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Factors associated with the uptake of cataract surgery among adults identified with operable cataract in South Western Uganda

Title: Factors associated with the uptake of cataract surgery among adults identified with operable cataract in South Western Uganda
Authors: Kanji, Raheel; Onyango, John; Twinamasiko, Amos; Arunga, Simon
Publisher Information: College of Ophthalmology of Eastern Central and Southern Africa
Publication Year: 2025
Collection: London School of Hygiene & Tropical Medicine: LSHTM Research Online
Description: Objective: To determine the factors associated with the uptake of cataract surgery among adults identified with operable cataract in South Western Uganda.Methods: In a hospital-based cross-sectional study, patients presenting with operable cataract at two largetertiary level eye hospitals in south-western Uganda were prospectively consecutively enrolled between,October 2020 to January 2021. Operable cataract was defined, as a best-corrected visual acuity equal or less than 6/60 where the principal cause is cataract. The outcome of interest was undergoing a cataract surgery within 3 months of diagnosis. In a multivariable logistic regression model, we tested for social demographic and other baseline features associated with uptake of a cataract operation.Results: During the study period, a total of 400 patients with operable cataract were enrolled out of a totaloutpatient attendance of 1692 in the two hospitals (23.6%). The median age was 71 (IQR 65-80, full-range 30-102) and 222 (55.5%) were female. Most were married 242 (60.5%), the majority with no formal education 184 (46%).The most common occupation was being a peasant 256 (64%). The majority of the patients were householdheads 285 (71.2%) and a large proportion required an escort to the hospital 384 (87%). Bilateral operable cataract was present in 146 (36.5%). Within the study period, the uptake of cataract surgery was 64% 95% CI (59- 68). Ina multivariable logistic regression model,
Document Type: article in journal/newspaper
File Description: text
Language: English
ISSN: 2308-6327
Relation: https://researchonline.lshtm.ac.uk/id/eprint/4681531/1/Onyango-etal-2025-Factors-associated-with-the-uptake.pdf; Kanji, RaheelORCID logo; Onyango, John; Twinamasiko, Amos; and Arunga, Simon ORCID logo (2025) Factors associated with the uptake of cataract surgery among adults identified with operable cataract in South Western Uganda. Journal of Ophthalmology of Eastern, Central and Southern Africa (JOECSA), 14 (01). ISSN 2308-6327 DOI:10.64666/joecsa.2025.22
DOI: 10.64666/joecsa.2025.22
Availability: https://researchonline.lshtm.ac.uk/id/eprint/4681531/; https://doi.org/10.64666/joecsa.2025.22
Rights: cc_by_4
Accession Number: edsbas.29C0E2BE
Database: BASE