Differences in primary retinal detachment surgery conducted on holidays and workdays analyzed using the Japan Retinal Detachment Registry
Differences in primary retinal detachment surgery conducted on holidays and workdays analyzed using the Japan Retinal Detachment Registry
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使用日本视网膜脱离登记处分析节假日和工作日进行的原发性视网膜脱离手术的差异
DOI：
10.1007/s10384-022-00911-6
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发表时间：
2022
影响因子：
2.4
通讯作者：
for the Japan-Retinal Detachment Registry Group（Katsuhiro Nishi)
中科院分区：
文献类型：
--
作者：
Kawano Sumihiro;Imai Takumi;Sakamoto Taiji;for the Japan-Retinal Detachment Registry Group（Katsuhiro Nishi)
目的探讨视网膜脱离（retinal detachment，RD）的临床特点，比较巩膜扣带术（sclerbuckling，SB）、睫状体平坦部玻璃体切除术（pars plana vitrectomy，PPV）、PPV联合SB手术治疗RD的疗效。在节假日和工作日进行，以确定临床实践中原发性RD治疗的最佳手术时机。2016年2月至2017年3月期间的日本视网膜脱离登记研究。手术数据分为假日和工作日组。对主要RD特征进行了描述性分析，并评估了每种手术干预的结局。主要结果是解剖失败，在6个月后手术分类如下：1级，不可操作的状态; 2级，解剖恢复与硅油的使用;和3级，额外的手术需要RD repair.ResultsThe假期组包括108和工作日，3070例原发性RD。与工作日组相比，假期组的手术时间更长（PPV，P < 0.0001; SB，P = 0.047），并且由经验较少的外科医生进行（P = 0.014）。然而，有没有统计学上的显着差异，手术失败6个月后手术之间的工作日和假日groups.ConclusionAlthough手术在假期和工作日进行的结果没有显着不同，一些手术应推迟适当的术前临时措施，以限制RD的进展，直到它可以在工作日进行一个精心准备的团队。
PurposeTo investigate the characteristics of retinal detachment (RD) and compare the outcomes of surgical interventions, such as scleral buckling (SB), pars plana vitrectomy (PPV), or PPV combined with SB, conducted on holidays and on workdays to determine the optimal surgical timing for primary RD treatment in clinical practice.Study designRetrospective cohort study.MethodsThe cohort included 3178 patients with primary RD registered in the Japan Retinal Detachment Registry between February 2016 and March 2017. Surgery data were divided into holiday and workday groups. A descriptive analysis of primary RD characteristics was performed, and the outcomes for each surgical intervention were assessed. The primary outcome was anatomical failure at 6 months post-surgery classified as follows: level 1, inoperable state; level 2, anatomical recovery with silicone-oil use; and level 3, additional surgery required for RD repair.ResultsThe holiday group comprised 108 and the workday, 3070 cases of primary RD. Compared with those in the workday group, surgery in the holiday group took longer (PPV, P < 0.0001; SB, P = 0.047) and was performed by less experienced surgeons (P = 0.014). However, there were no statistically significant differences in surgical failure 6 months post-surgery between the workday and holiday groups.ConclusionAlthough surgery conducted on holidays and workdays was not significantly different in terms of outcome, some surgery should be postponed with proper preoperative interim measures to limit RD progress until it can be conducted on workdays by a well-prepared team.
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