TY - JOUR
T1 - Effect of surgeon-related factors on outcome of retinal detachment surgery
T2 - analyses of data in Japan-retinal detachment registry
AU - Japan Retinal Detachment Registry
AU - Institutions of J-RD Registry project committee and their collaborators
AU - Collaborative Institutions and their collaborators
AU - Yamakiri, Keita
AU - Sakamoto, Taiji
AU - Koriyama, Chihaya
AU - Kawasaki, Ryo
AU - Baba, Takayuki
AU - Nishitsuka, Koichi
AU - Koto, Takashi
AU - Terasaki, Hiroto
AU - Yamamoto, Shuichi
AU - Baba, Takayuki
AU - Sato, Eiju
AU - Kitahashi, Masayasu
AU - Tatsumi, Tomoaki
AU - Miura, Gen
AU - Niizawa, Tomohiro
AU - Sakamoto, Taiji
AU - Yamakiri, Keita
AU - Yamashita, Toshifumi
AU - Otsuka, Hiroki
AU - Sameshima, Seiji
AU - Yoshinaga, Narimasa
AU - Sonoda, Shozo
AU - Hirakata, Akito
AU - Koto, Takashi
AU - Inoue, Makoto
AU - Hirota, Kazunari
AU - Itoh, Yuji
AU - Orihara, Tadashi
AU - Emoto, Yoshinobu
AU - Sano, Masahiko
AU - Takahashi, Hiroyuki
AU - Tokizawa, Ryo
AU - Yamashita, Hidetoshi
AU - Nishitsuka, Koichi
AU - Kaneko, Yutaka
AU - Nishi, Katsuhiro
AU - Yoshida, Akitoshi
AU - Ono, Shinji
AU - Hirokawa, Hiroyuki
AU - Sogawa, Kenji
AU - Omae, Tsuneaki
AU - Ishibazawa, Akihiro
AU - Kishi, Shoji
AU - Akiyama, Hideo
AU - Matsumoto, Hidetaka
AU - Mukai, Ryo
AU - Ishibashi, Tatsuro
AU - Sonoda, Koh Hei
AU - Ikeda, Yasuhiro
AU - Ishikawa, Keijiro
N1 - Publisher Copyright:
© The Author(s) 2022.
PY - 2022/12
Y1 - 2022/12
N2 - The purpose of this study was to investigate the effects of surgeon-related factors on the surgical outcome of pars plana vitrectomy (PPV) and scleral buckling (SB) surgery on eyes with a rhegmatogenous retinal detachment (RRD). This was a nationwide, multicenter, observational study of the data in the Japan-RD Registry. Registered cases that had undergone surgery for a RRD by 128 accredited surgeons in 26 institutions were studied. The surgeon-related factors that significantly affected surgical success and visual outcomes of simple RRD treated by PPV or SB at 6 months postoperatively were analyzed and compared. Among 3446 registered cases, 2533 cases met the inclusion criteria with 1896 in the PPV group and 637 cases in the SB group. The median total number of lifetime cases was 150 and the rate of surgeries/year was 22. Multivariate regression analyses showed that the number and rate of surgeries/year were not significantly associated with the surgical outcome in the PPV group. However, surgeons with a higher average annual number of surgeries had significantly better surgical outcomes in the SB group (P = 0.038). Analyses of a nationwide registry showed that SB but not PPV surgeries require sufficient experience and case numbers to acquire and maintain skills to treat RRDs successfully.
AB - The purpose of this study was to investigate the effects of surgeon-related factors on the surgical outcome of pars plana vitrectomy (PPV) and scleral buckling (SB) surgery on eyes with a rhegmatogenous retinal detachment (RRD). This was a nationwide, multicenter, observational study of the data in the Japan-RD Registry. Registered cases that had undergone surgery for a RRD by 128 accredited surgeons in 26 institutions were studied. The surgeon-related factors that significantly affected surgical success and visual outcomes of simple RRD treated by PPV or SB at 6 months postoperatively were analyzed and compared. Among 3446 registered cases, 2533 cases met the inclusion criteria with 1896 in the PPV group and 637 cases in the SB group. The median total number of lifetime cases was 150 and the rate of surgeries/year was 22. Multivariate regression analyses showed that the number and rate of surgeries/year were not significantly associated with the surgical outcome in the PPV group. However, surgeons with a higher average annual number of surgeries had significantly better surgical outcomes in the SB group (P = 0.038). Analyses of a nationwide registry showed that SB but not PPV surgeries require sufficient experience and case numbers to acquire and maintain skills to treat RRDs successfully.
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UR - http://www.scopus.com/inward/citedby.url?scp=85126412934&partnerID=8YFLogxK
U2 - 10.1038/s41598-022-07838-5
DO - 10.1038/s41598-022-07838-5
M3 - Article
C2 - 35273253
AN - SCOPUS:85126412934
SN - 2045-2322
VL - 12
JO - Scientific reports
JF - Scientific reports
IS - 1
M1 - 4213
ER -