Effect of individual-level and socioeconomic factors on long-term survival after cataract surgery over a 30-year period

Geue, C. and Jonuscheit, S. (2017) Effect of individual-level and socioeconomic factors on long-term survival after cataract surgery over a 30-year period. Journal of Cataract and Refractive Surgery, 43(4), pp. 537-542. (doi:10.1016/j.jcrs.2017.01.018) (PMID:28532940)

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Abstract

Purpose: To evaluate survival and the risk for mortality after cataract surgery in relation to individual-level and socioeconomic factors in Scotland over 3 decades. Setting: Linked healthcare data, United Kingdom. Design: Representative population-based study. Methods: A 5% random sample of Scottish decedents linked to hospital records (1981 to 2012) was assessed. Survival time, survival probability, and determinants of mortality were evaluated after the first and second recorded hospital episodes for cataract surgery. Cox proportional-hazards regression models were used to assess the effect of individual-level and socioeconomic factors including age, geographic location, socioeconomic status, and comorbidity on mortality. Results: The study evaluated linked administrative healthcare data from 9228 deceased patients who had cataract surgery. The mean survival time was 2383 days ± 1853 (SD). The survival probability decreased from 98% 90 days after surgery to 22% at 10 years, 2% at 20 years, and 0% after 30 years. The mean age was 77 ± 9 years. Age (hazard ratio [HR] 3.66; 95% confidence interval [CI], 2.97-3.80; P < .001) and severe comorbidity (HR 1.68; 95% CI, 1.47-1.91; P < .001) were associated with an increased risk for mortality; women had a 20% lower risk than men (HR 0.80; 95% CI, 0.76-0.83; P < .001). Socioeconomic status and rural geographic locations were not linked to mortality. Conclusions: Long-term survival after cataract surgery was determined by individual-level characteristics reflecting the mortality patterns of aging populations. The mortality risk was independent of socioeconomic and geographic factors per se.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Geue, Dr Claudia
Authors: Geue, C., and Jonuscheit, S.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Health Economics and Health Technology Assessment
Journal Name:Journal of Cataract and Refractive Surgery
Publisher:Elsevier
ISSN:0886-3350
ISSN (Online):1873-4502
Published Online:20 May 2017
Copyright Holders:Copyright © 2017 ASCRS and ESCRS
First Published:First published in Journal of Cataract and Refractive Surgery 43(4): 537-542
Publisher Policy:Reproduced in accordance with the publisher copyright policy

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
636481The effect of geography and socioeconomic status on health care costs at the end of life: implications for resource allocation and expenditure projections in ScotlandClaudia GeueChief Scientist office (CSO)PDF/13/03IHW - HEALTH ECON & TECH ASSESSMENT