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Retinal surgery quality indicators for uncomplicated primary rhegmatogenous retinal detachment without a national registry
Department of Ophthalmology, Örebro University Hospital, Örebro, Sweden.
Department of Ophthalmology, Linköping University, Linköping, Sweden.
Department of Ophthalmology, Örebro University Hospital, Örebro, Sweden.
Örebro University, School of Medical Sciences. Department of Ophthalmology.
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 department's 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-Blackwell Publishing Inc., 2022. Vol. 100, no 8, p. e1589-e1594
Keywords [en]
Final success, postoperative endophthalmitis, primary anatomical success, retrospective
National Category
Ophthalmology
Identifiers
URN: urn:nbn:se:oru:diva-98333DOI: 10.1111/aos.15138ISI: 000778235400001PubMedID: 35347861Scopus ID: 2-s2.0-85127248152OAI: oai:DiVA.org:oru-98333DiVA, id: diva2:1648337
Available from: 2022-03-30 Created: 2022-03-30 Last updated: 2023-12-08Bibliographically approved

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Crafoord, Sven

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