Incidence and Characteristics of Endophthalmitis after Cataract Surgery in Poland, during 2010–2015
Abstract
:1. Introduction
2. Materials and Methods
3. Results
Multiple Logistic Regression Modeling
4. Discussion
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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2010 | 2011 | 2012 | 2013 | 2014 | 2015 | |
---|---|---|---|---|---|---|
No. of 0–18 year-olds | 7,643,553 | 7,630,880 | 7,531,582 | 7,431,731 | 7,367,066 | 7,309,001 |
No. of cataract surgeries | 245 | 267 | 272 | 294 | 270 | 242 |
No. with endophthalmitis | 0 | 0 | 0 | 0 | 0 | 0 |
No. of 19–39 year-olds | 12,482,309 | 12,523,386 | 12,461,398 | 12,355,235 | 12,201,430 | 12,015,345 |
No. of cataract surgeries | 1441 | 1305 | 1280 | 1324 | 1383 | 1384 |
No. with endophthalmitis | 5 | 5 | 3 | 10 | 8 | 4 |
No. of 40–49 year-olds | 4,792,211 | 4,822,159 | 4,838,436 | 4,879,816 | 4,956,005 | 5,064,587 |
No. of cataract surgeries | 3007 | 2680 | 2620 | 2583 | 2849 | 2920 |
No. with endophthalmitis | 7 | 9 | 4 | 6 | 6 | 4 |
No. of 50–59 year-olds | 5,770,823 | 5,765,460 | 5,656,651 | 5,536,118 | 5,406,320 | 5,245,352 |
No. of cataract surgeries | 15,598 | 13,397 | 13,203 | 13,188 | 14,645 | 14,001 |
No. with endophthalmitis | 11 | 27 | 20 | 22 | 19 | 18 |
No. of 60–69 year-olds | 3,682,048 | 3,931,289 | 4,171,206 | 4,409,809 | 4,642,821 | 4,888,294 |
No. of cataract surgeries | 38,973 | 35,322 | 37,986 | 43,120 | 52,747 | 57,646 |
No. with endophthalmitis | 46 | 43 | 49 | 59 | 53 | 42 |
No. with age ≥70 years | 4,146,056 | 3,852,826 | 3,874,727 | 3,889,291 | 3,910,358 | 3,932,421 |
No. of cataract surgeries | 141,819 | 122,035 | 126,644 | 134,212 | 156,970 | 160,905 |
No. with endophthalmitis | 183 | 160 | 145 | 154 | 120 | 89 |
Total No. | 38,517,000 | 38,526,000 | 38,534,000 | 38,502,000 | 38,484,000 | 38,455,000 |
No of cataract surgeries | 201,083 | 175,006 | 182,005 | 194,721 | 228,864 | 237,098 |
No. with endophthalmitis | 252 | 244 | 221 | 251 | 206 | 157 |
Year | No. of Cataract Surgeries | No. of Cases of Acute POE | Incidence of Acute POE (%) | No. of Cases of Chronic POE | Incidence of Chronic POE (%) | Total Number of Cases of POE | Total Incidence of POE (%) |
---|---|---|---|---|---|---|---|
2010 | 201,083 | 95 | 0.047 | 157 | 0.078 | 252 | 0.125 |
2011 | 175,006 | 95 | 0.054 | 149 | 0.085 | 244 | 0.139 |
2012 | 182,005 | 97 | 0.053 | 124 | 0.068 | 221 | 0.121 |
2013 | 194,721 | 118 | 0.061 | 133 | 0.068 | 251 | 0.129 |
2014 | 228,864 | 96 | 0.042 | 110 | 0.048 | 206 | 0.09 |
2015 | 237,098 | 83 | 0.035 | 74 | 0.031 | 157 | 0.066 |
Total | 1,218,777 | 584 | 0.048 | 747 | 0.061 | 1331 | 0.109 |
