Incidence and Characteristics of Cataract Surgery in France from 2009 to 2012 A National Population Study
Incidence and Characteristics of Cataract Surgery in France from 2009 to 2012 A National Population Study
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DOI：
10.1016/j.ophtha.2015.04.017
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发表时间：
2015-08-01
期刊：
影响因子：
13.7
通讯作者：
Villain, Max
中科院分区：
文献类型：
--
作者：
Daien, Vincent;Le Pape, Annick;Villain, Max
目的：报告法国白内障手术的年龄和性别特异性发病率，并评估2009年至2012年白内障手术的趋势。设计：队列研究。受试者：从国家数据库中收集2009年1月至2012年12月期间在法国接受原发性白内障手术的所有患者的数据。根据法国国家统计局相应年份的全国人口数据计算并调整了年发病率。Kaplan-Meier分析用于评估双眼手术之间的时间。主要结果测量：白内障手术的年龄和性别特异性发病率。结果：在4年中，1 817 865例患者中的2 717 203只眼（59.1%为女性;平均年龄73.5 ± 0.015岁）接受了白内障手术。2009年至2012年间，每年手术眼总数从634 070眼增加到723 172眼（+14.0%），单眼或双眼接受白内障手术的患者数量从475 301例减少到449 318例（-5.5%）。白内障手术的发生率从9.86/1000人年上升到11.08/1000人年，手术患者（单眼或双眼）的发生率从7.39/1000人年下降到6.89/1000人年。白内障手术的发生率范围为40 - 49岁患者的1.06/1000人-年至80 - 89岁患者的65.94/1000人-年。2009年至2012年，在第一眼手术后12个月进行第二眼手术的概率从40.6%增加到51.2%（P < 0.0001）。两眼之间的手术间隔中位数为29天（四分位距，14-86）。后囊破裂发生率为0.20%，囊外摘除术的发生率高于超声乳化术（7.9% vs.0.15%; P < 0.0001）。接受白内障手术的患者中有高度近视，眼外伤或视网膜脱离病史的比例分别为0.49%，0.21%和0.80%.Conclusions：本研究记录了法国总人口中白内障手术的发病率和趋势。2009年至2012年期间，接受白内障手术的人数略有下降，但手术眼总数增加，因为第二只眼睛的手术比例增加。(C)2015年，美国眼科学会。
Purpose: To report age- and sex-specific incidence rates of cataract surgery in France and evaluate the trends of cataract surgery from 2009 to 2012.Design: Cohort study.Subjects: Data for all patients who underwent primary cataract surgery in France between January 2009 and December 2012 were collected from the national database.Methods: Annual incidence rates were calculated and adjusted to the corresponding-year national population data from the French National Institute of Statistics. Kaplan-Meier analysis was used to assess the time between surgeries for both eyes.Main Outcome Measures: Age- and sex-specific incidence of cataract surgery.Results: Over the 4 years, 2 717 203 eyes in 1 817 865 patients (59.1% were women; mean age, 73.5 +/- 0.015 years) underwent cataract surgery. Between 2009 and 2012, the total number of operated eyes per year increased, from 634 070 to 723 172 (+14.0%), and the number of patients with 1 or both eyes undergoing cataract surgery decreased, from 475 301 to 449 318 (-5.5%). The incidence of cataract surgery increased from 9.86 to 11.08/1000 person-years and that of operated patients (1 or both eyes) decreased from 7.39 to 6.89/1000 person-years. The incidence of cataract surgery ranged from 1.06/1000 person-years for patients aged 40 to 49 years to 65.94/1000 person-years for those aged 80 to 89 years. Between 2009 and 2012, the probability of second-eye surgery 12 months after the first-eye surgery increased from 40.6% to 51.2% (P < 0.0001). The median interval for surgery between eyes was 29 (interquartile range, 14-86) days. The rate of posterior capsular tear was 0.20%, with a higher proportion from extracapsular extraction than phacoemulsification (7.9% vs. 0.15%; P < 0.0001). The proportion of patients who underwent cataract surgery with a history of high myopia, eye trauma, or retinal detachment was 0.49%, 0.21%, and 0.80%, respectively.Conclusions: This study documented the incidence and trends in cataract surgery in the overall population in France. Between 2009 and 2012, the number of people undergoing cataract surgery slightly decreased, but the total number of operated eyes increased because the proportion of surgeries on the second eye increased. (C) 2015 by the American Academy of Ophthalmology.