{"id":4602,"date":"2018-06-28T00:00:00","date_gmt":"2018-06-28T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/association-of-cataract-surgery-with-traffic-crashes\/"},"modified":"2023-06-14T19:33:36","modified_gmt":"2023-06-14T23:33:36","slug":"association-of-cataract-surgery-with-traffic-crashes","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/association-of-cataract-surgery-with-traffic-crashes\/","title":{"rendered":"Association of cataract surgery with traffic crashes"},"content":{"rendered":"<p><strong>Importance<\/strong> &#x2014; Cataracts are the most common cause of impaired vision worldwide and may increase a driver&apos;s risk of a serious traffic crash. The potential benefits of cataract surgery for reducing a patient&apos;s subsequent risk of traffic crash are uncertain.<\/p>\n<p><strong>Objective<\/strong> &#x2014; To conduct a comprehensive longitudinal analysis testing whether cataract surgery is associated with a reduction in serious traffic crashes where the patient was the driver.<\/p>\n<p><span class=\"bold\">Design, Setting, and Participants<\/span> &#x2014; Population-based individual-patient self-matching exposure-crossover design in Ontario, Canada, between April 1, 2006, and March 31, 2016. Consecutive patients 65 years and older undergoing cataract surgery (n = 559 546).<\/p>\n<p><strong>Interventions<\/strong> &#x2014; First eye cataract extraction surgery (most patients received second eye soon after).<\/p>\n<p><span class=\"bold\">Main Outcomes and Measures<\/span> &#x2014; Emergency department visit for a traffic crash as a driver.<\/p>\n<p><strong>Results<\/strong> &#x2014; Of the 559 546 patients. mean (SD) age was 76 (6) years, 58% were women (n = 326 065), and 86% lived in a city (n = 481847). A total of 4680 traffic crashes (2.36 per 1000 patient-years) accrued during the 3.5-year baseline interval and 1200 traffic crashes (2.14 per 1000 patient-years) during the 1-year subsequent interval, representing 0.22 fewer crashes per 1000 patient-years following cataract surgery (odds ratio [OR]. 0.91; 95% CI, 0.84-0.97; <em>P<\/em> = .004). The relative reduction included patients with diverse characteristics. No significant reduction was observed in other outcomes, such as traffic crashes where the patient was a passenger (OR, 1.03; 95% CI, 0.96-1.12) or pedestrian (OR. 1.02; 95% Cl. 0.88-1.17). nor in other unrelated serious medical emergencies. Patients with younger age (OR. 1.27; 95% CI, 1.13-1.14). male sex (OR, 1.64; 95% CI, 1.46-1.85), a history of crash (baseline OR, 2.79; 95% CI, 1.94-4.02; induction OR, 4.26; 95% CI, 2.01-9.03), more emergency visits (OR, 1.34; 95% CI, 1.19-1.52), and frequent outpatient physician visits (OR, 1.17; 95% CI, 1.01-1.36) had the highest risk of subsequent traffic crashes (multivariable model).<\/p>\n<p><span class=\"bold\">Conclusions and Relevance<\/span> &#x2014; This study suggests that cataract surgery is associated with a modest decrease in a patient&apos;s subsequent risk of a serious traffic crash as a driver, which has potential implications for mortality, morbidity, and costs to society.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Importance &#x2014; Cataracts are the most common cause of impaired vision worldwide and may increase a driver&apos;s risk of a serious traffic crash. The potential benefits of cataract surgery for reducing a patient&apos;s subsequent risk of traffic crash are uncertain. Objective &#x2014; To conduct a comprehensive longitudinal analysis testing whether cataract surgery is associated with [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[],"migration-helper-qa-sample-set":[],"class_list":["post-4602","journal_article","type-journal_article","status-publish","hentry"],"acf":{"citation":"Schlenker MB, Thiruchelvam D, Redelmeier DA. <em>JAMA Ophthalmol. <\/em>2018; 136(9):998-1007. Epub 2018 Jun 28.","source_url":"https:\/\/jamanetwork.com\/journals\/jamaophthalmology\/fullarticle\/2686118","ices_scientist":[1337],"site":[6733],"research_program":[],"news_release":[7914],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"D781E357-10DF-4364-8FD3-46A6AEB01E0E","sitecore_item_name":"Association-of-cataract-surgery-with-traffic-crashes","sitecore_field_values":"{\n  \"Title\": \"Association of cataract surgery with traffic crashes\",\n  \"Short title\": \"Association of cataract surgery\",\n  \"Summary\": \"This study suggests that cataract surgery is associated with a modest decrease in a patient's subsequent risk of a serious traffic crash as a driver.