{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T18:17:16Z","timestamp":1787854636168,"version":"build-2784847793"},"reference-count":31,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Br J Ophthalmol"],"accepted":{"date-parts":[[2026,8,18]]},"abstract":"<jats:sec>\n                    <jats:title>Background\/aims<\/jats:title>\n                    <jats:p>To compare visual outcomes after cataract surgery between outreach camps and fixed facilities, and among government, non-governmental organisation (NGO) and private providers within fixed facilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Pooled cross-sectional analysis of 41\u2009881 cataract-operated eyes from adults aged 50 years and older in 168 population-based Rapid Assessment of Avoidable Blindness surveys across 61 countries. Analyses were restricted to surgeries performed between 2000 and 2020. Multilevel logistic regression with random intercepts for country, survey, cluster and individual was used to estimate the association between surgical setting and achieving presenting visual acuity of 6\/18 or better, adjusting for age at surgery, sex, year of surgery and Global Burden of Disease super-region.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Outreach camps accounted for 9.7% of surgeries and had a lower adjusted probability of achieving presenting visual acuity of 6\/18 or better than fixed facilities (60.6% vs 66.6%; OR 0.59 (95%\u2009CI 0.50 to 0.70)). Within fixed facilities, probabilities were 64.8% in government hospitals, 66.8% in NGO hospitals and 69.5% in private hospitals. Compared with government hospitals, outcomes were similar in NGO hospitals (OR 1.21 (95%\u2009CI 0.95 to 1.53))\u2009and better in private hospitals (OR 1.56 (95%\u2009CI 1.25 to 1.94)). Outcomes improved across all delivery models over time, but differences between settings remained unchanged.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In settings where outreach services account for a substantial proportion of surgical volume, persistently poorer outcomes may constrain gains in effective cataract surgical coverage. These findings highlight the importance of improving the organisation and quality of outreach surgery and strengthening public cataract surgical services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bjo-2026-329992","type":"journal-article","created":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T17:20:29Z","timestamp":1787851229000},"page":"bjo-2026-329992","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Variation in cataract surgical outcomes by facility type: evidence from 168 population-based surveys in 61 countries"],"prefix":"10.1136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8315-0001","authenticated-orcid":false,"given":"Mattan","family":"Arazi","sequence":"first","affiliation":[{"name":"International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UK"},{"name":"Goldschleger Eye Institute, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel"},{"name":"Gray Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Drew","family":"Burd","sequence":"additional","affiliation":[{"name":"Department of Economics, The University of Chicago, Chicago, Illinois, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel H","family":"Henok","sequence":"additional","affiliation":[{"name":"International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1552-8814","authenticated-orcid":false,"given":"Elliott H","family":"Taylor","sequence":"additional","affiliation":[{"name":"International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5662-3325","authenticated-orcid":false,"given":"Covadonga","family":"Bascaran","sequence":"additional","affiliation":[{"name":"International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0935-3713","authenticated-orcid":false,"given":"Catey","family":"Bunce","sequence":"additional","affiliation":[{"name":"International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Buchan","sequence":"additional","affiliation":[{"name":"International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sailesh Kumar","family":"Mishra","sequence":"additional","affiliation":[{"name":"Nepal Netra Jyoti Sangh, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reena","family":"Yadav","sequence":"additional","affiliation":[{"name":"Nepal Netra Jyoti Sangh, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Bastawrous","sequence":"additional","affiliation":[{"name":"International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UK"},{"name":"PEEK Vision, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shalinder","family":"Sabherwal","sequence":"additional","affiliation":[{"name":"International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UK"},{"name":"Dr Shroff\u2019s Charity Eye Hospital Delhi, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Gichuhi","sequence":"additional","affiliation":[{"name":"International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UK"},{"name":"Ophthalmology, University of Nairobi, Nairobi, Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5764-1306","authenticated-orcid":false,"given":"Jacqueline","family":"Ramke","sequence":"additional","affiliation":[{"name":"International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UK"},{"name":"School of Optometry and Vision Science, The University of Auckland, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1872-9169","authenticated-orcid":false,"given":"Matthew J","family":"Burton","sequence":"additional","affiliation":[{"name":"International Centre for Eye Health, London School of 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