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Current trends in cataract surgery in Denmark--1997 survey.

https://arctichealth.org/en/permalink/ahliterature203425
Source
Acta Ophthalmol Scand. 1998 Dec;76(6):707-10
Publication Type
Article
Date
Dec-1998
Author
T E Hansen
Author Affiliation
Department of Ophthalmology, Odense University Hospital, Denmark.
Source
Acta Ophthalmol Scand. 1998 Dec;76(6):707-10
Date
Dec-1998
Language
English
Publication Type
Article
Keywords
Adult
Age Distribution
Anesthesia, Local - statistics & numerical data
Cataract Extraction - statistics & numerical data - trends
Denmark
Humans
Lenses, Intraocular - statistics & numerical data
Middle Aged
Ophthalmology - trends
Physician's Practice Patterns - statistics & numerical data - trends
Questionnaires
Societies, Medical
Suture Techniques - statistics & numerical data
Abstract
A survey of the preferred techniques and choices in cataract surgery of the members of the Danish Ophthalmological Society with address in Denmark was performed in January 1998. Only ophthalmologists performing cataract surgery were asked to return the questionnaire. Ninety-one responses were received by the cut-off day, representing 28872 cataract operations per year. The data were compared to data from previous surveys in Denmark, and similar data from the US and Japan.
PubMed ID
9881558 View in PubMed
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Knee arthroscopy with the use of local anesthesia--an increased risk for repeat arthroscopy? A prospective, randomized study with a six-month follow-up.

https://arctichealth.org/en/permalink/ahliterature191902
Source
Am J Sports Med. 2002 Jan-Feb;30(1):61-5
Publication Type
Article
Author
Eva Jacobson
Magnus Forssblad
Lars Weidenhielm
Per Renström
Author Affiliation
Artro Clinic, St. Göran's Hospital, Stockholm, Sweden.
Source
Am J Sports Med. 2002 Jan-Feb;30(1):61-5
Language
English
Publication Type
Article
Keywords
Adult
Anesthesia, General - statistics & numerical data
Anesthesia, Local - statistics & numerical data
Anesthesia, Spinal - statistics & numerical data
Arthroscopy - methods
Female
Follow-Up Studies
Humans
Knee Joint - surgery
Male
Middle Aged
Patient Satisfaction - statistics & numerical data
Prospective Studies
Random Allocation
Reoperation - statistics & numerical data
Risk factors
Sweden - epidemiology
Treatment Outcome
Abstract
Although there have been many reports of good results when local anesthesia is used with knee arthroscopy, it is not used as a standard anesthetic. Concerns about local anesthesia include the fear of prolonged surgery, which could result in inadequate anesthesia, thus causing the patient unnecessary discomfort. The purpose of this study was to evaluate the risk of repeat arthroscopy and the patient satisfaction rate up to 6 months after knee arthroscopy under local anesthesia. In this prospective, randomized study, 400 patients scheduled for elective knee arthroscopy were allocated to one of three groups: local anesthesia (200 patients), spinal anesthesia (100 patients), or general anesthesia (100 patients). All enrolled patients were asked to complete a questionnaire 6 months after surgery and all of their medical records were reviewed. No repeat arthroscopies occurred in the spinal and general anesthesia groups and only three occurred in the local anesthesia group, a nonsignificant difference. In only one of these three cases was the clinical course altered by the repeat arthroscopy. There was no difference in the satisfaction rate between the three anesthesia groups. We conclude that the choice of anesthesia does not influence the frequency of repeat arthroscopy, satisfaction with the procedure, or recovery at 6 months after knee arthroscopy.
PubMed ID
11798998 View in PubMed
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Practice patterns of Canadian Ophthalmological Society members in cataract surgery--2009 survey.

https://arctichealth.org/en/permalink/ahliterature144335
Source
Can J Ophthalmol. 2010 Apr;45(2):121-4
Publication Type
Article
Date
Apr-2010
Author
Lindsay Ong-Tone
Ali Bell
Author Affiliation
University of Saskatchewan, Regina Qu'Appelle Health Region, Regina, Sask. longtone@accesscomm.ca
Source
Can J Ophthalmol. 2010 Apr;45(2):121-4
Date
Apr-2010
Language
English
Publication Type
Article
Keywords
Adult
Anesthesia, Local - statistics & numerical data
Canada
Health Services Research
Health Surveys
Humans
Lens Implantation, Intraocular - statistics & numerical data
Lenses, Intraocular - statistics & numerical data
Middle Aged
Ophthalmology - manpower
Phacoemulsification - methods - statistics & numerical data
Physician's Practice Patterns - statistics & numerical data
Questionnaires
Societies, Medical
Abstract
To establish the practice patterns of the members of the Canadian Ophthalmological Society (COS) in cataract surgery.
A questionnaire consisting of multiple choice questions on cataract surgery practices was sent as an attachment by email to the members of the COS.
Seven-hundred and seventy-seven COS members with a valid email address in the Society's database.
A 29-item questionnaire pertaining to cataract surgery practices was sent by email. A reminder email with the attached questionnaire was sent 3 weeks later. The survey data were descriptively analyzed with the Statistical Package for the Social Sciences (SPSS) v 16.0 software and the results compared with those from surveys by the American Society of Cataract and Refractive Surgery and the European Society of Cataract and Refractive Surgeons.
There were 161 responses. Of these, 30 members did not do any cataract surgery, and a further 8 responses were incomplete, therefore, 123 responses were analyzed. The majority of the respondents (69.1%) were between 40-59 years old. Phacoemulsification was the procedure of choice of all the respondents. Topical anaesthesia with clear corneal incisions was the most popular technique. Only 59.8% of respondents used a NSAID drop while 90.1% used a steroid drop postoperatively.
The practice patterns of the members of the COS for cataract surgery have not been reported before. This survey will serve as a baseline for future ones.
PubMed ID
20379294 View in PubMed
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Practices associated with cataract surgery in Canada: results of a national survey.

