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Atención diaria versus cirugía hospitalaria de catarata según la edad

Appendices

Appendix 1. CENTRAL search strategy

#1 MeSH descriptor Ambulatory Surgical Procedures
#2 MeSH descriptor Ambulatory Care
#3 MeSH descriptor Outpatient Clinics, Hospital
#4 day*
#5 car* OR case* OR surg*
#6 (#4 AND #5)
#7 (outpatient* or out‐patient* (out next patient*))
#8 (#1 OR #2 OR #3 OR #6 OR #7)
#9 MeSH descriptor Hospitalization
#10 (inpatient* or in‐patient*)
#11 hospital*
#12 (overnight* or over‐night or (over next night*))
#13 (#9 OR #10 OR #11 OR #12)
#14 (#8 AND #13)
#15 MeSH descriptor Cataract
#16 cataract*
#17 (#15 OR #16)
#18 (#14 AND #17)

Appendix 2. MEDLINE (Ovid) search strategy

1 randomized controlled trial.pt.
2 (randomized or randomised).ab,ti.
3 placebo.ab,ti.
4 dt.fs.
5 randomly.ab,ti.
6 trial.ab,ti.
7 groups.ab,ti. )
8 or/1‐7
9 exp animals/
10 exp humans/
11 9 not (9 and 10)
12 8 not 11
13 exp ambulatory surgical procedures/
14 exp ambulatory care/
15 exp outpatient clinics hospital/
16 (day adj3 (care or case$ or surger$)).tw.
17 outpatient$.tw.
18 or/13‐17
19 exp hospitalization/
20 (in?patient$ or hospital$ or over?night or over night).tw.
21 or/19‐20
22 exp cataract extraction/
23 cataract$.tw.
24 or/22‐23
25 18 and 21 and 24
26 12 and 25

The search filter for trials at the beginning of the MEDLINE strategy is from the published paper by Glanville (Glanville 2006).

Appendix 3. EMBASE (Ovid) search strategy

1 exp randomized controlled trial/
2 exp randomization/
3 exp double blind procedure/
4 exp single blind procedure/
5 random$.tw.
6 or/1‐5
7 (animal or animal experiment).sh.
8 human.sh.
9 7 and 8
10 7 not 9
11 6 not 10
12 exp clinical trial/
13 (clin$ adj3 trial$).tw.
14 ((singl$ or doubl$ or trebl$ or tripl$) adj3 (blind$ or mask$)).tw.
15 exp placebo/
16 placebo$.tw.
17 random$.tw.
18 exp experimental design/
19 exp crossover procedure/
20 exp control group/
21 exp latin square design/
22 or/12‐21
23 22 not 10
24 23 not 11
25 exp comparative study/
26 exp evaluation/
27 exp prospective study/
28 (control$ or prospectiv$ or volunteer$).tw.
29 or/25‐28
30 29 not 10
31 30 not (11 or 23)
32 11 or 24 or 31
33 exp ambulatory surgery/
34 exp outpatient care/
35 (day adj3 (care or case$ or surger$)).tw.
36 outpatient$.tw.
37 or/33‐36
38 exp hospitalization/
39 (in?patient$ or hospital$ or over?night or over night).tw.
40 or/38‐39
41 exp cataract/
42 cataract$.tw.
43 or/41‐42
44 37 and 40 and 43
45 32 and 44

Appendix 4. LILACS search strategy

cataract$ and day and hospital$

Appendix 5. ISRCTN search strategy

cataract and day

Appendix 6. ClinicalTrials.gov search strategy

Cataract AND Day AND Hospital

Appendix 7. ICTRP search strategy

cataract AND day AND hospital

Study flow diagram.
Figuras y tablas -
Figure 1

Study flow diagram.

Risk of bias summary: review authors' judgements about each risk of bias item for each included study.
Figuras y tablas -
Figure 2

Risk of bias summary: review authors' judgements about each risk of bias item for each included study.

Risk of bias graph: review authors' judgements about each risk of bias item presented as percentages across all included studies.
Figuras y tablas -
Figure 3

Risk of bias graph: review authors' judgements about each risk of bias item presented as percentages across all included studies.

Table 1. Visual acuity four months postoperative (operated eye)

Visual acuity

Number of participants (%)

Day care (total n = 464)

In‐patient (total n = 471)

< 6/18*

92 (19.8%)*

84 (17.8%)*

> 6/18 to 6/15

111 (24%)

128 (27.2%)

6/12 to 6/9

149 (32.1%)

161 (34.2%)

6/9

112 (24.1%)

98 (20.8%)

Mean change (SD)

4.1 (2.3)

4.1 (2.2)

*not primary outcomes.

n: number of participants; SD: standard deviation.

Figuras y tablas -
Table 1. Visual acuity four months postoperative (operated eye)
Table 2. Early (less than 24 hours) postoperative complications

Complications

Number of participants (%)

Risk ratio (95% CI)

Day care (total n = 464)

In‐patient (total n = 471)

Wound leakage

5 (1.1%)

4 (0.8%)

1.27 (0.34 to 4.77)

Corneal oedema

49 (10.6%)

36 (7.6%)

1.42 (0.91 to 2.24)

Intraocular pressure > 30 mm Hg

16 (3.4%)

5 (1.1%)

3.33 (1.21 to 9.16)

CI: confidence interval; n: number of participants.

Figuras y tablas -
Table 2. Early (less than 24 hours) postoperative complications
Table 3. Late (less than four months) postoperative complications

Complications

Number of participants (%)

Risk ratio (95% CI)

Day care (total n = 464)

In‐patient (total n = 471)

Corneal oedema

32 (6.9%)

24 (5.1%)

1.38 (0.80 to 2.38)

Wound leakage

4 (0.9%)

7 (1.5%)

0.76 (0.17 to 1.98)

Intraocular pressure > 30 mm Hg

3 (0.6%)

5 (1.1%)

0.61 (0.14 to 2.55)

Endophthalmitis

2 (0.4%)

0 (0.0%)

CI: confidence interval; n: number of participants.

Figuras y tablas -
Table 3. Late (less than four months) postoperative complications
Table 4. VF14 scores four months postoperative

VF14 scores

Day care (n = 150)

In‐patient (n = 155)

Mean (SD) (range 0‐100)

92.8 (12.2)

87.6 (20.3)

Change score pre‐postoperative

25.2 (21.2)

23.5 (25.7)

n: number of participants; SD: standard deviation.

Figuras y tablas -
Table 4. VF14 scores four months postoperative
Table 5. Costs of cataract surgery

Costs

Day care (n = 150)

In‐patient (n = 155)

Total costs in Euros (SD)

1001.3 (251.4)

1218.0 (187.3)

n: number of participants; SD: standard deviation.

Figuras y tablas -
Table 5. Costs of cataract surgery