\",\n  \"Citation\": \"<p>Schlenker MB, Thiruchelvam D, Redelmeier DA. <em>JAMA Ophthalmol. <\/em>2018; 136(9):998-1007. Epub 2018 Jun 28.<\/p>\",\n  \"Abstract\": \"<p><strong>Importance<\/strong> &mdash; Cataracts are the most common cause of impaired vision worldwide and may increase a driver's risk of a serious traffic crash. The potential benefits of cataract surgery for reducing a patient's subsequent risk of traffic crash are uncertain.<\/p>n<p><strong>Objective<\/strong> &mdash; To conduct a comprehensive longitudinal analysis testing whether cataract surgery is associated with a reduction in serious traffic crashes where the patient was the driver.<\/p>n<p><span class=\"bold\">Design, Setting, and Participants<\/span> &mdash; Population-based individual-patient self-matching exposure-crossover design in Ontario, Canada, between April 1, 2006, and March 31, 2016. Consecutive patients 65 years and older undergoing cataract surgery (n = 559 546).<\/p>n<p><strong>Interventions<\/strong> &mdash; First eye cataract extraction surgery (most patients received second eye soon after).<\/p>n<p><span class=\"bold\">Main Outcomes and Measures<\/span> &mdash; Emergency department visit for a traffic crash as a driver.<\/p>n<p><strong>Results<\/strong> &mdash; Of the 559 546 patients. mean (SD) age was 76 (6) years, 58% were women (n = 326 065), and 86% lived in a city (n = 481847). A total of 4680 traffic crashes (2.36 per 1000 patient-years) accrued during the 3.5-year baseline interval and 1200 traffic crashes (2.14 per 1000 patient-years) during the 1-year subsequent interval, representing 0.22 fewer crashes per 1000 patient-years following cataract surgery (odds ratio [OR]. 0.91; 95% CI, 0.84-0.97; <em>P<\/em> = .004). The relative reduction included patients with diverse characteristics. No significant reduction was observed in other outcomes, such as traffic crashes where the patient was a passenger (OR, 1.03; 95% CI, 0.96-1.12) or pedestrian (OR. 1.02; 95% Cl. 0.88-1.17). nor in other unrelated serious medical emergencies. Patients with younger age (OR. 1.27; 95% CI, 1.13-1.14). male sex (OR, 1.64; 95% CI, 1.46-1.85), a history of crash (baseline OR, 2.79; 95% CI, 1.94-4.02; induction OR, 4.26; 95% CI, 2.01-9.03), more emergency visits (OR, 1.34; 95% CI, 1.19-1.52), and frequent outpatient physician visits (OR, 1.17; 95% CI, 1.01-1.36) had the highest risk of subsequent traffic crashes (multivariable model).<\/p>n<p><span class=\"bold\">Conclusions and Relevance<\/span> &mdash; This study suggests that cataract surgery is associated with a modest decrease in a patient's subsequent risk of a serious traffic crash as a driver, which has potential implications for mortality, morbidity, and costs to society.<\/p>n<p><a href=\"https:\/\/jamanetwork.com\/journals\/jamaophthalmology\/fullarticle\/2686118\" title=\"opens external link\">View full text<\/a><\/p>\",\n  \"Research Programs\": \"{5B1AF319-EC9B-4BF0-A9CD-D066ABE49D71}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"ICES Scientists\": \"{31BBD6A4-EF6F-4859-AEFA-1FDFA8BF8BB5}\",\n  \"Posted Date\": \"20180628T000000\",\n  \"Show on Publications Landing Page\": \"1\",\n  \"In The News\": \"{8C5BFB86-73BE-414E-8A61-A0D3B494A874}\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2018\/June\/Association-of-cataract-surgery-with-traffic-crashes"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Association of cataract surgery with traffic crashes<\/title>\n<meta name=\"description\" content=\"Importance &#x2014; Cataracts are the most common cause of impaired vision worldwide and may increase a driver&amp;apos;s risk of a serious traffic crash. 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