Evaluation of screening procedures for congenital cataracts
(2003) In Acta Pædiatrica 92(12). p.1468-1473- Abstract
- Aim: To evaluate the efficacy of two different Swedish screening procedures for early detection of congenital cataracts in comparison with no screening. Methods: Children born between January 1992 and December 1998 in Swedish regions with an established eye-screening routine procedure, diagnosed with congenital cataract, and operated on before 1 y of age, were included in a retrospective study. Age at referral and age at time of the operation were compared between regions using different screening procedures: screening in the maternity wards (Region 1), at the well-baby clinics (Region 2) and one region without any screening (Region 3). Results: Seventy-two children were included in the study. Concerning early diagnosis and surgery, Region... (More)
- Aim: To evaluate the efficacy of two different Swedish screening procedures for early detection of congenital cataracts in comparison with no screening. Methods: Children born between January 1992 and December 1998 in Swedish regions with an established eye-screening routine procedure, diagnosed with congenital cataract, and operated on before 1 y of age, were included in a retrospective study. Age at referral and age at time of the operation were compared between regions using different screening procedures: screening in the maternity wards (Region 1), at the well-baby clinics (Region 2) and one region without any screening (Region 3). Results: Seventy-two children were included in the study. Concerning early diagnosis and surgery, Region 1 differed significantly from Regions 2 and 3, which were more similar and were combined for further analysis. The difference in detected cases was greatest at 21 d of age (55% vs 18%; p < 0.001), but persisted even at 100 d of age (78% vs 64%; p < 0.02). Region 1 screening resulted in more and earlier cases detected than the other two regions (22 vs 15 per 100000 births). In 72% of all cases, surgery was performed in response to referrals from either the maternity wards (36%), or the well-baby clinics (36%). However, half of the cases from the well-baby clinics were detected too late, i.e. at >100 d. Conclusion: Eye screening in the maternity ward is preferable to well-baby clinic screening and to no screening at all, since it leads to early detection. Screening should also be performed routinely at well-baby clinics within the period when successful treatment is possible. (Less)
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https://lup.lub.lu.se/record/291231
- author
- organization
- publishing date
- 2003
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- well-baby clinics, congenital cataract, blindness prevention, screening, newborn examination
- in
- Acta Pædiatrica
- volume
- 92
- issue
- 12
- pages
- 1468 - 1473
- publisher
- Wiley-Blackwell
- external identifiers
-
- wos:000187845000021
- pmid:14971800
- scopus:9144247683
- ISSN
- 1651-2227
- DOI
- 10.1080/08035250310006476
- language
- English
- LU publication?
- yes
- id
- d8bd82f5-5f9d-441c-96ce-d69bd00424e7 (old id 291231)
- date added to LUP
- 2016-04-01 15:20:53
- date last changed
- 2022-02-05 00:49:47
@article{d8bd82f5-5f9d-441c-96ce-d69bd00424e7, abstract = {{Aim: To evaluate the efficacy of two different Swedish screening procedures for early detection of congenital cataracts in comparison with no screening. Methods: Children born between January 1992 and December 1998 in Swedish regions with an established eye-screening routine procedure, diagnosed with congenital cataract, and operated on before 1 y of age, were included in a retrospective study. Age at referral and age at time of the operation were compared between regions using different screening procedures: screening in the maternity wards (Region 1), at the well-baby clinics (Region 2) and one region without any screening (Region 3). Results: Seventy-two children were included in the study. Concerning early diagnosis and surgery, Region 1 differed significantly from Regions 2 and 3, which were more similar and were combined for further analysis. The difference in detected cases was greatest at 21 d of age (55% vs 18%; p < 0.001), but persisted even at 100 d of age (78% vs 64%; p < 0.02). Region 1 screening resulted in more and earlier cases detected than the other two regions (22 vs 15 per 100000 births). In 72% of all cases, surgery was performed in response to referrals from either the maternity wards (36%), or the well-baby clinics (36%). However, half of the cases from the well-baby clinics were detected too late, i.e. at >100 d. Conclusion: Eye screening in the maternity ward is preferable to well-baby clinic screening and to no screening at all, since it leads to early detection. Screening should also be performed routinely at well-baby clinics within the period when successful treatment is possible.}}, author = {{Magnusson, G and Jakobsson, P and Kugelberg, U and Lundvall, A and Maly, E and Tornqvist, Kristina and Abrahamsson, M and Andréasson, Bengt and Borres, M and Broberger, U and Hellstrom-Westas, L and Kornfält, Ragnhild and Nelson, N and Sjostrand, J and Thiringer, K}}, issn = {{1651-2227}}, keywords = {{well-baby clinics; congenital cataract; blindness prevention; screening; newborn examination}}, language = {{eng}}, number = {{12}}, pages = {{1468--1473}}, publisher = {{Wiley-Blackwell}}, series = {{Acta Pædiatrica}}, title = {{Evaluation of screening procedures for congenital cataracts}}, url = {{http://dx.doi.org/10.1080/08035250310006476}}, doi = {{10.1080/08035250310006476}}, volume = {{92}}, year = {{2003}}, }