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International Ophthalmology

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21-04-2023 | Strabismus | Original Paper

Characteristics and differences of strabismus surgeries performed in private versus public settings: a national multicenter study

Authors: Asaf Israeli, Keren Hod, Eedy Mezer

Published in: International Ophthalmology | Issue 9/2023

Abstract

Purpose

To investigate and compare the demographics, diagnoses, and surgical procedure types of strabismus repair in public and private hospitals in Israel in order to highlight possible disparities between them.

Methods

Retrospective descriptive study included all strabismus surgeries in seven private hospitals, compared with two large public university-affiliated hospitals from June 2016 to June 2021. Electronic medical records were directly retrieved to produce an anonymized database.

Results

During the study period 2420 operations were performed. Patients who underwent strabismus surgery in public hospitals were older and had shorter procedures (p < 0.001 and p = 0.004, respectively). The median number of operated muscles and the prevalence of bilateral procedures were higher in private hospitals (p < 0.001 and p < 0.001, respectively). Surgery for common strabismus, especially esotropia, was more prevalent in private (p < 0.001), whereas surgery for vertical strabismus, cranial nerve palsies and complex syndromes were performed more often in public hospitals (p < 0.001, p = 0.008, and p < 0.001, respectively). Rectus recession and inferior oblique (IO) anteriorization were more predominant in private hospitals (p = 0.002 and p < 0.001, respectively), while recuts advancement and IO myectomies were more prevalent in public ones (p = 0.001 and p < 0.001, respectively). Reoperations were far more common in public hospitals (27.2% vs 6.2%, p < 0.0001). This was true across most age groups.

Conclusions

Candidates for strabismus surgery in private hospitals in Israel are often younger, with more common diagnoses, and are usually referred for simpler procedures.

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Title: Characteristics and differences of strabismus surgeries performed in private versus public settings: a national multicenter study
Authors: Asaf Israeli
Keren Hod
Eedy Mezer
Publication date: 21-04-2023
Publisher: Springer Netherlands
Keywords: Strabismus
Strabismus
Published in: International Ophthalmology / Issue 9/2023
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI: https://doi.org/10.1007/s10792-023-02725-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Characteristics and differences of strabismus surgeries performed in private versus public settings: a national multicenter study

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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