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000277320 1001_ $$aSchulz, Helene$$b0
000277320 245__ $$aPredictors of attendance at the first follow-up and poor visual outcome after paediatric cataract surgery in Kinshasa for the years 2001-2021.
000277320 260__ $$aNagasaki$$bNagasaki Univ.$$c2025
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000277320 520__ $$aAbout 90% of blind children come from low- and middle-income countries. The main cause of childhood blindness is cataract. Cataract surgery can improve vision, but regular follow-up is necessary. Low attendance at follow-up is a medical and statistical challenge, as missing information can lead to biased results. Two research questions arise: what social factors influence attendance at first follow-up? What social factors influence a poor outcome of visual acuity at first follow-up?An observational cohort study was conducted, and the total base population was analysed. The study includes children who received cataract surgery at Saint Joseph Hospital (Kinshasa, Democratic Republic of the Congo) from 2001 to 2021. Cox regression was used to examine attendance at the first follow-up (n = 1100 operated eyes), ordinal logistic regression to analyse visual acuity at the first follow-up (n = 699 operated eyes), both clustered by patient identification number. Due to the high number of missing values, multiple imputation was performed as a sensitivity analysis.Female sex, young age, very good visual acuity after surgery, and disease in both eyes led to lower attendance at follow-up. Poor visual acuity outcome at follow-up was associated with female sex, young age, poor financial situation, blindness after surgery and nystagmus.As regular follow-up is crucial for an improved visual acuity outcome, it is recommended that special attention needs to be paid to the groups identified in our analysis to better integrate them into follow-up. In particular, the higher risk of poor outcome in younger children is surprising and requires further analysis.
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000277320 650_7 $$2Other$$aFollow-up
000277320 650_7 $$2Other$$aPaediatric cataract surgery
000277320 650_7 $$2Other$$aVisual acuity outcome
000277320 7001_ $$0P:(DE-2719)9001401$$aRakuša, Elena$$b1$$udzne
000277320 7001_ $$aFrech, Stefanie$$b2
000277320 7001_ $$aStahnke, Thomas$$b3
000277320 7001_ $$aKilangalanga, Ngoy J$$b4
000277320 7001_ $$aGuthoff, Rudolf F$$b5
000277320 7001_ $$0P:(DE-2719)2811246$$aDoblhammer, Gabriele$$b6$$eLast author$$udzne
000277320 773__ $$0PERI:(DE-600)2209835-5$$a10.1186/s41182-025-00706-8$$gVol. 53, no. 1, p. 32$$n1$$p32$$tTropical medicine and health$$v53$$x1348-8945$$y2025
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