% IMPORTANT: The following is UTF-8 encoded.  This means that in the presence
% of non-ASCII characters, it will not work with BibTeX 0.99 or older.
% Instead, you should use an up-to-date BibTeX implementation like “bibtex8” or
% “biber”.

@ARTICLE{Schulz:277320,
      author       = {Schulz, Helene and Rakuša, Elena and Frech, Stefanie and
                      Stahnke, Thomas and Kilangalanga, Ngoy J and Guthoff, Rudolf
                      F and Doblhammer, Gabriele},
      title        = {{P}redictors of attendance at the first follow-up and poor
                      visual outcome after paediatric cataract surgery in
                      {K}inshasa for the years 2001-2021.},
      journal      = {Tropical medicine and health},
      volume       = {53},
      number       = {1},
      issn         = {1348-8945},
      address      = {Nagasaki},
      publisher    = {Nagasaki Univ.},
      reportid     = {DZNE-2025-00383},
      pages        = {32},
      year         = {2025},
      abstract     = {About $90\%$ 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.},
      keywords     = {Follow-up (Other) / Paediatric cataract surgery (Other) /
                      Visual acuity outcome (Other)},
      cin          = {AG Doblhammer},
      ddc          = {610},
      cid          = {I:(DE-2719)1012002},
      pnm          = {354 - Disease Prevention and Healthy Aging (POF4-354)},
      pid          = {G:(DE-HGF)POF4-354},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:40001188},
      doi          = {10.1186/s41182-025-00706-8},
      url          = {https://pub.dzne.de/record/277320},
}