Acute POE n (%); Rate Per 1000 Surgeries | Chronic POE n (%); Rate Per 1000 Surgeries | Total Number of POE n (%); Rate Per 1000 Surgeries | |
---|---|---|---|
Age: | |||
0–18 | 0 (0.00%); 0.000 | 0 (0.00%); 0.000 | 0 (0.00%); 0.000 |
19–39 | 22 (3.77%); 2.710 | 13 (1.74%); 1.601 | 35 (2.63%); 4.311 |
40–49 | 16 (2.74%); 0.960 | 20 (2.68%); 1.200 | 36 (2.70%); 2.160 |
50–59 | 51 (8.73%); 0.607 | 66 (8.83%); 0.785 | 117 (8.79%); 1.392 |
60–69 | 125 (21.40%); 0.470 | 167 (22.36%); 0.628 | 292 (21.94%); 1.098 |
70+ | 370 (63.36%); 0.439 | 481 (64.39%); 0.570 | 851 (63.94%); 1.009 |
Sex | |||
Women | 328 (56.16%); 0.413 | 440 (58.90%); 0.554 | 768 (57.70%); 0.967 |
Men | 256 (43.84%); 0.602 | 307 (41.10%); 0.773 | 563 (42.30%); 1.325 |
Urban residence | 408 (69.86%); 0.454 | 539 (72.15%); 0.600 | 947 (71.15%); 1.054 |
Rural residence | 176 (30.14%); 0.568 | 208 (27.85%); 0.671 | 384 (28.85%); 1.239 |
Diabetes mellitus t. I | 24 (4.11%); 0.248 | 35 (4.69%); 0.361 | 59 (4.43%); 0.609 |
Diabetes mellitus t. II | 99 (16.95%); 0.399 | 151 (20.21%); 0.609 | 250 (18.78%); 1.008 |
No diabetes mellitus | 461 (78.94%); 0.527 | 561 (75.10%); 0.642 | 1022 (76.79%); 1.169 |
Acute POE n (%) | Chronic POE n (%) | Total Number of POE n (%) | |
---|---|---|---|
Cataract surgery in multidisciplinary hospital | 559 (95.72%) | 704 (94.24%) | 1263 (94.89%) |
Cataract surgery in non-multidisciplinary hospital | 25 (4.28%) | 43 (6.76%) | 68 (5.11%) |
Surgical technique phacoemulsification | 561 (96.06%) | 691 (92.50%) | 1252 (94.06%) |
Surgical technique extracapsular extraction | 23 (3.94%) | 56 (7.50%) | 79 (5.94%) |
One-day cataract surgery | 219 (37.50%) | 215 (28.78%) | 434 (32.61%) |
Non one-day cataract surgery | 365 (62.50%) | 532 (71.22%) | 897 (67.39%) |
Cataract surgery combined with corneal transplantation | 0 (0.00%) | 16 (2.14%) | 16 (1.20%) |
Cataract surgery combined with glaucoma filtration surgery | 4 (0.68%) | 16 (2.14%) | 20 (1.50%) |
Cataract surgery combined with pars plana vitrectomy | 71 (12.16%) | 66 (8.84%) | 137 (10.30%) |
Non-combined cataract surgery | 509 (87.16%) | 649 (86.88%) | 1158 (87.00%) |
Variables | Acute POE OR, 95% CI, p-value | Chronic POE OR, 95% CI, p-value |
---|---|---|
Age, per year increase | 0.99 (0.98–1.00); p = 0.047 | 1.00 (0.99–1.01); p = 0.454 |
Men vs. women | 1.35 (1.11–1.64); p = 0.003 | 1.28 (1.08–1.53); p = 0.005 |
Rural residence | 1.22 (0.98–1.50); p = 0.069 | 0.98 (0.80–1.18); p = 0.811 |
Type II diabetes mellitus | 1.18 (0.91–1.52); p = 0.198 | 1.42 (1.18–1.75); p = 0.001 |
Extracapsular extraction | 1.40 (0.77–2.31); p = 0.226 | 3.09 (2.20–4.23); p = 0.000 |
One-day surgery | 1.11 (0.90–1.36); p = 0.323 | 0.75 (0.61–0.91); p = 0.004 |
