{"id":7595,"date":"2017-01-30T00:00:00","date_gmt":"2017-01-30T05:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/news-releases\/new-surgeons-more-likely-to-have-high-complication-rates-for-cataract-surgery\/"},"modified":"2023-06-14T18:12:41","modified_gmt":"2023-06-14T22:12:41","slug":"new-surgeons-more-likely-to-have-high-complication-rates-for-cataract-surgery","status":"publish","type":"news_release","link":"https:\/\/www.ices.on.ca\/fr\/news-releases\/new-surgeons-more-likely-to-have-high-complication-rates-for-cataract-surgery\/","title":{"rendered":"New surgeons more likely to have high complication rates for cataract surgery"},"content":{"rendered":"<p>Surgeons who perform cataract surgery in their first year of practice were over nine times more likely to have high complication rates than surgeons in their tenth year of practice according to a new study from the <b>Institute for Clinical Evaluative Sciences (ICES).<\/b><\/p>\n<p>In the study published in <i>Ophthalmology<\/i>, the researchers examined 1,431,302 cataract surgeries in patients 66 years of age or older from January 1, 1997 to December 31, 2013. The surgeries were performed by 144 surgeons in Ontario and the study looked at four serious complications of cataract surgery: posterior capsule rupture, dropped lens fragments, retinal detachment and suspected endophthalmitis (severe inflammation of the tissues inside the eye). <\/p>\n<div>\n<div class=\"download-section alignwide infographic-download\" id=\"block_2a0d441a9c55c400860c47a4282ff690\" data-style=\"deep-blue\">\n\t<div class=\"download-section-content\">\n\t\t\t\t<h2>\n\t\t\tInfographic\t\t<\/h2>\n\t\t\n\t\t\t<\/div>\n\t<div class=\"download-section-buttons\">\n\t\t\t\t\t\t<a class=\"download-section-buttons-primary\" href=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/03\/CampbellOpthamology.jpg\" target=\"_blank\"\n\t\t\tdownload\t\t\taria-label=\"Download Infographic (opens in a new tab)\"\t\t>\n\t\t\tDownload Infographic\t\t\t<svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" role=\"presentation\">\n<path d=\"M2.78003 18.8301C2.14282 18.8301 1.59713 18.603 1.14297 18.1488C0.688813 17.6947 0.46212 17.1494 0.462893 16.5129V13.0372H2.78003V16.5129H16.6829V13.0372H19V16.5129C19 17.1502 18.7729 17.6958 18.3188 18.15C17.8646 18.6042 17.3193 18.8308 16.6829 18.8301H2.78003ZM9.73145 14.1958L3.9386 8.40295L5.5606 6.72303L8.57288 9.73531V0.292969H10.89V9.73531L13.9023 6.72303L15.5243 8.40295L9.73145 14.1958Z\" fill=\"#151D5D\"\/>\n<\/svg>\n\t\t<\/a>\n\t\t\n\t\t\t\t\t\t<a class=\"download-section-buttons-secondary\" href=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/03\/CampbellOpthamology.jpg\" target=\"_blank\" aria-label=\"Click to View (opens in a new tab)\">\n\t\t\tClick to View\t\t<\/a>\n\t\t\t<\/div>\n<\/div>\n<\/div>\n<p>The researchers note that during the study period less than one per cent of cataract operations resulted in one of the adverse events however some surgeons in their first year of practice had complications in more than 2 per cent of the cataract surgeries they performed. <\/p>\n<p>Cataract surgery is the most frequently performed surgical procedure in Canada, the US and most developed countries.<\/p>\n<p>&#x201c;The need to train new surgeons is an essential part of a sustainable healthcare system. However, the results of this study suggest that cataract surgical complications are significantly more likely early in a surgeon&apos;s independent practice career. While the majority of new surgeons have excellent complication rates, ongoing innovations may be needed both in surgical training and early career monitoring and mentoring processes to address those that don&#x2019;t and ensure patient safety while continually renewing the surgical workforce,&#x201d; says <a href=\"\/ices-scientists\/robert-campbell\/\">Dr. Rob Campbell<\/a>, scientist at ICES and an ophthalmologist at the School of Medicine at Queen&#x2019;s University.<\/p>\n<p>Key findings from the study: <\/p>\n<ul class=\"list-style\">\n<li>Surgeons in their first year of independent practice were over nine times more likely to have high complication rates (&#x2265;2 per cent) than surgeons in their tenth year<\/li>\n<li>Each additional year of surgeon experience was associated with a 10 per cent decrease in risk of serious complications<\/li>\n<li>Over the study period, 9,932 (0.7 per cent) of cataract operations resulted in one of the adverse events <\/li>\n<\/ul>\n<p>&#x201c;Although we used cataract surgery as a model for this study, many surgical fields&#xa0; place similarly intense skill acquisition demands on trainees and the outcomes we observed may be reflective of issues facing many technically challenging surgical fields,&#x201d; says Campbell.