Miho Yoshizaki1, Jacqueline Ramke1,2, Justine H Zhang1, Ada Aghaji3, João M Furtado4, Helen Burn5, Stephen Gichuhi6, William H Dean1,7, Nathan Congdon8,9,10, Matthew J Burton1,11, John Buchan1. 1. International Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, United Kingdom. 2. School of Optometry and Vision Science, University of Auckland, Auckland, New Zealand. 3. Department of Ophthalmology, College of Medicine, University of Nigeria, Nsukka, Nigeria. 4. Division of Ophthalmology, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil. 5. Department of Ophthalmology, Stoke Mandeville Hospital, Aylesbury, United Kingdom. 6. Department of Ophthalmology, University of Nairobi, Nairobi, Kenya. 7. Department of Ophthalmology, University of Cape Town, Cape Town, South Africa. 8. Centre for Public Health, Queens University Belfast, Belfast, UK. 9. Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China. 10. Orbis International, New York, USA. 11. Moorfields Eye Hospital, London, United Kingdom.
Abstract
BACKGROUND: Cataract is a leading cause of blindness and vision impairment globally. Cataract surgery is one of the most frequently performed operations worldwide, but good quality services are not universally available. This scoping review aims to summarise the nature and extent of published literature on interventions to improve the quality of services for age-related cataract globally. METHODS: We used the dimensions of quality adopted by WHO-effectiveness, safety, people-centredness, timeliness, equity, integration and efficiency-to which we added planetary health. On 17 November 2019 we searched MEDLINE, Embase and Global Health for manuscripts published since 1990, without language or geographic restrictions. We included studies that reported quality-relevant interventions and excluded studies focused on technical aspects of surgery or that only involved children (less than 18 years). Screening of titles/abstracts, full-text review and data extraction were performed by two reviewers independently. Studies were grouped thematically and results synthesised narratively. RESULTS: Most of the 143 included studies were undertaken in high-income countries (n=93, 65%); Twenty-nine intervention groups were identified, most commonly pre-operative education (n=17, 12%) and pain/anxiety management (n=16, 11%). Efficiency was the quality element most often assessed (n=58, 41%) followed by people-centredness (n=40, 28%), while integration (n=4) and timeliness (n=3) were infrequently reported, and no study reported outcomes related to planetary health. CONCLUSION: Evidence on interventions to improve quality of cataract services shows unequal regional distribution. There is an urgent need for more evidence relevant to low- and middle- income countries as well as across all quality elements, including planetary health. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.
BACKGROUND:Cataract is a leading cause of blindness and vision impairment globally. Cataract surgery is one of the most frequently performed operations worldwide, but good quality services are not universally available. This scoping review aims to summarise the nature and extent of published literature on interventions to improve the quality of services for age-related cataract globally. METHODS: We used the dimensions of quality adopted by WHO-effectiveness, safety, people-centredness, timeliness, equity, integration and efficiency-to which we added planetary health. On 17 November 2019 we searched MEDLINE, Embase and Global Health for manuscripts published since 1990, without language or geographic restrictions. We included studies that reported quality-relevant interventions and excluded studies focused on technical aspects of surgery or that only involved children (less than 18 years). Screening of titles/abstracts, full-text review and data extraction were performed by two reviewers independently. Studies were grouped thematically and results synthesised narratively. RESULTS: Most of the 143 included studies were undertaken in high-income countries (n=93, 65%); Twenty-nine intervention groups were identified, most commonly pre-operative education (n=17, 12%) and pain/anxiety management (n=16, 11%). Efficiency was the quality element most often assessed (n=58, 41%) followed by people-centredness (n=40, 28%), while integration (n=4) and timeliness (n=3) were infrequently reported, and no study reported outcomes related to planetary health. CONCLUSION: Evidence on interventions to improve quality of cataract services shows unequal regional distribution. There is an urgent need for more evidence relevant to low- and middle- income countries as well as across all quality elements, including planetary health. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.
Entities:
Keywords:
Quality; cataract services; global eye health; universal health coverage
Authors: Jacqueline Ramke; Jennifer R Evans; Esmael Habtamu; Nyawira Mwangi; Juan Carlos Silva; Bonnielin K Swenor; Nathan Congdon; Hannah B Faal; Allen Foster; David S Friedman; Stephen Gichuhi; Jost B Jonas; Peng T Khaw; Fatima Kyari; Gudlavalleti V S Murthy; Ningli Wang; Tien Y Wong; Richard Wormald; Mayinuer Yusufu; Hugh Taylor; Serge Resnikoff; Sheila K West; Matthew J Burton Journal: Lancet Healthy Longev Date: 2022-01
Authors: Justine H Zhang; Jacqueline Ramke; Chan Ning Lee; Iris Gordon; Sare Safi; Gareth Lingham; Jennifer R Evans; Stuart Keel Journal: Vision (Basel) Date: 2022-06-20