Choice of Primary Rhegmatogenous Retinal Detachment Repair Method in US Commercially Insured and Medicare Advantage Patients, 2003-2016

American Journal of Ophthalmology
Mary-Grace ReevesArmin R Afshar

Abstract

To evaluate trends for rhegmatogenous retinal detachment (RRD) repair and the influence of patient characteristics on repair type in a large US population including children and adults, between 2003 and 2016. Retrospective cohort study. Setting: Administrative claims for beneficiaries in a large nationwide managed-care network, including Medicare Advantage, employer-sponsored, and commercial insurance. Beneficiaries undergoing RRD primary repair procedures. RRD repair procedure type. We identified 31 995 beneficiaries with RRD over the study period, mean age 59.8 years. Ocular comorbidities, including pseudophakia (16.9%), vitreous hemorrhage (14.6%), myopia (2.9%), and lattice degeneration (11.0%), were more common among RRD than non-RRD patients. Pars plana vitrectomy (PPV) was consistently the most common repair procedure, increasing over time. Scleral buckle utilization declined and utilization of other procedures remained relatively constant. After adjustment for age, demographics, and geographic region, PPV was more likely among patients with pseudophakia (OR = 1.81, P < .001) and vitreous hemorrhage (OR = 1.38, P < .001). Lattice degeneration (OR = 1.42, P < .001) and younger age were associated with higher odds of scler...Continue Reading

Citations

Jun 9, 2020·Ophthalmic Surgery, Lasers & Imaging Retina·Thomas A CiullaJustin H Townsend
Jul 16, 2020·Ophthalmology and Therapy·Mostafa MafiBobeck S Modjtahedi
May 21, 2020·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Koichi NishitsukaUNKNOWN Japan Retinal Detachment Registry Group
Oct 29, 2020·Japanese Journal of Ophthalmology·Yohei HashimotoRyo Obata
Nov 23, 2020·American Journal of Ophthalmology·Natalia F CallawayDarius M Moshfeghi
Apr 26, 2021·American Journal of Ophthalmology·Mary-Grace R ReevesSuzann Pershing
Jun 12, 2021·Clinical Ophthalmology·Koichi NishitsukaHidetoshi Yamashita
Jun 18, 2021·JAMA Ophthalmology·Nicolas A YannuzziD Wilkin Parke
Jun 18, 2021·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·Viola RadeckDavid Maerker
Apr 22, 2020·Journal français d'ophtalmologie·Y Lakehal-AyatJ-B Conart
Oct 13, 2021·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Chyong-Yng HuangLihteh Wu

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