Poor uptake of cataract surgery in nursing home residents

The Salisbury Eye Evaluation in Nursing Home Groups Study

Research output: Contribution to journalArticle

Abstract

Objective: To compare the uptake of cataract surgery in nursing homes in which assistance was provided in obtaining services with that in control homes. Methods: The Salisbury Eye Evaluation in Nursing Home Groups (SEEING) project is a randomized clinical trial studying the effect of a comprehensive vision restoration rehabilitation program, including the provision of cataract surgery services when needed. Twenty-eight nursing homes in the Eastern Shore area of Maryland and Delaware were matched in pairs by size and payment type. Nursing homes within each pair were randomized to usual care or targeted intervention. Persons with cataract causing visual acuity in the better eye to be worse than 20/40 were informed of the possible benefit of cataract surgery. For those in intervention homes, additional support was provided in obtaining cataract surgery. Results: Of residents with vision-impairing cataract in intervention homes, 31% underwent cataract surgery vs 2% in usual-care facilities. Residents with cataract compared with all residents without visual impairment, regardless of nursing home assignment, tended to be older (mean age, 86.7 vs 82.1 years; P

Original languageEnglish (US)
Pages (from-to)1581-1587
Number of pages7
JournalArchives of Ophthalmology
Volume123
Issue number11
DOIs
StatePublished - Nov 2005

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Nursing Homes
Cataract
Vision Disorders
Visual Acuity
Rehabilitation
Randomized Controlled Trials

ASJC Scopus subject areas

  • Ophthalmology

Cite this

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title = "Poor uptake of cataract surgery in nursing home residents: The Salisbury Eye Evaluation in Nursing Home Groups Study",
abstract = "Objective: To compare the uptake of cataract surgery in nursing homes in which assistance was provided in obtaining services with that in control homes. Methods: The Salisbury Eye Evaluation in Nursing Home Groups (SEEING) project is a randomized clinical trial studying the effect of a comprehensive vision restoration rehabilitation program, including the provision of cataract surgery services when needed. Twenty-eight nursing homes in the Eastern Shore area of Maryland and Delaware were matched in pairs by size and payment type. Nursing homes within each pair were randomized to usual care or targeted intervention. Persons with cataract causing visual acuity in the better eye to be worse than 20/40 were informed of the possible benefit of cataract surgery. For those in intervention homes, additional support was provided in obtaining cataract surgery. Results: Of residents with vision-impairing cataract in intervention homes, 31{\%} underwent cataract surgery vs 2{\%} in usual-care facilities. Residents with cataract compared with all residents without visual impairment, regardless of nursing home assignment, tended to be older (mean age, 86.7 vs 82.1 years; P",
author = "Friedman, {David S} and Beatriz Munoz and {Bandeen Roche}, {Karen J} and Massof, {Robert W} and Aimee Broman and West, {Sheila K}",
year = "2005",
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doi = "10.1001/archopht.123.11.1581",
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pages = "1581--1587",
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T2 - The Salisbury Eye Evaluation in Nursing Home Groups Study

AU - Friedman, David S

AU - Munoz, Beatriz

AU - Bandeen Roche, Karen J

AU - Massof, Robert W

AU - Broman, Aimee

AU - West, Sheila K

PY - 2005/11

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N2 - Objective: To compare the uptake of cataract surgery in nursing homes in which assistance was provided in obtaining services with that in control homes. Methods: The Salisbury Eye Evaluation in Nursing Home Groups (SEEING) project is a randomized clinical trial studying the effect of a comprehensive vision restoration rehabilitation program, including the provision of cataract surgery services when needed. Twenty-eight nursing homes in the Eastern Shore area of Maryland and Delaware were matched in pairs by size and payment type. Nursing homes within each pair were randomized to usual care or targeted intervention. Persons with cataract causing visual acuity in the better eye to be worse than 20/40 were informed of the possible benefit of cataract surgery. For those in intervention homes, additional support was provided in obtaining cataract surgery. Results: Of residents with vision-impairing cataract in intervention homes, 31% underwent cataract surgery vs 2% in usual-care facilities. Residents with cataract compared with all residents without visual impairment, regardless of nursing home assignment, tended to be older (mean age, 86.7 vs 82.1 years; P

AB - Objective: To compare the uptake of cataract surgery in nursing homes in which assistance was provided in obtaining services with that in control homes. Methods: The Salisbury Eye Evaluation in Nursing Home Groups (SEEING) project is a randomized clinical trial studying the effect of a comprehensive vision restoration rehabilitation program, including the provision of cataract surgery services when needed. Twenty-eight nursing homes in the Eastern Shore area of Maryland and Delaware were matched in pairs by size and payment type. Nursing homes within each pair were randomized to usual care or targeted intervention. Persons with cataract causing visual acuity in the better eye to be worse than 20/40 were informed of the possible benefit of cataract surgery. For those in intervention homes, additional support was provided in obtaining cataract surgery. Results: Of residents with vision-impairing cataract in intervention homes, 31% underwent cataract surgery vs 2% in usual-care facilities. Residents with cataract compared with all residents without visual impairment, regardless of nursing home assignment, tended to be older (mean age, 86.7 vs 82.1 years; P

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