https://arctichealth.org/en/permalink/ahliterature207818
Source
Can J Ophthalmol. 1997 Aug;32(5):315-23
Publication Type
Article
Date
Aug-1997
Author
L. Bellan
E. Dunn
C. Black
Author Affiliation
Department of Ophthalmology, Faculty of Medicine, University of Manitoba, Winnipeg.
Source
Can J Ophthalmol. 1997 Aug;32(5):315-23
Date
Aug-1997
Language
English
Publication Type
Article
Keywords
Anesthesia, Local - statistics & numerical data
Canada
Cataract Extraction - methods - statistics & numerical data
Female
Health Surveys
Humans
Laser Therapy - statistics & numerical data
Male
Middle Aged
Ophthalmology - methods - standards
Physician's Practice Patterns - statistics & numerical data
Retrospective Studies
Societies, Medical
Treatment Outcome
Abstract
To examine Canadian ophthalmologists' reported practices related to cataract surgery.
Mailed questionnaire survey.
Canada.
Random sample of 698 ophthalmologists from the mailing list of the Canadian Ophthalmological Society. Of the 528 eligible ophthalmologists 353 completed the questionnaire (response rate 67%). A total of 276 respondents were classified as cataract surgeons (performed at least one cataract operation in the preceding year [1992]) and were included in the study.
Reported use of preoperative ophthalmic tests, surgical technique, cataract anesthesia (including type of block and who administers it) and postoperative care.
Most of the preoperative tests examined either were so routine as to be done in almost all cases or were rarely done at all. A total of 52% of the respondents were identified as predominantly extracapsular cataract extraction surgeons (ECCE), 46% as predominantly phacoemulsification surgeons and 2% as predominantly intracapsular cataract extraction surgeons. Overall, 57% of the respondents reported high use of retrobulbar anesthesia, 18% reported high use of peribulbar anesthesia, and 0.7% reported high use of general anesthesia. The mean number of postoperative visits in the first 4 months after surgery was 4.25. The mean rate of Nd:YAG laser capsulotomy in the first year after cataract surgery was 17.9%; 91% of the respondents reported a rate less than 40%.
There seems to be limited use of nonessential preoperative ocular testing by Canadian cataract surgeons. Although ECCE remains the most common type of surgery performed, there appears to be a substantial number of surgeons trying phacoemulsification, and this will likely become the predominant technique in the near future. The self-reported practices of Canadian surgeons with relation to preoperative testing and postoperative follow-up appear to be consistent with the Clinical Practice Guideline for cataract surgery set by the US Agency for Health Care Policy and Research. However, variations in the number of postoperative visits and Nd:YAG capsulotomy rates merit further investigation.
PubMed ID
9276119 View in PubMed
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Use of local anesthesia in restorative treatment for adults in Finland.

https://arctichealth.org/en/permalink/ahliterature163462
Source
Acta Odontol Scand. 2007 Jun;65(3):129-33
Publication Type
Article
Date
Jun-2007
Author
Ulla Palotie
Miira M Vehkalahti
Author Affiliation
City of Helsinki Health Centre, Dental Care Department, Helsinki, Finland. ulla.palotie@helsinki.fi
Source
Acta Odontol Scand. 2007 Jun;65(3):129-33
Date
Jun-2007
Language
English
Publication Type
Article
Keywords
Adult
Analysis of Variance
Anesthesia, Dental - methods - statistics & numerical data - utilization
Anesthesia, Local - statistics & numerical data - utilization
Chi-Square Distribution
Dental Restoration, Permanent - classification - statistics & numerical data
Dentist's Practice Patterns - statistics & numerical data
Female
Finland
Humans
Logistic Models
Male
Questionnaires
Abstract
In this survey we investigated the frequency of use of local anesthesia (LA) in restorative treatment for vital teeth in adults in Finland.
A postal questionnaire was mailed to 592 dentists selected by systematic sampling from the membership list of the Finnish Dental Association; 57% responded. The questionnaire inquired "How often do you use local anesthesia when restoring vital teeth in adults?" for three types of primary restorations: class III for incisors, class II for premolars or molars, and class V on gingival margin for premolars or molars. Statistical evaluation included chi-square and logistic regression modeling.
For restorative treatment of class III primary restoration for incisors, 21% of the dentists used LA always or almost always, 47% fairly often, 30% occasionally, and 2% rarely or never. For class II restoration for premolars or molars, 25% of dentists used LA always or almost always, 58% used LA fairly often, 16% occasionally, and 1% rarely or never. Controlling for gender and time elapsed since graduation, public dentists were more likely to use LA always or almost always for Class II (OR=2.0) and Class III (OR=1.8) restorations. No such difference appeared for Class V restorations.
The majority of dentists have accepted LA as part of their everyday practice, with more widespread use among public dentists. Still, to prevent future dental fear among patients, dentists should emphasize pain-free treatment.
PubMed ID
17514513 View in PubMed
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6 records – page 1 of 1.