The effectiveness of cataract surgery in reducing motor vehicle crashes: a whole population study using linked data

Lynn B Meuleners; Delia Hendrie; Andy H Lee; Jonathon Q Ng; Nigel Morlet

doi:10.3109/09286586.2011.628776

The effectiveness of cataract surgery in reducing motor vehicle crashes: a whole population study using linked data

Lynn B Meuleners, Delia Hendrie, Andy H Lee, Jonathon Q Ng, Nigel Morlet

Research output: Contribution to journal › Article › peer-review

41 Citations (Scopus)

Abstract

PURPOSE: To evaluate the effectiveness of first eye cataract surgery on drivers aged 60 years and over at a population level.

METHODS: A retrospective before and after comparison of all police reported crashes for patients who had undergone first eye cataract surgery using linked Western Australia data for the period 1997-2006. An economic analysis by the type of crash was performed on the cost savings from cataract surgery for this cohort.

RESULTS: Of the 27,827 patients who underwent cataract surgery in one eye only, 1715 patients were involved in 1762 police reported crash events, either 1 year before (n = 941 crashes) or 1 year after (n = 821 crashes) cataract surgery. Results from Poisson generalized estimating equations showed a significant reduction of 12.7% (P = 0.034) in all police reported crashes 1 year after cataract surgery. The corresponding cost savings amounted to $4.3 million.

CONCLUSION: The findings are important for policy development to further improve driving outcomes among older drivers.

Original language	English
Pages (from-to)	23-8
Number of pages	6
Journal	Ophthalmic Epidemiology
Volume	19
Issue number	1
DOIs	https://doi.org/10.3109/09286586.2011.628776
Publication status	Published - Feb 2012

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title = "The effectiveness of cataract surgery in reducing motor vehicle crashes: a whole population study using linked data",

abstract = "PURPOSE: To evaluate the effectiveness of first eye cataract surgery on drivers aged 60 years and over at a population level.METHODS: A retrospective before and after comparison of all police reported crashes for patients who had undergone first eye cataract surgery using linked Western Australia data for the period 1997-2006. An economic analysis by the type of crash was performed on the cost savings from cataract surgery for this cohort.RESULTS: Of the 27,827 patients who underwent cataract surgery in one eye only, 1715 patients were involved in 1762 police reported crash events, either 1 year before (n = 941 crashes) or 1 year after (n = 821 crashes) cataract surgery. Results from Poisson generalized estimating equations showed a significant reduction of 12.7% (P = 0.034) in all police reported crashes 1 year after cataract surgery. The corresponding cost savings amounted to $4.3 million.CONCLUSION: The findings are important for policy development to further improve driving outcomes among older drivers.",

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author = "Meuleners, {Lynn B} and Delia Hendrie and Lee, {Andy H} and Ng, {Jonathon Q} and Nigel Morlet",

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N2 - PURPOSE: To evaluate the effectiveness of first eye cataract surgery on drivers aged 60 years and over at a population level.METHODS: A retrospective before and after comparison of all police reported crashes for patients who had undergone first eye cataract surgery using linked Western Australia data for the period 1997-2006. An economic analysis by the type of crash was performed on the cost savings from cataract surgery for this cohort.RESULTS: Of the 27,827 patients who underwent cataract surgery in one eye only, 1715 patients were involved in 1762 police reported crash events, either 1 year before (n = 941 crashes) or 1 year after (n = 821 crashes) cataract surgery. Results from Poisson generalized estimating equations showed a significant reduction of 12.7% (P = 0.034) in all police reported crashes 1 year after cataract surgery. The corresponding cost savings amounted to $4.3 million.CONCLUSION: The findings are important for policy development to further improve driving outcomes among older drivers.

AB - PURPOSE: To evaluate the effectiveness of first eye cataract surgery on drivers aged 60 years and over at a population level.METHODS: A retrospective before and after comparison of all police reported crashes for patients who had undergone first eye cataract surgery using linked Western Australia data for the period 1997-2006. An economic analysis by the type of crash was performed on the cost savings from cataract surgery for this cohort.RESULTS: Of the 27,827 patients who underwent cataract surgery in one eye only, 1715 patients were involved in 1762 police reported crash events, either 1 year before (n = 941 crashes) or 1 year after (n = 821 crashes) cataract surgery. Results from Poisson generalized estimating equations showed a significant reduction of 12.7% (P = 0.034) in all police reported crashes 1 year after cataract surgery. The corresponding cost savings amounted to $4.3 million.CONCLUSION: The findings are important for policy development to further improve driving outcomes among older drivers.

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KW - Cataract/epidemiology

KW - Cataract Extraction/rehabilitation

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KW - Humans

KW - Male

KW - Middle Aged

KW - Retrospective Studies

KW - Risk Factors

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KW - Western Australia/epidemiology

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The effectiveness of cataract surgery in reducing motor vehicle crashes: a whole population study using linked data

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