<\/p>\n<p>The study &#x201c;New surgeon outcomes and the effectiveness of surgical training: a population-based cohort study&#x201d; was published&#xa0;in <i>Ophthalmology.<\/i><\/p>\n<p><i>Author block: <\/i><i>Robert J. Campbell, Sherif R. El-Defrawy, Sudeep S. Gill, Marlo Whitehead, Erica de L.P. Campbell, Philip L. Hooper, Chaim M. Bell and Martin ten Hove.<\/i><\/p>\n<p><em><span style=\"color: #002060;\"><span class=\"bold\">The Institute for Clinical Evaluative Sciences (ICES)<\/span> is an independent, non-profit organization that uses population-based health information to produce knowledge on a broad range of healthcare issues. Our unbiased evidence provides measures of health system performance, a clearer understanding of the shifting healthcare needs of Ontarians, and a stimulus for discussion of practical solutions to optimize scarce resources. ICES knowledge is highly regarded in Canada and abroad, and is widely used by government, hospitals, planners, and practitioners to make decisions about care delivery and to develop policy. For the latest ICES news, follow us on Twitter: <a href=\"http:\/\/www.twitter.com\/icesontario\" title=\"Twitter link opens in new window\" target=\"_blank\" rel=\"noopener\">@ICESOntario<\/a><\/span><\/em><\/p>\n<h2>FOR FURTHER INFORMATION PLEASE CONTACT:<\/h2>\n<p>Deborah Creatura<br \/>\nMedia Advisor, ICES<br \/>\n<a href=\"mailto:deborah.creatura@ices.on.ca\">deborah.creatura@ices.on.ca<\/a> <br \/>\n(o) 416-480-4780 or (c) 647-406-5996<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Surgeons who perform cataract surgery in their first year of practice were over nine times more likely to have high complication rates than surgeons in their tenth year of practice according to a new study from the Institute for Clinical Evaluative Sciences (ICES). In the study published in Ophthalmology, the researchers examined 1,431,302 cataract surgeries [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[43,25],"class_list":["post-7595","news_release","type-news_release","status-publish","hentry","topic-eye-ear-nose-and-throat-disorders","topic-surgery"],"acf":{"infographic":[9427],"journal_article":[3606],"research_report":[],"atlas":[],"research_program":[6746],"site":[6736],"ices_scientist":[1203],"announce_or_event":[],"video":[],"iitn_type":false,"iitn_title":"Novice cataract surgeons may be prone to complications during independent practice (log-in required)","iitn_short_title":"","iitn_source_link_url":"http:\/\/www.medscape.com\/viewarticle\/875684","iitn_source_link_text":"Medscape","sitecore_item_id":"0C10F24F-F890-4D17-98C2-0305E9CE0DF2","sitecore_item_name":"New-surgeons-more-likely-to-have-high-complication-rates-for-cataract-surgery","sitecore_field_values":"{\n  \"Content\": \"<p>Surgeons who perform cataract surgery in their first year of practice were over nine times more likely to have high complication rates than surgeons in their tenth year of practice according to a new study from the <b>Institute for Clinical Evaluative Sciences (ICES).<\/b><\/p>rn<p>In the study published in <i>Ophthalmology<\/i>, the researchers examined 1,431,302 cataract surgeries in patients 66 years of age or older from January 1, 1997 to December 31, 2013. The surgeries were performed by 144 surgeons in Ontario and the study looked at four serious complications of cataract surgery: posterior capsule rupture, dropped lens fragments, retinal detachment and suspected endophthalmitis (severe inflammation of the tissues inside the eye). <\/p>rn<p><a href=\"~\/media\/A707F55D990F48548D8B3E6BF96B5660.ashx\" onclick=\"_gaq.push(['_trackEvent','Download','OpthamalogyCampbellInfographicJan2017',this.href]);\" target=\"_blank\"><img width=\"350\" height=\"231\" alt=\"New surgeons more likely to have high complication rates for cataract surgery\" src=\"~\/media\/AB885E325DB74FC0A4D0427482D6858E.ashx\" width=\"350\" height=\"231\" \/><\/a><span class=\"grey\" style=\"font-size: 12px; font-weight: bold; color: #5b5656; display: block;\">Click image to enlarge<\/span><\/p>rn<p>The researchers note that during the study period less than one per cent of cataract operations resulted in one of the adverse events however some surgeons in their first year of practice had complications in more than 2 per cent of the cataract surgeries they performed. <\/p>rn<p>Cataract surgery is the most frequently performed surgical procedure in Canada, the US and most developed countries.<\/p>rn<p>&ldquo;The need to train new surgeons is an essential part of a sustainable healthcare system. However, the results of this study suggest that cataract surgical complications are significantly more likely early in a surgeon's independent practice career. While the majority of new surgeons have excellent complication rates, ongoing innovations may be needed both in surgical training and early career monitoring and mentoring processes to address those that don&rsquo;t and ensure patient safety while continually renewing the surgical workforce,&rdquo; says <a href=\"~\/link.aspx?