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Effect of surgical case order on cataract surgery complication rates and procedure time.

Publication ,  Journal Article
Gupta, D; Taravati, P
Published in: J Cataract Refract Surg
March 2015

PURPOSE: To determine whether surgical warm-up affects cataract surgery complication rates and surgical case times. SETTING: University of Washington Medicine Eye Institute, Harborview, Seattle, Washington, USA. DESIGN: Retrospective case-control study. METHODS: Patients who had phacoemulsification from June 2010 to December 2011 were consecutively reviewed. Case order for each surgeon was evaluated, comparing intraoperative complication rates and case times for attending and resident surgeons for the first case of the day (considered the warm-up case) versus subsequent cases. Simple (AMA Current Procedural Terminology code 66984) and complex (code 66982) phacoemulsification surgeries were included. Excluded were patients who had cataract surgery combined with another surgery. Pearson chi-square tests and 2-tailed independent-sample t tests were used to analyze data. RESULTS: The study reviewed 1424 patients. Cataract surgery complication rates were not statistically different between the first cases of the day and subsequent cases (3.3% versus 4.0%) (P = .552). There was, however, a significant difference in mean case time between these groups. The mean case time for simple phacoemulsification by resident physicians was 49.45 minutes ± 19.38 (SD) for first cases and 42.27 ± 15.78 minutes for subsequent cases (P = .021) and by attending physicians, 32.54 ± 12.91 minutes and 26.69 ± 9.17 minutes, respectively (P <. 0001). CONCLUSION: Surgical case order might not affect complication rates of cataract surgery; however, the first case of the day was longer than subsequent cases, suggesting that a preoperative warm-up exercise might decrease cataract surgery time. FINANCIAL DISCLOSURE: Neither author has a financial or proprietary interest in any material or method mentioned.

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Published In

J Cataract Refract Surg

DOI

EISSN

1873-4502

Publication Date

March 2015

Volume

41

Issue

3

Start / End Page

594 / 597

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Time and Motion Studies
  • Retrospective Studies
  • Phacoemulsification
  • Personnel Staffing and Scheduling
  • Ophthalmology & Optometry
  • Ophthalmology
  • Operative Time
  • Intraoperative Complications
  • Internship and Residency
 

Citation

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Gupta, D., & Taravati, P. (2015). Effect of surgical case order on cataract surgery complication rates and procedure time. J Cataract Refract Surg, 41(3), 594–597. https://doi.org/10.1016/j.jcrs.2014.06.032
Gupta, Divakar, and Parisa Taravati. “Effect of surgical case order on cataract surgery complication rates and procedure time.J Cataract Refract Surg 41, no. 3 (March 2015): 594–97. https://doi.org/10.1016/j.jcrs.2014.06.032.
Gupta D, Taravati P. Effect of surgical case order on cataract surgery complication rates and procedure time. J Cataract Refract Surg. 2015 Mar;41(3):594–7.
Gupta, Divakar, and Parisa Taravati. “Effect of surgical case order on cataract surgery complication rates and procedure time.J Cataract Refract Surg, vol. 41, no. 3, Mar. 2015, pp. 594–97. Pubmed, doi:10.1016/j.jcrs.2014.06.032.
Gupta D, Taravati P. Effect of surgical case order on cataract surgery complication rates and procedure time. J Cataract Refract Surg. 2015 Mar;41(3):594–597.
Journal cover image

Published In

J Cataract Refract Surg

DOI

EISSN

1873-4502

Publication Date

March 2015

Volume

41

Issue

3

Start / End Page

594 / 597

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Time and Motion Studies
  • Retrospective Studies
  • Phacoemulsification
  • Personnel Staffing and Scheduling
  • Ophthalmology & Optometry
  • Ophthalmology
  • Operative Time
  • Intraoperative Complications
  • Internship and Residency