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[Epidemiological impact of the COVID-19 pandemic on enucleation cases in Germany].
- Source :
-
Die Ophthalmologie [Ophthalmologie] 2023 Nov; Vol. 120 (11), pp. 1117-1121. Date of Electronic Publication: 2023 Jun 16. - Publication Year :
- 2023
-
Abstract
- Purpose: To determine the rate of enucleation in Germany and the impact that the COVID-19 pandemic may have had on its characteristics.<br />Methods: The rates of enucleation in Germany during 2019 and 2020 were extracted from the diagnosis-related groups (DRG) registry using the operation and procedure classification system codes 5‑163.0 through 5‑163.23 and 5‑163.x. The data were statistically analyzed.<br />Results: The number of enucleations showed a 16.6% reduction from 1295 cases in 2019 compared to 1080 cases in 2020 (p = 0.17). In both years men averaged 54.1% of cases. Patients older than 65 years represented 53% and 56% of cases in 2019 and 2020, respectively. The most common indication for enucleation in both years was phthisis bulbi (n = 373 and n = 307, respectively), accounting for 29.7% of the cases, followed by choroidal malignancies (24%). Enucleation with the simultaneous introduction of an alloplastic orbital implant into Tenon's capsule represented the most common procedure (38.7% combined 2‑year average), followed by a sheathed variant (26.6%) and a bulbar implant made of nonabsorbable microporous material (16.8%), without a significant change between years. Enucleations without the introduction of an implant increased from 7.8% in 2019 to 11.1% in 2020 (p = 0.006). The proportion of patients undergoing a reoperation slightly increased from 5.6% to 8% (p = 0.018). Most procedures (65.6%) were performed in large (> 1000 beds) public hospitals.<br />Conclusion: Despite the decrease in the total number of procedures performed, the rate of enucleation in Germany was not significantly altered by the COVID-19 pandemic. The rate of enucleation without implants and reoperations significantly increased.<br /> (© 2023. The Author(s).)
Details
- Language :
- German
- ISSN :
- 2731-7218
- Volume :
- 120
- Issue :
- 11
- Database :
- MEDLINE
- Journal :
- Die Ophthalmologie
- Publication Type :
- Academic Journal
- Accession number :
- 37326852
- Full Text :
- https://doi.org/10.1007/s00347-023-01882-w