_id=F8C8C01BCFDC4601804EF7C502970FCC&amp;_z=z\">Dr. Rob Campbell<\/a>, scientist at ICES and an ophthalmologist at the School of Medicine at Queen&rsquo;s University.<\/p>rn<p>Key findings from the study: <\/p>rn<ul class=\"list-style\">rn    <li>Surgeons in their first year of independent practice were over nine times more likely to have high complication rates (&ge;2 per cent) than surgeons in their tenth year<\/li>rn    <li>Each additional year of surgeon experience was associated with a 10 per cent decrease in risk of serious complications<\/li>rn    <li>Over the study period, 9,932 (0.7 per cent) of cataract operations resulted in one of the adverse events <\/li>rn<\/ul>rn<p>&ldquo;Although we used cataract surgery as a model for this study, many surgical fields&nbsp; place similarly intense skill acquisition demands on trainees and the outcomes we observed may be reflective of issues facing many technically challenging surgical fields,&rdquo; says Campbell.<\/p>rn<p>The study &ldquo;New surgeon outcomes and the effectiveness of surgical training: a population-based cohort study&rdquo; was published&nbsp;in <i>Ophthalmology.<\/i><\/p>rn<p><i>Author block: <\/i><i>Robert J. Campbell, Sherif R. El-Defrawy, Sudeep S. Gill, Marlo Whitehead, Erica de L.P. Campbell, Philip L. Hooper, Chaim M. Bell and Martin ten Hove.<\/i><\/p>rn<p><em><span style=\"color: #002060;\"><span class=\"bold\">The Institute for Clinical Evaluative Sciences (ICES)<\/span> is an independent, non-profit organization that uses population-based health information to produce knowledge on a broad range of healthcare issues. Our unbiased evidence provides measures of health system performance, a clearer understanding of the shifting healthcare needs of Ontarians, and a stimulus for discussion of practical solutions to optimize scarce resources. ICES knowledge is highly regarded in Canada and abroad, and is widely used by government, hospitals, planners, and practitioners to make decisions about care delivery and to develop policy. For the latest ICES news, follow us on Twitter: <a href=\"http:\/\/www.twitter.com\/icesontario\" title=\"Twitter link opens in new window\" target=\"_blank\">@ICESOntario<\/a><\/span><\/em><\/p>rn<h2>FOR FURTHER INFORMATION PLEASE CONTACT:<\/h2>rn<p>Deborah Creatura<br \/>rnMedia Advisor, ICES<br \/>rn<a href=\"mailto:deborah.creatura@ices.on.ca\">deborah.creatura@ices.on.ca<\/a> <br \/>rn(o) 416-480-4780 or (c) 647-406-5996<\/p>\",\n  \"Title\": \"New surgeons more likely to have high complication rates for cataract surgery\",\n  \"Short title\": \"New surgeons more likely to have\",\n  \"Teaser image\": \"<image mediaid=\"{A322F4BD-074D-4BD9-A21A-A9A358DE2CFF}\" mediapath=\"\/Images\/ovoid-shape\/ovoid-2\" src=\"~\/media\/A322F4BD074D4BD9A21AA9A358DE2CFF.ashx\" alt=\"publications\" height=\"\" width=\"\" hspace=\"\" vspace=\"\" \/>\",\n  \"Summary\": \"Surgeons who perform cataract surgery in their first year of practice were over nine times more likely to have high complication rates than surgeons in their tenth year of practice.\",\n  \"Location\": \"Toronto\",\n  \"In The News\": \"{765253A4-782E-4738-B854-3CD0CDB2BA43}\",\n  \"ICES Scientists\": \"{F8C8C01B-CFDC-4601-804E-F7C502970FCC}\",\n  \"ICES Locations\": \"{5A12C65D-3CDA-413E-BC94-C1D778156CE6}\",\n  \"Research Programs\": \"{CFE36C89-C969-4C23-B5E4-1BA9E5BDC273}\",\n  \"Related Products\": null,\n  \"Posted Date\": \"20170130T112800\",\n  \"Publication Link\": \"<link text=\"Abstract\" linktype=\"internal\" url=\"\/ICES\/Home\/Publications\/Journal-Articles\/2017\/January\/New-surgeon-outcomes-and-the-effectiveness-of-surgical-training\" querystring=\"\" target=\"\" id=\"{5972D318-A1BA-4A70-8572-A6DEF5DB0737}\" \/>\",\n  \"Related Link\": \"<link text=\"ICES in the News | Medscape\" linktype=\"external\" url=\"http:\/\/www.medscape.com\/viewarticle\/875684\" anchor=\"\" title=\"Opens article on external website\" target=\"\" \/>\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Newsroom\/News-Releases\/2017\/New-surgeons-more-likely-to-have-high-complication-rates-for-cataract-surgery"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | New surgeons more likely to have high complication rates for cataract surgery<\/title>\n<meta name=\"description\" content=\"Surgeons who perform cataract surgery in their first year of practice were over nine times more likely to have high complication rates than surgeons in\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/news-releases\/new-surgeons-more-likely-to-have-high-complication-rates-for-cataract-surgery\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta 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