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Retinal surgery quality indicators for uncomplicated primary rhegmatogenous retinal detachment without a national registry
Orebro Univ Hosp, Sweden.
Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Ophthalmology in Linköping.
Orebro Univ Hosp, Sweden.
Orebro Univ, Sweden.
2022 (English)In: Acta Ophthalmologica, ISSN 1755-375X, E-ISSN 1755-3768, Vol. 100, no 8, p. e1589-e1594Article in journal (Refereed) Published
Abstract [en]

Purpose The objective of this study was to evaluate the possibility of analysing quality indicators for uncomplicated primary rhegmatogenous retinal detachment in a hospital department of ophthalmology without the support of a national registry or need to collect data from referring ophthalmological centres. Methods In 2014, we operated 231 consecutive eyes with uncomplicated retinal detachment. Our quality indicators were primary anatomical success, final anatomical success and postoperative endophthalmitis. We reviewed medical records in our university surgical department retrospectively and compared them with medical records from the regional hospitals that had referred most of the operated patients and done their own postoperative examination. Our hypothesis was that any retinal re-detachment and/or serious postoperative complication would be reported back. Results The medical records at the surgical department revealed primary anatomic success for 91.3% of eyes and final anatomical success of 99.6%. The data from the regional hospitals confirmed that our hypothesis was correct. All patients with adverse outcomes were referred back for reoperation. Patients who were not referred again had an attached retina and showed no signs of endophthalmitis. Conclusion Our hypothesis that data in the surgical departments medical records would closely reflect those in referring hospitals was borne out. This supports, under current conditions, an effective strategy for analysing chosen quality indicators without relying on a national registry or reviewing records from regional hospitals.

Place, publisher, year, edition, pages
WILEY , 2022. Vol. 100, no 8, p. e1589-e1594
Keywords [en]
final success; postoperative endophthalmitis; primary anatomical success; retrospective
National Category
General Practice
Identifiers
URN: urn:nbn:se:liu:diva-184380DOI: 10.1111/aos.15138ISI: 000778235400001PubMedID: 35347861Scopus ID: 2-s2.0-85127248152OAI: oai:DiVA.org:liu-184380DiVA, id: diva2:1653374
Available from: 2022-04-21 Created: 2022-04-21 Last updated: 2023-04-24

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CiteExportLink to record
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Citation style
  • apa
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