Regional and sex differences in retinal detachment surgery: Japan-retinal detachment registry report
Abstract It is known that social factors affect the choice of treatments, and special attention has been paid to sex differences. The purpose of this study was to determine whether regional and sex differences exist in the treatment of rhegmatogenous retinal detachment (RD). We used Japan-RD Registr...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2021-10-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-021-00186-w |
| _version_ | 1818838146661482496 |
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| author | Ryoh Funatsu Hiroto Terasaki Taiji Sakamoto the Japan Retinal Detachment Registry study group |
| author_facet | Ryoh Funatsu Hiroto Terasaki Taiji Sakamoto the Japan Retinal Detachment Registry study group |
| author_sort | Ryoh Funatsu |
| collection | DOAJ |
| description | Abstract It is known that social factors affect the choice of treatments, and special attention has been paid to sex differences. The purpose of this study was to determine whether regional and sex differences exist in the treatment of rhegmatogenous retinal detachment (RD). We used Japan-RD Registry database of 2523 patients aged ≥ 40 years between February 2016 and March 2017 in 5 Japanese regions. Regional differences of patients’ perioperative factors were analyzed. The factors affecting the proportion of patients who underwent surgery within one week of the onset, defined as early-surgery, were examined by logistic regression. We observed regional differences in perioperative factors, especially in the use of phacovitrectomy, general anesthesia, and air-tamponade, which was higher in certain regions. (Fisher’s exact test, all P = 0.012) The proportion of early-surgery was significantly higher among men in Kyushu region (Odds ratio (OR) 1.83; 95% confidence interval (CI) 1.08–3.12; P = 0.02), and it was also significantly higher after adjusting for covariates (OR 1.89; 95% CI 1.06–3.42; P = 0.02). Regional and sex differences exist in the treatment of RD in Japan. Although there was no significant differences in the anatomical outcomes, women in certain regions of Japan are less likely to receive early surgical intervention for RD. |
| first_indexed | 2024-12-19T03:33:46Z |
| format | Article |
| id | doaj.art-20e561cc533445d58a63e52770505c48 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-12-19T03:33:46Z |
| publishDate | 2021-10-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-20e561cc533445d58a63e52770505c482022-12-21T20:37:26ZengNature PortfolioScientific Reports2045-23222021-10-011111910.1038/s41598-021-00186-wRegional and sex differences in retinal detachment surgery: Japan-retinal detachment registry reportRyoh Funatsu0Hiroto Terasaki1Taiji Sakamoto2the Japan Retinal Detachment Registry study groupDepartment of Ophthalmology, Kagoshima University Graduate School of Medical and Dental SciencesDepartment of Ophthalmology, Kagoshima University Graduate School of Medical and Dental SciencesDepartment of Ophthalmology, Kagoshima University Graduate School of Medical and Dental SciencesAbstract It is known that social factors affect the choice of treatments, and special attention has been paid to sex differences. The purpose of this study was to determine whether regional and sex differences exist in the treatment of rhegmatogenous retinal detachment (RD). We used Japan-RD Registry database of 2523 patients aged ≥ 40 years between February 2016 and March 2017 in 5 Japanese regions. Regional differences of patients’ perioperative factors were analyzed. The factors affecting the proportion of patients who underwent surgery within one week of the onset, defined as early-surgery, were examined by logistic regression. We observed regional differences in perioperative factors, especially in the use of phacovitrectomy, general anesthesia, and air-tamponade, which was higher in certain regions. (Fisher’s exact test, all P = 0.012) The proportion of early-surgery was significantly higher among men in Kyushu region (Odds ratio (OR) 1.83; 95% confidence interval (CI) 1.08–3.12; P = 0.02), and it was also significantly higher after adjusting for covariates (OR 1.89; 95% CI 1.06–3.42; P = 0.02). Regional and sex differences exist in the treatment of RD in Japan. Although there was no significant differences in the anatomical outcomes, women in certain regions of Japan are less likely to receive early surgical intervention for RD.https://doi.org/10.1038/s41598-021-00186-w |
| spellingShingle | Ryoh Funatsu Hiroto Terasaki Taiji Sakamoto the Japan Retinal Detachment Registry study group Regional and sex differences in retinal detachment surgery: Japan-retinal detachment registry report Scientific Reports |
| title | Regional and sex differences in retinal detachment surgery: Japan-retinal detachment registry report |
| title_full | Regional and sex differences in retinal detachment surgery: Japan-retinal detachment registry report |
| title_fullStr | Regional and sex differences in retinal detachment surgery: Japan-retinal detachment registry report |
| title_full_unstemmed | Regional and sex differences in retinal detachment surgery: Japan-retinal detachment registry report |
| title_short | Regional and sex differences in retinal detachment surgery: Japan-retinal detachment registry report |
| title_sort | regional and sex differences in retinal detachment surgery japan retinal detachment registry report |
| url | https://doi.org/10.1038/s41598-021-00186-w |
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