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Impact of a National system for waitlist prioritization: the experience with NIKE and cataract surgery in Sweden.

Ng, Jonathon Q and Lundström, Mats LU (2014) In Acta Ophthalmologica 92(4). p.378-381
Abstract
Purpose: To evaluate waiting times for first-eye cataract surgery in Sweden following widespread adoption of the Nationell Indikationsmodell for Kataraktextraktion (NIKE) tool for prioritizing patients for cataract surgery. Methods: Waiting times for all first-eye cataract surgeries in Sweden in 2009-2011 were identified from the Swedish National Cataract Register. Waiting times were compared according to demographic, clinical and NIKE indication group for surgery. Multivariate logistic regression modelling was used to determine factors associated with waiting times less than the 3-month Government guarantee period. Results: There were 141 070 first-eye cataract surgeries in 2009 to 2011; an annual increase of around 6%. Over the study... (More)
Purpose: To evaluate waiting times for first-eye cataract surgery in Sweden following widespread adoption of the Nationell Indikationsmodell for Kataraktextraktion (NIKE) tool for prioritizing patients for cataract surgery. Methods: Waiting times for all first-eye cataract surgeries in Sweden in 2009-2011 were identified from the Swedish National Cataract Register. Waiting times were compared according to demographic, clinical and NIKE indication group for surgery. Multivariate logistic regression modelling was used to determine factors associated with waiting times less than the 3-month Government guarantee period. Results: There were 141 070 first-eye cataract surgeries in 2009 to 2011; an annual increase of around 6%. Over the study period, mean waiting times decreased across all NIKE groups. The proportion waiting <3 months for surgery also increased across all NIKE groups. Surgery within 3 months of waitlisting was more likely for patients with a NIKE 1 indication classification (most need for surgery), in later years, male patients, younger patients and patients with a preoperative visual acuity in the better eye worse than 6/24. Conclusions: Prioritizing patients for cataract surgery using NIKE reduces waiting times for those with the greatest need. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Ophthalmologica
volume
92
issue
4
pages
378 - 381
publisher
Wiley-Blackwell
external identifiers
  • pmid:23764232
  • wos:000336443600034
  • scopus:84901309071
ISSN
1755-3768
DOI
10.1111/aos.12164
language
English
LU publication?
yes
id
6e503806-1b96-4656-9b53-1024fd1f69d1 (old id 3913424)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/23764232?dopt=Abstract
date added to LUP
2013-07-01 12:40:43
date last changed
2017-01-01 03:14:25
@article{6e503806-1b96-4656-9b53-1024fd1f69d1,
  abstract     = {Purpose: To evaluate waiting times for first-eye cataract surgery in Sweden following widespread adoption of the Nationell Indikationsmodell for Kataraktextraktion (NIKE) tool for prioritizing patients for cataract surgery. Methods: Waiting times for all first-eye cataract surgeries in Sweden in 2009-2011 were identified from the Swedish National Cataract Register. Waiting times were compared according to demographic, clinical and NIKE indication group for surgery. Multivariate logistic regression modelling was used to determine factors associated with waiting times less than the 3-month Government guarantee period. Results: There were 141 070 first-eye cataract surgeries in 2009 to 2011; an annual increase of around 6%. Over the study period, mean waiting times decreased across all NIKE groups. The proportion waiting &lt;3 months for surgery also increased across all NIKE groups. Surgery within 3 months of waitlisting was more likely for patients with a NIKE 1 indication classification (most need for surgery), in later years, male patients, younger patients and patients with a preoperative visual acuity in the better eye worse than 6/24. Conclusions: Prioritizing patients for cataract surgery using NIKE reduces waiting times for those with the greatest need.},
  author       = {Ng, Jonathon Q and Lundström, Mats},
  issn         = {1755-3768},
  language     = {eng},
  number       = {4},
  pages        = {378--381},
  publisher    = {Wiley-Blackwell},
  series       = {Acta Ophthalmologica},
  title        = {Impact of a National system for waitlist prioritization: the experience with NIKE and cataract surgery in Sweden.},
  url          = {http://dx.doi.org/10.1111/aos.12164},
  volume       = {92},
  year         = {2014},
}