Combined cataract surgery | 4.25 (3.09–5.74); p = 0.000 | 4.41 (3.38–5.67); p = 0.000 |
Surgery in a non-multidisciplinary hospital | 0.77 (0.47–1.17); p = 0.246 | 0.87 (0.58–1.24); p = 0.474 |
Epidemiological Study | Total Number of Cataract Extractions | Time Period (Years) | Total Incidence of POE n (%) | Incidence of Acute POE †n (%) | Incidence of Chronic POE ‡n (%) | Incidence Reduction From (%)–(%) |
---|---|---|---|---|---|---|
Nationwide Study in France (France) [7] | 6,371,242 | 2005–2014 | 6668 (0.105%) | 6668 (0.105%) | Not applicable (N/A) | 0.145%–0.053% |
Medicare Database of Cataract Surgery (USA) [13] | 3,280,966 | 2003–2004 | 4,006 (0.122%) | 4,006 (0.122%) | N/A | 0.132%–0.111% |
National Database of Hospitalizations—current study from Poland | 1,218,777 | 2010–2015 | 1331 (0.109%) | 584 (0.048%) | 747 (0.061%) | 0.125%–0.066% |
Quebec State Control for Health Insurance (Canada) [8] | 490,690 | 1996–2005 | 754 (0.154%) | 754 § (0.154%) | N/A | 2.1%–0.8% β |
Farabi Eye Hospital (Iran) [2] | 480,104 | 2006–2014 | 112 (0.023%) | 100 (0.021%) | 12 (0.002%) | N/A |
Swedish National Study (Sweden) [6] | 464,996 | 2005–2010 | 135 (0.029%) | 135 (0.029%) | N/A | 0.03%–0.02% |
Ontario Health Insurance Plan (Canada) [9] | 442,177 | 2002–2006 | 617 (0.139%) | 617 Γ (0.139%) | N/A | N/A |
Kaiser Permanente (USA) [16] | 315,246 | 2005–2012 | 215 (0.068%) | 215 § (0.068%) | N/A | N/A |
The Malaysian Cataract Surgery Registry (Malaysia) [14] | 163,503 | 2008–2014 | 131 (0.08%) | 131 (0.08%) | N/A | 0.11%–0.08% |
Aravind Eye Hospital (India) [17] | 116,714 | 2014–2015 | 65 (0.056%) | 65 (0.065%) | N/A | N/A |
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Nowak, M.S.; Grzybowski, A.; Michalska-Małecka, K.; Szaflik, J.P.; Kozioł, M.; Niemczyk, W.; Grabska-Liberek, I. Incidence and Characteristics of Endophthalmitis after Cataract Surgery in Poland, during 2010–2015. Int. J. Environ. Res. Public Health 2019, 16, 2188. https://doi.org/10.3390/ijerph16122188
Nowak MS, Grzybowski A, Michalska-Małecka K, Szaflik JP, Kozioł M, Niemczyk W, Grabska-Liberek I. Incidence and Characteristics of Endophthalmitis after Cataract Surgery in Poland, during 2010–2015. International Journal of Environmental Research and Public Health. 2019; 16(12):2188. https://doi.org/10.3390/ijerph16122188
Chicago/Turabian StyleNowak, Michał S., Andrzej Grzybowski, Katarzyna Michalska-Małecka, Jacek P. Szaflik, Milena Kozioł, Wojciech Niemczyk, and Iwona Grabska-Liberek. 2019. "Incidence and Characteristics of Endophthalmitis after Cataract Surgery in Poland, during 2010–2015" International Journal of Environmental Research and Public Health 16, no. 12: 2188. https://doi.org/10.3390/ijerph16122188