Titre du document / Document title

Short-term mortality among middle-aged cataract surgery patients

Auteur(s) / Author(s)

MCKIBBIN M. ⁽¹⁾ ; MOHAMMED M. ⁽¹⁾ ; JAMES T. E. ⁽¹⁾ ; ATKINSON P. L. ⁽¹⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ Bradford Royal Infirmary, Bradford, ROYAUME-UNI

Résumé / Abstract

Purpose To investigate the short-term mortality of middle-aged patients undergoing cataract surgery in the United Kingdom (UK), to compare this with the expected mortality for the UK population of similar age and to try to identify at-risk groups. Methods In a retrospective study, the 5-10 year mortality of all middle-aged patients undergoing cataract surgery between 1989 and 1993 was determined. Expected mortality was calculated from UK Interim Life Tables for 1991. Cox's regression analysis was performed using age, sex and self-assigned ethnic group as variables. Results From the 709 patients in the study group, there were 86 deaths. This is significantly greater than expected (p < 0.01). Ethnic minority status (hazard ratio = 1.72, confidence interval = 1.12-2.64) and male sex (HR = 1.68, CI = 1.08-2.63) were found to be significantly associated with early mortality (p < 0.05). Conclusions This study suggests that, for some middle-aged patients, cataract is associated with a reduced life expectancy and may be a feature of premature ageing, reflecting systemic ill-health. Screening these and younger patients for systemic disease when they present with cataract provides the best opportunity to affect this increased mortality. The findings of this study are particularly relevant for patients from ethnic minority groups.

Revue / Journal Title

Eye   ISSN 0950-222X   CODEN EYEEEC 

Source / Source

2001, vol. 15 (2), pp. 209-212 (20 ref.)

Langue / Language

Anglais

Editeur / Publisher

Nature Publishing Group, Basingstoke, ROYAUME-UNI  (1987) (Revue)

Mots-clés anglais / English Keywords

Cataract ; Surgery ; Treatment ; Human ; Middle age ; Mortality ; Short term ; Risk factor ; Prognosis ; Ageing ; Sex ; Ethnic group ; United Kingdom ; Europe ; Eye disease ; Lens disease ; Anterior segment disease ;

Mots-clés français / French Keywords

Cataracte ; Chirurgie ; Traitement ; Homme ; Age mûr ; Mortalité ; Court terme ; Facteur risque ; Pronostic ; Vieillissement ; Sexe ; Ethnie ; Royaume Uni ; Espérance vie ; Europe ; Oeil pathologie ; Cristallin pathologie ; Segment antérieur pathologie ;

Mots-clés espagnols / Spanish Keywords

Catarata ; Cirugía ; Tratamiento ; Hombre ; Edad media ; Mortalidad ; Corto plazo ; Factor riesgo ; Pronóstico ; Envejecimiento ; Sexo ; Etnia ; Reino Unido ; Europa ; Ojo patología ; Cristalino patología ; Segmento anterior patología ;

Localisation / Location

INIST-CNRS, Cote INIST : 21076, 35400009510018.0170