Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/133334
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dc.contributor.author | Sun, M.T. | - |
dc.contributor.author | Madike, R. | - |
dc.contributor.author | Huang, S. | - |
dc.contributor.author | Cameron, C. | - |
dc.contributor.author | Selva, D. | - |
dc.contributor.author | Casson, R.J. | - |
dc.contributor.author | Wong, C.X. | - |
dc.date.issued | 2022 | - |
dc.identifier.citation | British Journal of Ophthalmology, 2022; 106(7):957-961 | - |
dc.identifier.issn | 0007-1161 | - |
dc.identifier.issn | 1468-2079 | - |
dc.identifier.uri | https://hdl.handle.net/2440/133334 | - |
dc.description | First published February 17, 2021. | - |
dc.description.abstract | Background: Limited data are available on glaucoma surgical trends in Australia. Methods: Nationwide study of glaucoma surgery in Australia over 17-year period from 2001 to 2018. The Australian Institute of Health, Welfare and Ageing hospitalisation database was used to review age- and gender-specific trends in glaucoma surgeries from 2001 to 2018 in Australian public and private hospitals. Results: Although there was an increase in the absolute number of trabeculectomy procedures from 2926 to 3244 over the 17-year study period, this represented a decline in the age-standardised and gender-standardised number of trabeculectomy procedures from 15.1 to 13.2 procedures per 100 000 persons. However, during this same period, there was a dramatic increase in the number of glaucoma drainage devices (GDD) from 119 to 3262 procedures, representing an age-standardised and gender-standardised increase from 0.6 to 13.3 procedures per 100 000 persons. Negative binomial regression analysis revealed a decrease in trabeculectomy procedures of 1.1% per year, while there was increase in GDD insertions of 16.3% per year (p<0.001 for both). When stratified by age group, there was a statistically significant interaction in both trabeculectomy and GDD rates by age groups over time (p<0.001 for both). Trabeculectomy procedures decreased to a greater extent in those aged >60 years, compared with stable or increasing rates in younger age groups. GDD insertion rates demonstrated a progressively greater increase in older compared with younger age groups. Conclusion: Our findings demonstrate changing trends in the surgical management of advanced glaucoma in Australia, likely reflecting updated evidence regarding the role of GDD surgeries. | - |
dc.description.statementofresponsibility | Michelle T Sun, Reema Madike, Sonia Huang, Cassie Cameron, Dinesh Selva, Robert J Casson, Christopher X Wong | - |
dc.language.iso | en | - |
dc.publisher | BMJ Publishing Group | - |
dc.rights | © Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ. | - |
dc.source.uri | http://dx.doi.org/10.1136/bjophthalmol-2020-318701 | - |
dc.subject | glaucoma | - |
dc.title | Changing trends in glaucoma surgery within Australia | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1136/bjophthalmol-2020-318701 | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Huang, S. [0000-0002-6716-710X] | - |
dc.identifier.orcid | Cameron, C. [0000-0001-5681-1441] | - |
dc.identifier.orcid | Selva, D. [0000-0002-2169-5417] | - |
dc.identifier.orcid | Casson, R.J. [0000-0003-2822-4076] | - |
dc.identifier.orcid | Wong, C.X. [0000-0002-1913-6675] | - |
Appears in Collections: | Aurora harvest 4 Opthalmology & Visual Sciences publications |
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hdl_133334.pdf | Submitted version | 838.7 kB | Adobe PDF | View/Open |
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