literature on Health Sciences. Assessment of methodological quality was based on criteria defined by the Cochrane Collaboration. The primary outcome was the achievement of a satisfactory visual acuity 6 weeks after operation. Two trials, involving a total of 1284 people, are included. One trial reported statistically significant differences in early postoperative complication rates in the day care group, which had no clinical relevance to visual outcomes 4 months postoperatively. Mean change in visual acuity Snellen lines of the operated eye 4 months postoperatively was 4.1 standard deviation SD 2.3 for the day care group and 4.1 SD 2.2 for the in-patient group. Costs were 20% more for the in-patient group attributable to higher costs for overnight stay.
Authors:
Zbigniew Fedorowicz; David J Lawrence; Peter Gutierrez
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Saudi medical journal     Volume:  27     ISSN:  0379-5284     ISO Abbreviation:  Saudi Med J     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-09-04     Completed Date:  2007-05-18     Revised Date:  2008-06-23    
Medline Journal Info:
Nlm Unique ID:  7909441     Medline TA:  Saudi Med J     Country:  Saudi Arabia    
Other Details:
Languages:  eng     Pagination:  1296-301     Citation Subset:  IM    
Affiliation:
UK Cochrane Centre, UK. zbysfedo@batelco.com.bh
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MeSH Terms
Descriptor/Qualifier:
Ambulatory Surgical Procedures / economics*
Cataract Extraction / economics*
Corneal Edema / etiology
Feasibility Studies
Hospitalization / economics*
Humans
Postoperative Complications*
Randomized Controlled Trials as Topic
Risk Factors
Visual Acuity

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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