+ Site Statistics
References:
52,572,879
Abstracts:
28,705,754
PMIDs:
27,750,366
DOIs:
25,464,004
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

One-year outcomes after retinal detachment surgery among medicare beneficiaries



One-year outcomes after retinal detachment surgery among medicare beneficiaries



American Journal of Ophthalmology 150(3): 338-345



To determine longitudinal rates of second retinal detachment operation and postoperative adverse outcomes after retinal detachment surgery in a nationally representative sample of older Americans. Retrospective, longitudinal cohort analysis. A total of 9216 Medicare beneficiaries were identified from the Medicare 5% sample who were diagnosed with rhegmatogenous retinal detachment and underwent primary pars plana vitrectomy (PPV), scleral buckle, pneumatic retinopexy, or laser photocoagulation or cryotherapy alone. Rhegmatogenous retinal detachment, PPV, scleral buckle, pneumatic retinopexy, or laser photocoagulation/cryotherapy was ascertained from International Classification of Diseases and Current Procedural Terminology procedure codes. Rates of second retinal detachment operation and postoperative adverse outcomes were analyzed by cumulative incidence and logistic regression to control for prior adverse outcome measures and demographic factors. At 1-year follow-up, the rate of receipt of a second retinal detachment operation for beneficiaries who had undergone primary pneumatic retinopexy was much higher (40.6%, P < .0001) relative to the scleral buckle (19.2%) group. After controlling for demographic variables and ocular comorbidities, pneumatic retinopexy individuals were nearly 3 times more likely to receive a second retinal detachment surgery than scleral buckle individuals. No significant differences exist in risk of second retinal detachment surgery for the PPV compared to the scleral buckle group. Individuals receiving PPV were 2 times more likely to suffer adverse outcomes than were those undergoing scleral buckle. Results were robust in sensitivity analysis. Rates of second operation were much higher after pneumatic retinopexy than PPV or scleral buckle, and rates of adverse outcomes were higher in PPV, even after controlling for risk factors and demographic variables.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 054750891

Download citation: RISBibTeXText

PMID: 20591398

DOI: 10.1016/j.ajo.2010.04.009


Related references

One-year outcomes after retinal detachment surgery among medicare beneficiaries: what is the message?. American Journal of Ophthalmology 151(4): 733-4; Author Reply 734-5, 2011

Improved bariatric surgery outcomes for Medicare beneficiaries after implementation of the medicare national coverage determination. Archives of Surgery 145(1): 72-78, 2010

Outcomes of Recurrent Retinal Detachment Surgery following Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment. Seminars in Ophthalmology 33(5): 657-663, 2017

Outcomes of surgery for retinal detachment in patients with Stickler syndrome: a comparison of two sequential 20-year cohorts. Graefe's Archive for Clinical and Experimental Ophthalmology 245(11): 1633-1638, 2007

Three-year outcomes for Medicare beneficiaries who survive intensive care. JAMA 303(9): 849-856, 2010

Three-Year Outcomes for Medicare Beneficiaries Who Survive Intensive Care. Yearbook of Critical Care Medicine 2011: 314-316, 2011

Vision-related quality of life and self-rated satisfaction outcomes of rhegmatogenous retinal detachment surgery: three-year prospective study. Plos One 6(12): E28597-E28597, 2012

A decade analysis of trends and outcomes of bariatric surgery in Medicare beneficiaries. Journal of the American College of Surgeons 219(3): 480-488, 2015

Reflections on preventive surgery of retinal detachment 3rd Colloquium of the Jules Gonin Club Surgery of retinal vascular diseases and prophylactic treatment of retinal detachment, 1963, Amersfoort, Neth. 1966

Contribution to the surgery of retinal detachment and photocoagulation , man, 3rd Colloquium of the Jules Gonin Club Surgery of retinal vascular diseases and prophylactic treatment of retinal detachment, 1963, Amersfoort, Neth. 1966

Outcomes for mitral valve surgery among Medicare fee-for-service beneficiaries, 1999 to 2008. Circulation. Cardiovascular Quality and Outcomes 5(3): 298-307, 2012

Outcomes of vaginal prolapse surgery among female Medicare beneficiaries: the role of apical support. Obstetrics and Gynecology 122(5): 981-987, 2014

Longitudinal rates of postoperative adverse outcomes after glaucoma surgery among medicare beneficiaries 1994 to 2005. Ophthalmology 115(7): 1109-1116.E7, 2008

Longitudinal Rates of Postoperative Adverse Outcomes after Glaucoma Surgery Among Medicare Beneficiaries: 1994 to 2005. Yearbook of Ophthalmology 2009: 63-66, 2009

Surgery for retinal detachment in patients with giant retinal tear: etiologies, management strategies, and outcomes. Ophthalmic Surgery, Lasers & Imaging Retina 44(3): 232-237, 2014