Short-term mortality among middle-aged cataract surgery patients.
OBJECTIVE
To investigate the short-term mortality of middle-aged patients undergoing cataract surgery in the United Kingdom (UK), to compare this with the expected mortality for the UK population of similar age and to try to identify at-risk groups.


METHODS
In a retrospective study, the 5-10 year mortality of all middle-aged patients undergoing cataract surgery between 1989 and 1993 was determined. Expected mortality was calculated from UK Interim Life Tables for 1991. Cox's regression analysis was performed using age, sex and self-assigned ethnic group as variables.


RESULTS
From the 709 patients in the study group, there were 86 deaths. This is significantly greater than expected (p < 0.01). Ethnic minority status (hazard ratio = 1.72, confidence interval = 1.12-2.64) and male sex (HR = 1.68, CI = 1.08-2.63) were found to be significantly associated with early mortality (p < 0.05).


CONCLUSIONS
This study suggests that, for some middle-aged patients, cataract is associated with a reduced life expectancy and may be a feature of premature ageing, reflecting systemic ill-health. Screening these and younger patients for systemic disease when they present with cataract provides the best opportunity to affect this increased mortality. The findings of this study are particularly relevant for patients from ethnic minority groups.
McKibbin
M
M
Bradford Royal Infirmary, UK. martinmckibbin@cswebmail.com
Mohammed
M
M
James
T E
TE
Atkinson
P L
PL
D000328:Adult; D017677:Age Distribution; D019588:Aging, Premature / Q000401:mortality; D002386:Cataract / Q000208:ethnology / Q000401:mortality*; D002387:Cataract Extraction; D004739:England / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008017:Life Expectancy; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D012044:Regression Analysis; D012189:Retrospective Studies; D012307:Risk Factors; D015996:Survival Rate