Customize your JAMA Network experience by selecting one or more topics from the list below.
Menda SA, Driver TH, Neiman AE, Naseri A, Stewart JM. Return to the Operating Room After Resident-Performed Cataract Surgery. JAMA Ophthalmol. 2014;132(2):223–224. doi:10.1001/jamaophthalmol.2013.5675
Cataract surgery is one of the most commonly performed operations during ophthalmology residency training, and its complications have been well described.1-3 While returns to the operating room within 30 days after routine surgery serve as a benchmark for surgical quality in other specialties such as neurosurgery and general surgery, reoperation after cataract surgery has not been investigated.4,5 The aim of this study was to examine the rate and indications for reoperation after resident-performed cataract surgery at 30 and 90 days.
This was a retrospective study approved by the institutional review boards of the University of California, San Francisco/San Francisco General Hospital and the San Francisco Veterans Affairs Medical Center. The requirement for informed consent was waived by the institutional review boards. Billing codes were used to identify all patients at 2 teaching hospitals within a single residency program who underwent resident-performed cataract surgery from January 1, 2005, to December 31, 2010. Any return to the operating room within 90 days of the surgery was identified as a reoperation. Variables studied included age, type of cataract surgery, training level of the resident, time to reoperation, indication for reoperation, and type of reoperation. Univariate analyses were conducted with Microsoft Excel (Microsoft Corp) to gather descriptive data about the reoperation cases. A χ2 test was conducted to determine whether differences in reoperation rates among residency year quarters were statistically significant.
Create a personal account or sign in to: