title: More frequent requests for day-case cataract surgery : An impressive mind switch in the Austrian population within 7 years.
abstract: BACKGROUND
  Cataract surgery is the most commonly performed elective surgical procedure worldwide. While the operation has been mainly conducted as day-case (outpatient) surgery throughout the world since the beginning of this millennium, this development has been much slower in Austria. The number of patients requesting day-case surgery has markedly increased in the last few years.
  
  
  METHODS
  Prior to the introduction of a day clinic at our department in 2007, we evaluated the patients' acceptance of day-case surgery using a questionnaire. At the time, less than half of the patients wished to undergo day-case surgery. Another survey was performed 7 years later to determine if there were any changes.
  
  
  RESULTS
  The desire for day-case surgery increased significantly from 38.8 to 87.1%. The mean age of the patients and their visual impairment had decreased. Home care improved, but not to the same extent. The number of patients who had to travel more than an hour to reach the hospital had significantly increased.
  
  
  CONCLUSIONS
  Improvements in perioperative limitations and most of all patients becoming accustomed to the idea have led to an impressive mind switch, culminating in a clear desire for day-case cataract surgery.
authors.affiliation: Department of Ophthalmology, Hietzing Hospital, Wolkersbergenstraße 1, 1130, Vienna, Austria.|Karl Landsteiner Institute for Process Optimization and Quality Management in Cataract Surgery, Vienna, Austria.
authors.forename: Birgit
authors.initials: B
authors.lastname: Weingessel
authors.affiliation: Department of Ophthalmology, Hietzing Hospital, Wolkersbergenstraße 1, 1130, Vienna, Austria.|Karl Landsteiner Institute for Process Optimization and Quality Management in Cataract Surgery, Vienna, Austria.
authors.forename: Michael
authors.initials: M
authors.lastname: Wahl
authors.affiliation: Department of Ophthalmology, Hietzing Hospital, Wolkersbergenstraße 1, 1130, Vienna, Austria. veronika.vecsei-marlovits@wienkav.at.|Karl Landsteiner Institute for Process Optimization and Quality Management in Cataract Surgery, Vienna, Austria. veronika.vecsei-marlovits@wienkav.at.
authors.forename: Pia Veronika
authors.initials: PV
authors.lastname: Vécsei-Marlovits
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures / Q000639:trends*; D001317:Austria; D002387:Cataract Extraction / Q000639:trends*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D057240:Patient Preference / Q000706:statistics & numerical data*; D012737:Sex Factors; D011795:Surveys and Questionnaires; D014850:Waiting Lists
keywords: Ambulatory surgical procedures; Cataract; Day-case hospital; Operation; Outpatient care