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    Retinal detachment surgery in Western Australia (2000-2013): a whole-population study

    Access Status
    Fulltext not available
    Authors
    Manners, S.
    Ng, J.
    Kemp-Casey, A.
    Chow, Kyle
    Kang, C.
    Preen, D.
    Date
    2017
    Type
    Journal Article
    
    Metadata
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    Citation
    Manners, S. and Ng, J. and Kemp-Casey, A. and Chow, K. and Kang, C. and Preen, D. 2017. Retinal detachment surgery in Western Australia (2000-2013): a whole-population study. British Journal of Ophthalmology. 101 (12): pp. 1679-1682.
    Source Title
    British Journal of Ophthalmology
    DOI
    10.1136/bjophthalmol-2016-310070
    ISSN
    1468-2079
    School
    Curtin-Monash Accident Research Centre
    URI
    http://hdl.handle.net/20.500.11937/52333
    Collection
    • Curtin Research Publications
    Abstract

    Aims: To determine the background incidence rate of retinal detachment (RD) in Western Australia (WA) between 2000 and 2013, identify sociodemographic features associated with increased risk of incident RD and examine trends in surgical repair technique. Methods: A whole-population retrospective observational study of all people in WA was carried out using linked hospital inpatient records. Cases of RD were identified using a combination of International Classification of Diseases, Ninth revision, Clinical Modification (ICD-9-CM) and ICD-10-AM (Australian modification) diagnosis and procedure codes from routinely collected hospital inpatient data provided by the WA Data Linkage Branch. A Poisson regression model was used to examine the influence of age group, gender, season and year of surgery on RD incidence rates. Main outcome measures: Age-standardised and sex-standardised incidence of first-eye RD and incidence rate ratio (IRR) of first-eye RD associated with age, sex and season. Counts of RD repair according to surgical technique. Results: There were 4376 first-eye RD between 2000 and 2013. Age-standardised incidence ranged between 12.78 and 16.20 cases per 1 00 000 person-years. After adjusting for age, year and season, males had a higher risk than females for incident detachment (IRR 1.82, 95% CI (CI) 1.71 to 1.93), as did those aged 60–79 years (IRR 33.26, 95% CI 27.60 to 40.08) compared with those aged less than 20 years. RD repair with vitrectomy alone increased by 59% over the study period. Conclusion: The incidence of first-eye RD remained stable between 2000 and 2013. The risk was higher in males and with older age.

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