advertisement
Abstract #100334 Published in IGR 23-1
Real-World Cataract Surgery Complications and Secondary Interventions Incidence Rates: An Analysis of US Medicare Claims Database
Terveen D; Berdahl J; Dhariwal M; Meng QJournal of Ophthalmology 2022; 2022: 8653476
PURPOSE: To characterize cataract patients and postoperative outcomes in the Medicare fee-for-service (FFS) population. DESIGN: A retrospective observational cohort study. METHODS: Medicare fee-for-service (A&B) databases were queried from October 2015 to December 2017. Patients with procedural claims using CPT codes (66982 or 66984) and with 1-12 months of postcataract follow-up data were included in the analysis. RESULTS: 133,896 records of 82,246 CMS FFS claims were included in the analysis. The average patient age was 73.8, and 58.2% were females. The cataract surgery setting was ASC (71.3%) followed by HOPD (27.6%). The median time between first and second surgery was 15 days. The most common comorbidities included diabetes (28.6%), glaucoma (22.1%), and macular degeneration (21.7%). Posterior capsule rupture occurred in 0.2% of cases. The <6 months cumulative incidence of most common secondary surgical interventions was 4.7%, 0.2%, and 0.2% for Nd:YAG capsulotomy, IOL exchange, and IOL repositioning, respectively. Real-world complication rates of cataract surgery may help reduce postcataract complications and procedure burden. This study focused on a sample of the US Medicare beneficiary cataract population and describes its demographic characteristics and reports the cumulative incidence of common postcataract surgery complications and secondary surgical interventions (SSI).
Vance Thompson Vision Clinic, Omaha, USA.
Full article