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- W2900808381 abstract "Background Social deprivation impacts on health outcomes but limited data on the impact on ophthalmic outcomes are available. We aimed to assess the impact of social deprivation on cataract presentation and surgical outcome. Methods In a retrospective, cohort study of patients undergoing cataract surgery in the North of England, we analysed the electronic patient records (Medisoft, Leeds, UK) for 24 378 patients who underwent cataract surgery at a group of ophthalmic units in the north of England between Feb 1, 2012, and Oct 31, 2017. Level of deprivation was determined by English Indices of Deprivation 2015, and outcome measures included severity of cataract (Lens Opacities Classification System), uncorrected visual acuity (UCVA) and best corrected visual acuity (BCVA) at presentation, and BCVA and subjective refractive outcome after cataract surgery. Spearman's rank correlations between social deprivation deciles and outcomes were calculated. Findings Patients from the lowest deprivation decile presented with more severe cataracts (odds ratio 1·69 [95% CI 1·54–1·85], p<0·0001), more reduced UCVA (1·39 [1·24–1·56], p<0·0001), and more reduced BCVA (1·53 [1·37–1·72], p<0·0001) than did those from the highest deprivation decile. Patients from the least deprived decile were more likely to have a visual acuity better than 6/12 (odds ratio 2·04 [95% CI 1·51–2·76], p<0·0001) and refractive outcome within 1 dioptre of predicted (1·75 [1·31–2·34], p=0·0002) than were those from the most deprived decile. Interpretation Patients from areas of social deprivation present with poorer vision and severe cataract, so their visual outcomes are worse than those of patients from less deprived areas. Co-morbidities and education might play a role in this difference. Funding None." @default.
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- W2900808381 date "2018-11-01" @default.
- W2900808381 modified "2023-09-25" @default.
- W2900808381 title "Impact of social deprivation on cataract presentation and surgical outcome in the north of England: a retrospective cohort study" @default.
- W2900808381 doi "https://doi.org/10.1016/s0140-6736(18)32921-0" @default.
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