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dc.contributor.authorNg, Jonathon
dc.contributor.authorLundström, M.
dc.identifier.citationNg, J. and Lundström, M. 2014. Impact of a National system for waitlist prioritization: The experience with NIKE and cataract surgery in Sweden. Acta Ophthalmologica. 92 (4): pp. 378-381.

Purpose: To evaluate waiting times for first-eye cataract surgery in Sweden following widespread adoption of the Nationell Indikationsmodell for Kataraktextraktion (NIKE) tool for prioritizing patients for cataract surgery. Methods: Waiting times for all first-eye cataract surgeries in Sweden in 2009-2011 were identified from the Swedish National Cataract Register. Waiting times were compared according to demographic, clinical and NIKE indication group for surgery. Multivariate logistic regression modelling was used to determine factors associated with waiting times less than the 3-month Government guarantee period. Results: There were 141 070 first-eye cataract surgeries in 2009 to 2011; an annual increase of around 6%. Over the study period, mean waiting times decreased across all NIKE groups. The proportion waiting <3 months for surgery also increased across all NIKE groups. Surgery within 3 months of waitlisting was more likely for patients with a NIKE 1 indication classification (most need for surgery), in later years, male patients, younger patients and patients with a preoperative visual acuity in the better eye worse than 6/24. Conclusions: Prioritizing patients for cataract surgery using NIKE reduces waiting times for those with the greatest need. © 2013 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

dc.publisherBlackwell Publishing Ltd
dc.titleImpact of a National system for waitlist prioritization: The experience with NIKE and cataract surgery in Sweden
dc.typeJournal Article
dcterms.source.titleActa Ophthalmologica
curtin.departmentCentre for Population Health Research
curtin.accessStatusOpen access via publisher

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