{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T22:32:02Z","timestamp":1777415522433,"version":"3.51.4"},"reference-count":53,"publisher":"BMJ","issue":"3","license":[{"start":{"date-parts":[[2021,3,16]],"date-time":"2021-03-16T00:00:00Z","timestamp":1615852800000},"content-version":"unspecified","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"This work was supported by the American Society of Cataract and Refractive Surgeons, Fairfax, VA, USA (DSB, CEK)."}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2020,12,19]]},"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To identify factors that contribute to missed cataract surgery follow-up visits, with an emphasis on socioeconomic and demographic factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this retrospective cohort study, patients who underwent cataract extraction by phacoemulsification at Massachusetts Eye and Ear between 1 January and 31 December 2014 were reviewed. Second eye cases, remote and international patients, patients with foreign insurance and combined cataract cases were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 1931 cases were reviewed and 1089 cases, corresponding to 3267 scheduled postoperative visits, were included. Of these visits, 157 (4.8%) were missed. Three (0.3%) postoperative day 1, 40 (3.7%) postoperative week 1 and 114 (10.5%) postoperative month 1 visits were missed. Age&lt;30 years (adjusted OR (aOR)=8.2, 95% CI 1.9 to 35.2) and \u226590 years (aOR=5.7, 95%\u2009CI 2.0 to 15.6) compared with patients aged 70\u201379 years, estimated travel time of &gt;2\u2009hours (aOR=3.2, 95%\u2009CI 1.4 to 7.4), smokers (aOR=2.7, 95%\u2009CI 1.6 to 4.8) and complications identified up to the postoperative visit (aOR=1.4, 95%\u2009CI 1.0 to 2.1) predicted a higher rate of missed visits. Ocular comorbidities (aOR=0.7, 95%\u2009CI 0.5 to 1.0) and previous visit best-corrected visual acuity (BCVA) of 20\/50\u201320\/80 (aOR=0.4, 95%\u2009CI 0.3 to 0.7) and 20\/90\u201320\/200 (aOR=0.4, 95%\u2009CI 0.2 to 0.9), compared with BCVA at the previous visit of 20\/40 or better, predicted a lower rate of missed visits. Gender, race\/ethnicity, language, education, income, insurance, alcohol use and season of the year were not associated with missed visits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Medical factors and demographic characteristics, including patient age and distance from the hospital, are associated with missed follow-up visits in cataract surgery. Additional studies are needed to identify disparities in cataract postoperative care that are population-specific. This information can contribute to the implementation of policies and interventions for addressing them.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2020-038565","type":"journal-article","created":{"date-parts":[[2021,3,18]],"date-time":"2021-03-18T00:10:30Z","timestamp":1616026230000},"page":"e038565","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Healthcare disparities contribute to missed follow-up visits after cataract surgery in the USA: results from the perioperative care for intraocular lens study"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8216-7108","authenticated-orcid":false,"given":"Giannis A","family":"Moustafa","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Durga S","family":"Borkar","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA"},{"name":"Department of Ophthalmology, Duke University Eye Center, Durham, North Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily A","family":"Eton","sequence":"additional","affiliation":[{"name":"W K Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Koulisis","sequence":"additional","affiliation":[{"name":"USC Roski Eye Institute, Department of Ophthalmology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolyn E","family":"Kloek","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA"},{"name":"Department of Ophthalmology, University of Oklahoma College of Medicine, Dean McGee Eye Institute, Oklahoma City, Oklahoma, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,3,17]]},"reference":[{"key":"2025121300333782000_11.3.e038565.1","unstructured":"Wittenborn JS . 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