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Socioeconomic deprivation status of patients undergoing Trabeculectomy surgery. A 9‐year review at Queen Alexandra Hospital, Portsmouth
Author(s) -
Sepetis A.,
Balendra S.,
Meredith P.,
Kirwan J.,
Lockwood A.
Publication year - 2017
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2017.03563
Subject(s) - decile , socioeconomic status , medicine , population , demography , trabeculectomy , social deprivation , pediatrics , surgery , glaucoma , ophthalmology , environmental health , statistics , mathematics , sociology , economics , economic growth
Purpose To evaluate the socioeconomic status of patients undergoing Trabeculectomy surgery. Methods The study population consisted of all individuals who underwent Trabeculectomy surgery ( TS ) recorded on the Medisoft electronic database. Socioeconomic status was investigated by correlating each individual's postal address with the 2015 Index of Multiple Deprivation ( IDM ) decile from the UK national database. The IDM decile is a combination of seven indices; income, employment, education skills and training, barriers to housing services, crime, living environment, health and disability, where decile 1 is ranked as the most deprived. In order to account for the socioeconomic status of the population served by our unit, patients that underwent cataract surgery ( CS ) were used as controls. Results 582 individuals that were recorded as having TS from Nov 2008 to Apr 2017; Male:Female 1.02:1, mean age 70.9 ( SD 11.9) were compared to 39,805 individuals who underwent CS from Jul 2004 to Apr 2017; Male:Female 1:1.51, mean age 76.4 ( SD 10.2). The percentage of the population of TS patients belonging to IDM decile 5 and below was 32.82% compared to 39.62% of CS patients. The percentage of TS patients belonging to IDM deciles 1 to 3 was lower than that of CS patients, but higher In IDM deciles 6 to 10. More specifically the percentage of TS patients belonging to decile 1(3.26%) and 2(4.64%) are significantly lower compared to CS patients of the decile 1(6.20%)*** and 2(6.85%)** (***p < 0.01, **p < 0.05, two‐tailed z‐test). Conclusions Our results show that more deprived patients are less likely to have a TS compared to CS . This might indicate either that the more deprived individuals present with glaucoma late and cannot be treated surgically, or that the less deprived patients are more concerned about their vision or both.